The nurse admits a newborn to the admission nursery and prepares to bathe the baby for the first time after assessing which of the following?

Two hours since last eating.

Temperature 36.2°C axillary on radiant warmer.

Drying of the umbilical cord.

Stable temperature for 2 hours.

Answer and Explanation

The Correct Answer is D

A. This is not a primary consideration before bathing a newborn. The timing of the last feeding is more relevant to assessing the risk of hypoglycemia rather than determining readiness for a bath.

B. This temperature is slightly below the recommended range for newborns (36.5°C to 37.5°C). Bathing should be delayed until the newborn's temperature is stable.

C. While care of the umbilical cord is important, it does not determine the timing of the first bath. The cord can be kept dry even if the baby is bathed.

D. Ensuring that the newborn has maintained a stable body temperature for at least 2 hours is crucial before giving the first bath. Bathing can cause a drop in body temperature, so it's essential that the newborn's thermoregulation is stable to avoid hypothermia.

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Correct Answer is B

Explanation

Choice A rationale:

Newborns do not show interest in eating while crying. Crying is usually an indication of distress or hunger and not a state where they are interested in eating.

Choice B rationale:

Newborns are most interested in eating when they are in an "alert”. state. During this state, the baby is awake, calm, and attentive, making it an ideal time for feeding.

Choice C rationale:

In the "drowsy”. state, newborns may be sleepy and less interested in eating. They might feed less effectively in this state.

Choice D rationale:

"Active alert”. is a state where the newborn is awake, attentive, and active. While they may be interested in their surroundings, they may also be easily distracted during feeding.

A. 15 mL. B. 30 mL. C. 45 mL. D. 60 mL.

Correct Answer is D

Explanation

Choice A rationale:

15 mL is not the correct choice because it only considers the first two feedings and does not account for the intake during the entire shift.

Choice B rationale:

30 mL is not the correct choice because it only considers the first three feedings and does not account for the intake during the entire shift.

Choice C rationale:

45 mL is not the correct choice because it only considers the first four feedings and does not account for the intake during the entire shift.

Choice D rationale:

The nurse should record 60 mL of formula as the newborn's intake for the shift. To calculate the total intake, you add the amounts from each feeding: 0.5 oz + 1 oz + 0.5 oz + 0.5 oz + 0.5 oz = 60 mL. Remember that 1 fluid ounce (oz) is approximately equal to 30 mL.

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The nurse admits a newborn to the admission nursery and prepares to bathe the baby for the first time after assessing which of the following?

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Naxlex Comprehensive Predictor Exams

A newborn is most interested in eating in which wake and sleep state?

Correct Answer is B

Explanation

A nurse is caring for a newborn who is formula-fed. The newborn takes 0.5 oz of formula at 0800, 1 oz at 1100, 0.5 oz at 1300, 0.5 oz at 1600, and 0.5 oz at 1830. How many mL of formula should the nurse record as the client's intake for the shift?

Correct Answer is D

Explanation

Which statement about fetal circulation is true?

The nurse notes that a newborn's white blood cell count (WBC) is 15,000. The nurse is aware that:.

A nurse is collecting data from a newborn who is 12 hours old. His respiration rate is 44/min, shallow, with periods of apnea lasting up to 5 seconds. Which of the following actions should the nurse take?

The nurse is caring for an 18-hour-old newborn who has not voided for the first time yet. What is the nurse's priority action?

How many ounces is 30 ml?

Exhibit 1. A nurse understands which of the following assessment findings as a priority to indicate that a newborn may be experiencing cold stress and burning brown fat to produce heat? (Select all that apply.).

The nurse enters the room and notices that the room feels cold. The mother says, "He has been crying and kicking and now he seems very tired.”. What is the nurse's priority concern?