A nurse is assessing a newborn’s vital signs at 1 hour of age.

Which of the following findings should the nurse report to the provider?

A nurse is preparing to administer hepatitis B vaccine to a newborn whose mother is hepatitis B surface antigen negative (HBsAg-).

Which of the following actions should the nurse take?

A nurse is assessing a newborn who has late-onset VKDB due to exclusive breastfeeding and inadequate oral vitamin K supplementation.

Which of the following findings should indicate a possible intracranial hemorrhage to the nurse?

A nurse is performing an initial assessment of a newborn who was delivered vaginally at term with no complications.

Which of the following findings should alert the nurse to a potential problem?

The nurse is caring for a newborn who was circumcised using a Gomco clamp 12 hours ago and notes that there is a small amount of blood on his diaper where his penis rests against it.

The most appropriate nursing action would be to:

A nurse is caring for a newborn who has early-onset VKDB due to maternal use of anticoagulants during pregnancy.

Which of the following interventions should the nurse anticipate for this newborn?

A nurse is caring for a preterm newborn who has hypoglycemia due to inadequate gluconeogenesis.

The nurse should understand that this condition occurs because preterm newborns have limited stores of which of the following substances?

A nurse is educating a new mother about umbilical cord care and how to prevent omphalitis, sepsis, and tetanus.

Which of the following statements by the mother indicates an understanding of the teaching?

A nurse is administering erythromycin eye ointment to a newborn who has a history of allergic reaction to penicillin.

What should the nurse do before applying the ointment?

A nurse is caring for a newborn who has received erythromycin eye ointment as prophylaxis for ophthalmia neonatorum.

What should the nurse monitor for as a potential adverse reaction to this medication?

The nurse is teaching parents how to care for their son’s circumcision site after discharge from hospital using petroleum jelly and gauze dressing method.

Which statement by parents indicates that they need further instruction?