NCLEX 3000-Maternal-The Neonate QUESTIONS AND ANSWERS 100% CORRECT

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(SELECT ALL THAT APPLY) The nurse must administer erythromycin ophthalmic ointment 0.5% to a neonate born 30 minutes ago. How should the nurse proceed? ANS: (1) Clean the eyes before administration ... (2) Put on gloves.(4) Open the eyes by putting a thumb and finger at the corner of each lid and gently pressing on the periorbital ridges. (5) Spread the ointment from the inner canthus of the eye to the outer canthus. (6) Wipe excess ointment from the eyes after waiting 1 minute. A new mother is concerned because her breast-feeding neonate wants to "nurse all the time." Which of the following responses is most appropriate to address the mother's concerns regarding her neonate's breast-feeding behavior? ANS: "Breast milk is ideal for your baby, so his stomach will digest it quickly, which requires more feedings." A postpartum client plans to breast-feed her first child, a full-term neonate. She asks the nurse, "How will I know if my baby is getting enough to eat?" The nurse informs her that nutritional intake is adequate if the neonate: ANS: exhibits a steady weight gain. The neonate of a client with type 1 diabetes mellitus is at high risk for hypoglycemia. An initial sign the nurse should recognize as indicating hypoglycemia in a neonate is: ANS: lethargy An appropriate-for-gestational-age neonate should weigh: ANS: between the 10th and the 99th percentiles for age. A client plans to breast-feed her healthy, full-term neonate. The nurse encourages her to start breast- feeding within 30 minutes of the neonate's birth because: ANS: the neonate will be responsive and eager to suck at this time. Which of the following describes how the nurse interprets a neonate's Apgar score of 8 at 5 minutes? ANS: A neonate who's in good condition It's difficult to awaken a neonate 3 hours after birth. The nurse recognizes that this behavior indicates: ANS: normal progression into the sleep cycle. Which finding in a neonate suggests hypothermia? ANS: Bradycardia A client is concerned that her 2-day-old, breast-feeding neonate isn't gaining weight. The nurse should teach the client that breast-feeding is effective if: ANS: the neonate latches onto the areola and swallows audibly. At birth, a neonate weighs 7 lb, 3 oz. When assessing the neonate 1 day later, the nurse obtains a weight of 7 lb and an axillary temperature of 98° F (36.7° C) and notes that the sclerae are slightly yellow. The neonate has been breast-feeding once every 2 to 3 hours. Based on these findings, the nurse should expect which nursing diagnosis to be added to the plan of care? ANS: Risk for injury related to hyperbilirubinemia Which of the following measurements reflects normal calorie intake for a neonate? ANS: 110 to 130 calories per kg [Show More]

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