Exam (elaborations)
NR 327 Exam 2 Questions and Answers |Latest Edition Graded A+
- Course
- NR 327
- Institution
- Chamberlain College Of Nursing
NR 327 Exam 2 Questions and Answers |Latest Edition Graded A+
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NR 327 Exam #2 ALL ANSWERS LATEST EDITION 100% CORRECT SPRING FALL -2023/24 EDITION GUARANTEED GRADE A+ The nurse should educate the bottlefeeding mom to anticipate what stool findings? Light yellow, foul smelling, formed A first time mother during her first feeding session asks why her milk looks old, it's thick, and yellow This is colostrum; it's high in protein and immunoglobulin A Name 2 early signs of hunger in an infant. Cues for the mother to feed. Licking or sucking, lip smacking, rooting, hands to mouth, sucking on hands, restless What would be a preferred breastfeeding position for a post c -section mother? Football/clutch, side -lying When should solid food be introduced and what should it consist of? 4-6 months; iron -fortified rice cereal Name t he 2 most common IM injections the newborn is given Vitamin K Hep B vaccine This care is provided post -Gomco clamp circumcision Petroleum jelly application A parent asks when the cord will fall off 10-14 days How is temperature regulated when an infant is placed in a warmer? Temperature sensor to upper abdomen Name 3 things to prevent SIDS Back to sleep, pacifier, non -smoking, firm bedding, no co -sleeping, don't overheat What is the nursing consideration for an infant displaying a yellow color to their skin (nose, sternum) during the first 24 hours? Nonphysiologic jaundice, hyperbilirubinemia NR 327 Exam 2 Questions and Answers |Latest Edition Graded A+ A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds. What is suspected? Developmental hip dysplasia The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action? Feed the baby This is a newborn screening test for the inability to metabolize phenylalanine and if positive requires special formula PKU (low protein) The nurse is unable to palpate the testes of a male infant, what is the disorder? Cryptorchidism The infant is born with swelling that crosses suture lines and should resolve in a couple days has which finding? Caput succedaneum This "soft spot" is diamond shaped and should close by 18 mont hs Anterior fontanel A mother is concerned that her baby was born with a large bruise to its sacral area. How should the nurse respond? This is a mongolian spot and is a normal finding of darker skin in that area. When bumping the infants crib, the infant displays sharp extension and abduction of the arms followed by flexion and adduction. What is being exhibited? Moro reflex The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg posture; a 0 degree square window, with plantar cr eases. What do these characteristics reflect? This is a full or post -term baby Name 2 physical factors that make a newborn at risk for heat loss Thin skin, blood vessels close to surface, little subcutaneous fat, greater body surface area, being preterm, i nability to shiver Give an example of how to minimize heat loss from evaporation Dry the infant quickly (after bath) The nurse places a blanket over a scale prior to weighing the baby. What is the heat loss mechanism that is being decreased? Conduction Describe how heat is lost through convection Losing heat to cooler surrounding air (drafts, fans, ac) Name 2 possible effects of cold stress Increased RR, decreased surfactant, hypoglycemia, metabolic acidosis, increased metabolic rate, jaundice, pale skin What are the primary concerns for premature babies? -Breathing (signs of respiratory distress) -Low temperature (risk for cold stress) -Hypoglycemia (heel sticks are common) -Jaundice & hyperbilirubemia -Infection Important considerations for bili -lights and phototherapy -Eye protection -No lotion -Infant only wears diaper -Can remove infant from light to feed Infection prevention for post -partum mothers -Assist in urination every 2 hours -Hand hygiene before and after -Change pad every time using the restroo m How often should you feed the infant? Every 2 -3 hours How long is breast milk good for? -4 hours on the counter -4 days in the fridge -6 months in freezer -12 months in a deep freezer *Do not re -freeze thawed milk *Use left -over milk within 2 hours Breastfeeding support considerations -Encourage breastfeeding for at least 6 months -Bring baby to breast and not breast to baby -Offer both breasts during each feeding, 10 mins on each -Break the seal before removing baby from breast Breastfeeding comfort considerations
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