ATI Maternal newborn Quiz 2; QUESTIONS &
ANS 100% CORRECTLY VERIFIED GRADED
A+
A nurse is assessing a 4 hr old newborn who is to breastfeed and notes
hands and feet that are cool and slightly blue What action should the nursetake?
a. check the newborns temp using temporal thermometer
b. place the naked newborn on the mothers bare chest and cover both witha
blanket
c. apply an o2 hood over the newborns head and neckd.
give the newborn glucose water between feedings
(Ans - b. place the naked newborn on the mothers bare chest and coverboth with
a blanket
Exposure to a cool environment causes vasoconstriction, which results in cool
extremities with a bluish discoloration. Placing the newborn skin-to- skin with his
mother helps stabilize his temperature and promotes bonding.
A nurse is caring for a newborn immediately following delivery. What
actions should the nurse take first?
a. place the newborn directly on the client's chestb.
administer erythromycin ophthalmic ointment c. give
the newborn vit K IM
d. perform a detailed physical assessment
,ATI Maternal newborn Quiz 2; QUESTIONS &
ANS 100% CORRECTLY VERIFIED GRADED
A+
(Ans - a. place the newborn directly on the client's chest
, ATI Maternal newborn Quiz 2; QUESTIONS &
ANS 100% CORRECTLY VERIFIED GRADED
A+
The nurse should apply the safety and risk reduction priority-setting framework
when caring for this client. This framework assigns priority to thefactor or
situation posing the greatest safety risk to the client. When there are several risks
to client safety, the one posing the greatest threat is the highest priority. The
nurse should use Maslow's Hierarchy of Needs, the ABC priority-setting
framework, or nursing knowledge to identify which risk poses the greatest threat
to the client. Therefore, the greatest risk to the newborn is cold stress, which
increases the need for oxygen and glucose.
Placing the newborn directly on the client's chest will help maintain thenewborn's
temperature.
A nurse is planning care for a newborn who is receiving phototherapy foran
elevated bilirubin level. What action should the nurse take?
a. apply barrier ointment to the newborn's perianal regionb.
offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings(Ans
- c. use photometer to monitor the lamp's energy
the nurse should monitor the lamp's energy throughout the therapy to ensure the
newborn is receiving the appropriate amount to be effective
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