Discuss how genetic background affects the newborn’s adjustment to life. Discuss the effects of prenatal care, labor, and delivery on the newborn.
What is the nurse’s role in providing sensory and physical stimuli to assist the newborn in breathing?
Describe each of the reflexes listed.
Describe each reflex. What is the nurse’s role in assessing the newborn’s reflexes?
Refer to Figure 12-5 on page 284 and discuss caput succedaneum and cephalhematoma. Why is the newborn’s head circumference measured?
Describe each phase of the sleep-wake cycle. Discuss each of the patterns of reactivity listed.
What is the nurse’s role in assessing pain in the newborn?
Discuss the CRIES 10-point scale, the PIPP profile, the NIPS scale, and the NPASS scale.
What are some examples of conditioned responses?
How can this scale help new parents?
What is the nurse’s role in maintaining a patent airway in the newborn?
Describe proper suctioning with a bulb syringe.
Give an example of how to measure the Apgar score. What are the implications of sternal retractions and the nurse’s role in managing this urgent situation? Audience Response Question #1 An Apgar score of 5 at 5 minutes indicates the neonate is in: 1. Good condition 2. Fair condition 3. Poor condition 4. Critical condition
Discuss the difference between neonatal circulation from that of a fetus. Describe the location and pathophysiology of the foramen ovale and ductus arteriosus.
How can you ensure the newborn is kept warm? Hands and feet are not used as a guide to determine warmth because the extremities tend to be cooler than the rest of the body.
Discuss proper methods to count respiratory and pulse rates. How would you describe noisy respirations, nasal flaring, and chest retractions? Audience Response Question #2 A neonate's vital signs are assessed as follows: axillary temperature 96.5° F, pulse 125 bpm, respirations 44. The nurse is aware that: 1. these are within normal limits. 2. pulse is elevated. 3. respirations and temperature are normal. 4. temperature is decreased.
What is another reason for swaddling a newborn besides temperature control?
Audience Response Question #3 Average newborn length is19-21.5 inches. What is the average newborn weight? 1. 6 lb. - 7.5 lb. 2. 6 lb. - 9 lb 3. 7.5 lb. - 9.5 lb 4. 7 lb -10 lb
Why is it important to weigh the newborn daily?
Discuss the rationale regarding the importance of the first void. Why should the nurse monitor the frequency of urination?
What instructions should be given to the parents regarding care of the genitalia?
What causes jaundice?
Give an example of typical documentation for a newborn’s stools.
Discuss Figure 12-15 on page 298.
Discuss methods to manage constipation and hiccoughs. What is the gastrocolic reflex? What vitamins are necessary for the newborn?
What is considered proper umbilical cord care? Discuss the importance of hand hygiene.
What information should be provided to parents in each of the areas listed?