184 Preterm newborn Periodic breathing consists of 5 10 second respiratory

184 preterm newborn periodic breathing consists of 5

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184. Preterm newborn. – Periodic breathing consists of 5-10 second respiratory pauses, followed by 10-15 second compensatory rapid respirations. Apnea is a pause in respirations longer than 10-15 seconds. Position the newborn in neutral flexion with his extremities to his body to conserve body heat. Use a blanket and swaddling but only in the nursery under monitored supervision. 185. Full-term newborn. First action to take immediately following birth. – Dry the newborn (Greatest risk to the newborn is cold stress). Apgar scores are done at 1 min and 5 min after birth. This is not the first action the nurse should take. 186. 36 weeks of gestation, positive contraction stress test. Which diagnostic test should the nurse plan to prepare the client for? – Biophysical profile; a positive contraction stress test indicates that further evaluation of the fetus is necessary. 187. Prenatal clinic, group of clients. Which of the following clients should the nurse request the provider to see first? – A client who is at 11 weeks of gestation and reports abdominal cramping. (Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion.) 188. When bathing newborn. Use a head to toe, clean to dry approach. – Wipe the newborn’s eyes from the inner canthus onward using plain water. Wash the newborn’s neck by lifting the newborn’s chin. Cleanse the skin around the umbilical cord stump followed by washing the newborn’s legs and feet. Last step is to clean the newborn’s diaper area. 189. 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? – Swelling of the face, sacral area, and hands can indication gestational hypertension or preeclampsia. Reduction in renal perfusion leads to sodium and water reduction. Fluid moves out of the intravascular compartment into the tissues, causing edema. 190. New mother caring for her crying newborn who is bottle feeding. Which of the following actions by the mother should the nurse recognize as a positive parenting behavior? – Lays the newborn across her lap and gently sways. (This tactile stimulation promotes a sense of security for the newborn.) 191. Newborn 12-hours after birth. Which of the following manifestations should the nurse report to the provider? – Jaundice (after 24 hours; this is normal, before 24 hours; ABO incompatibility, hemolysis, or Rh-isoimmunization.) 192. Client who is 8 weeks of gestation, teaching about exercise.30 min of moderate exercise every day to improve tone throughout her pregnancy. Take pulse every 10 to 15 min during exercise. Client should rest in lateral position for 10 min following exercise, not on the back. Client should decrease, rather than increase, weight-bearing exercises as their pregnancy progresses.

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