Question: An infant that is diagnosed with meconium aspiration displays which symptom?

Answer: intercostal and substernal retractions

Question: A 20-year-old client gave birth to a baby boy during the 43rd week of gestation. What might the nurse observe in the newborn during routine assessment?

Answer: The newborn may look wrinkled and old at birth.

Question: A nurse assisting in a birth notices that the amniotic fluid is stained greenish black as the baby is being born. Which intervention should the nurse implement as a result of this finding?

Answer: intubation and suctioning of the trachea

Question: A newborn with high serum bilirubin is receiving phototherapy. Which is the most appropriate nursing intervention for this client?

Answer: Application of eye dressings to the infant

Question: A woman gives birth to a newborn at 36 weeks’ gestation. She tells the nurse, “I’m so glad that my baby isn’t premature.” Which response by the nurse would be most appropriate?

Answer: “We still need to monitor him closely for problems.”

Question: When discussing heat loss in newborns, placing a newborn on a cold scale would be an example of what type of heat loss?

Answer: conduction

Question: In an infant who has hypothermia, what would be an appropriate nursing diagnosis?

You Selected:

Answer: Impaired tissue perfusion

Question: Which finding is indicative of hypothermia of the preterm infant?

Answer: nasal flaring

Question: The nurse in the NICU is caring for preterm newborns. Which guidelines are recommended for care of these newborns? Select all that apply.

Answer: Dress the newborn in ways to preserve warmth.

Take the newborn’s temperature often.

Supply oxygen for the newborn, if necessary.

Question: A newborn girl who was born at 38 weeks of gestation weighs 2000 g and is below the 10th percentile in weight. The nurse recognizes that this girl will be placed in which classification?

Answer: term, small for gestational age, and low-birth-weight infant