Exam 2 nr 327 with complete
verified solutions 2025
Know how to determine the newborn APGAR score based on the
assessment information provided. (review table 15.4 on page 425 of
your required textbook) - answer 0
A (Activity) limp
P (pulse) absent
G (Grimace/Reflex) no response
A (apperance/color) pallor or cyanosis
R (Respiration) . No spontaneous
Common medication administered to newborns at delivery and how
to administer them - answer 1) Vitamin K Phytonadione-
intramuscular- vastus lateralis muscle.
2) Erythromycin Ophthalmic Ointment- From inner to outer canthus
3)Hepatitis B immunization- the schedule is at birth, 1 month, and 6
months. different site than vit k.
, What is the treatment for newborn born to mother who is Hep B
positive - answer hepatitis B immunoglobulin and the hepatitis B
vaccine is given within 12 hr of birth. (dif sites)
Know priority interventions for immediate newborn care - answer
1) Stabilize infant. cough reflex, then suction mouth then nose.
2) 2 identification
3) warm infant
Know normal newborn assessments (review table 20.2 on pages
555-559 of your required textbook) - answer Vitals
length (19-21 inches)
Head circumference (13-15 in)
chest (12-14in) 2 less than head
APGAR
3 vessels in cord
Know normal newborn vital signs range - answer Temp: 97.7-99.5 F
HR: 120-160
RR: 30-60
BP- 65/30
Know care of the newborn umbilical cord stump and parent teaching
- answer Make sure it is clamped. 24-48 hours- comes off when
they go home.
Use only water
look for erythema, edema, and drainage with each diaper change.
cord falls off 10-14 days
Keep diaper folded down.
do not submerge in water.
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