Pediatric Nursing Exam 1 study Guide With Complete Solution

What is the nurse's first action that must be done after the delivery of a newborn to meet the priority need of the newborn? - Answer Suction the mouth and nose What is used to clear the infants airway? - Answer Bulb suction What must the nurse immediately do, after clearing the infant's airway? - Answer Dry and stimulate the infant and provide warmth What is the total Apgar score if the newborn is completely pink, the baby cries when stimulated, crying is really good, the baby is has some flexion in the extremities, and has a heart rate of 115? - Answer 9 What is the name of the reflex characterized by sudden jarring or the change in the equilibrium causes extension and abduction of the extremities and fanning of the fingers, with the index finger and thumb forming a C shape, followed by flexion and addiction of extremities; legs may weakly flex; infant may cry? Also know as the startle reflex. - Answer Moro Reflex What reflex is characterized by the infant's head is quickly turned to one side, arm and leg extend on that side, and opposite arm and leg flex; posture resembles a fencing position? - Answer Tonic Neck Reflex What reflex is characterized by holding the infant so that the sole of the foot touches a hard surface, there is a reciprocal flexion and extension of the leg, simulating walking? - Answer Dance or stepping reflex What reflex is characterized by the sole of the foot being stroked along the side of the sole beginning at the heel and then moving across the ball of the foot to the big toe, the toes fan out with dorsiflexion of the big toe? - Answer Babinski's Relfex What reflex is characterized by the palmar, you place a finger in the palm of the hand and the infant's fingers curl around the examiner's fingers? This reflex is also tested on the feet by placing fingers at the base of the toes, the toes curl downward. - Answer Grasp Relfex What reflex is characterized by pulling up the infant by the wrist from the supine position with the head in midline, the head lags until the infant is in the upright position, then the head is held in the same place with the chest and shoulder momentarily before falling forward; also known as the pull to sit reflex? - Answer Traction reflex Which reflex needs assessed before the initial feeding? - Answer Rooting reflex What are examples of proper umbilical cord care? - Answer Avoid tub bath until cord falls off; keep clean and dry; monitor for foul odor or bleeding; fold diaper down from umbilicus Regarding breastfeeding, what is the initial secretion that's slightly yellow and high in antibodies called? - Answer Colostrum Do you give frequent feedings if your breastfeeding? - Answer Yes Do you give frequent feedings if your bottle feeding? - Answer No True or false: Bottle feeding formula breaks down slower than breast milk. - Answer True