1. An infant’s initial assessment at one minute of age reveals: Heart rate -160 beats/min, respiratory effort – crying vigorously, some flexion, body pink, feet and hands cyanotic. There is no evidence of retractions, na
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1. An infant’s initial assessment at one minute of age reveals: Heart rate -160 beats/min, respiratory effort – crying vigorously, some flexion, body pink, feet and hands cyanotic. There is no evidence of retractions, nasal flare or grunting. How will you document the initial APGAR score.
2. Describe the characteristics of physiologic jaundice and pathologic jaundice. Include etiology (cause), onset, bilirubin level changes and Nursing Diagnosis and 2 interventions for each.
Pathologic jaundice is caused by the overabundance of bilirubin due to a disease that causes an overload and inability to remove bilirubin fast enough.
3. Describe the following newborn conditions and the parent teaching for each.
A. Caput Succedoneum:
B. Cephalhematoma:
C. Mongolian spots:
D. Erythema toxicum:
4. Describe discharge teaching the nurse provides for the mother regarding her baby’s umbilical cord (include assessments, complications, cleaning, & when it will “fall off”) and the care following a circumcision.
A. Cord Care:
B. Circumcision Care:
5. Complete a drug card for these two drugs.
A. Phytonadione
• Generic/ Trade Name:
• Action/Purpose:
• Dosage Range: 0
• Adverse effects/Contraindications:
• Nursing considerations:
B. Erythromycin ophthalmic ointment
• Generic/ Trade Name:
• Action/Purpose:
• Dosage range: 1 -2 c
• Adverse effects/Contraindications:
• Nursing considerations:
NICU Prep Cards Name:
1. Sepsis is one of the most significant causes of neonatal morbidity and mortality. A preterm infant begins to experience periods of apnea and bradycardia. The physician suspects necrotizing enterocolitis (NEC). Describe clinical manifestations of NEC and management.
2. A baby born at 28 weeks’ gestation is now 2 weeks old. You hear the monitor alarm. The monitor indicates no pulse or respirations. Describe the nursing interventions will perform in order of priority. Describe the rationales for each intervention.
3. Preterm infants are at risk for developing cold stress. Describe factors that place preterm infants at risk for temperature instability and the nursing interventions to minimize or prevent cold stress in the preterm infant.
4. The RN is caring for a six hour old neonate diagnosed with respiratory distress syndrome (RDS). Describe the clinical manifestations the nurse would expect this neonate to have and management of RDS.
5. Complete a drug card for these two drugs.
A. Naloxone
• Generic/Trade name: Narcan
B. Surfactant
• Generic/Trade Name: Beractant
• Dose Range: 25 mg/mL suspension
• Nursing Considerations:
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