Immediate Newborn Care > Maternal & Newborn
Exam Review
Newborns’ Basic Needs
Total Questions : 4
Showing 4 questions, Sign in for moreA nurse is caring for a newborn who was delivered 30 minutes ago.
The newborn is placed skin-to-skin with the mother and covered with a dry cloth and a hat.
What is the primary purpose of this intervention?
Explanation
The correct answer is choice B. To prevent hypothermia in the newborn.This is because newborns are at a higher risk of losing heat through various mechanisms, such as evaporation, conduction, convection, and radiation.Placing the newborn skin-to-skin with the mother and covering with a dry cloth and a hat helps to conserve heat and prevent cold stress.
Choice A is wrong because promoting bonding between the mother and the newborn is not the primary purpose of this intervention, although it is a beneficial outcome.
Choice C is wrong because stimulating the newborn’s respiratory effort is not the primary purpose of this intervention, although it may help to reduce apnea and bradycardia.
Choice D is wrong because facilitating early initiation of breastfeeding is not the primary purpose of this intervention, although it may enhance lactation and milk transfer.
A nurse is assessing a newborn who has not cried or breathed spontaneously since birth.
The nurse rubs the newborn’s back and feet, but there is no response.
What is the next action that the nurse should take?
Explanation
The correct answer is choice C. Provide positive pressure ventilation with a bag and mask.
This is because the newborn has not established spontaneous breathing and needs immediate respiratory support.According to the NRP 7th edition, positive pressure ventilation should be initiated within the first minute of life for non-breathing or gasping newborns.
Choice A is wrong because chest compressions are only indicated if the heart rate is below 60 beats per minute after 30 seconds of effective ventilation.
Choice B is wrong because oxygen via nasal cannula is not an appropriate method of delivering oxygen to a non-breathing newborn.
Choice D is wrong because suctioning the newborn’s mouth and nose with a bulb syringe may cause bradycardia and delay ventilation.
The normal respiratory rate for a newborn is 30 to 60 breaths per minute.The normal heart rate for a newborn is 100 to 160 beats per minute.
A nurse is teaching a new mother about the benefits of colostrum, the first breast milk.
Which of the following statements by the mother indicates an understanding of the teaching?
Explanation
The correct answer is choice B. Colostrum will protect my baby from getting sick.This is because colostrum contains antibodies and white blood cells that help strengthen the baby’s immune system and fight off infections.Colostrum also coats the baby’s intestines and prevents harmful bacteria from being absorbed.
Choice A is wrong because colostrum does not directly affect the baby’s growth or strength.
It does provide ideal nutrition for a newborn, but it is not the only factor that influences growth and development.
Choice C is wrong because colostrum does not make the baby sleep better at night.It does have a laxative effect that helps the baby clear meconium (the first poop) and reduces the risk of jaundice, but this does not affect sleep quality.
Choice D is wrong because colostrum does not prevent the baby from having allergies.It does contain some factors that may help modulate the immune response and reduce inflammation, but it cannot guarantee that the baby will not develop any allergic reactions
A nurse is administering prophylactic eye ointment and vitamin K injection to a newborn within 1 hour of birth.
What are the rationales for these interventions? (Select all that apply.)
Explanation
The correct answer is choice A and B. The rationale for these interventions are:
• Choice A: To prevent ophthalmia neonatorum caused by gonorrhea or chlamydia.
This is a serious eye infection that can lead to blindness if untreated.Prophylactic eye ointment, such as erythromycin, is given to the newborn within 1 hour of birth to prevent this infection.
• Choice B: To prevent hemorrhagic disease of the newborn caused by vitamin K deficiency.
This is a bleeding disorder that can occur due to low levels of vitamin K, which is essential for blood clotting.
Newborns are at risk of vitamin K deficiency because their colon is sterile and they do not produce enough of it.Vitamin K injection is given to the newborn within 1 hour of birth to prevent this disease.
• Choice C: To prevent retinopathy of prematurity caused by oxygen toxicity.
This is incorrect because retinopathy of prematurity is a condition that affects premature infants who receive high levels of oxygen therapy.
It causes abnormal blood vessel growth in the retina, which can lead to vision loss.
This intervention is not relevant for a term newborn who does not need oxygen therapy.
• Choice D: To prevent neonatal jaundice caused by bilirubin accumulation.
This is incorrect because neonatal jaundice is a common condition that occurs when the newborn
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