INSTRUCTIONS: Answer the following exercises by marking the lettered response that best answers the exercise, by completing the incomplete statement, or by writing the answer in the space(s) provided.

After you have completed all of these exercises, turn to "Solutions to Exercises" at the end of the lesson and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution.

1. What two objects may be used in establishing and maintaining the airway of a newborn infant?

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2. List six of the eight characteristics of a newborn's respirations.

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3. Why is a stockinette cap placed on a newborn's head?

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5. What are the objective signs of evaluation in APGAR scoring?

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6. APGAR scoring is done two times in the delivery room, at ______________________ and _______________________ after delivery.

7. The infant’s weight is documented in pounds and centimeters. Where is the weight documented?

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8. Vitamin K is administered intramuscular in the _______________________ muscle.

9. How long should you initially bathe a newborn?

a. 1 minute.

b. 2 minutes.

c. 5 minutes.

d. Local policy will specify.

10. When should "bonding" begin?

a. In the delivery room.

b. In the nursery room.

c. After 24 hours of delivery.

d. There is no specific time frame.

11. When is a complete inspection of the newborn performed?

a. Immediately after delivery.

b. Within 6 hours after delivery.

c. Within 24 hours after delivery.

d. One hour before the infant is discharged from the hospital.

12. What conditions are you looking for when inspecting a newborn's skin and nails?

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13. The infant's abdomen should be __________________________ in shape.

14. How long should an infant be on milk or formula feeding before a PKU test is performed.

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15. List the goals of newborn nursing care.

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16. What instructions are given to the parents upon discharge?

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17. When is triple dye applied to the infant's cord?

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SOLUTIONS, LESSON 8

1. Bulb syringe.

DeLee trap. (para 8-2a)

2. Any six of the eight listed below.

Nose breathers.

Irregular rate.

Usually abdominal or diaphragmatic in character.

Ranges from 40 to 60 breathers per minute.

Breathing is quiet and shallow.

Easily altered by external stimuli.

Periods of apnea less than 15 seconds is normal.

Acrocyanosis may occur during periods of crying. (para 8-2a(1)

3. To prevent heat loss through the head. (para 8-2b(3))

4. Parent-infant bonding. (para 8-2d(1))

5. Heart rate.

Respiratory effort.

Muscle tone.

Reflex irritability.

Color. (para 8-3b)

6. One minute.

Five minutes. (para 8-3)

7. SF 510, Nursing Notes.

Delivery room record.

Instant data card. (para 8-4d)

8. Vastus lateralis. (para 8-5)

9. d (para 8-7a)

10. a (para 8-9a)

11. c (para 8-11)

12. Jaundice.

Birthmarks.

Milia.

Petechiae

Lanugo. (para 8-11t)

13. Cylindrical. (para 8-11w)

14. Three full days. (para 8-12a)

15. To continue appraisal of the newborn throughout his hospital stay.

To provide safeguards against infection.

To initiate feedings.

To provide guidance and health instruction to the parents. (para 8-12)

16. Feeding schedule.

Bathing routine.

Home care needs.

Umbilical cord stump care.

Infant safety in the car. (para 8-14b)

17. After the infant has been bathed and determined stable. (para 8-8b)