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Assessment for Well-BeingAssessment of the newborn immediately starts the moment he or she is delivered, and there are a lot of standard assessments used to evaluate them rapidly. Apgar ScoringThe Apgar scoring is done during the first 1 minute and 5 minutes of life. The heart rate, respiratory rate, muscle tone, reflex irritability, and color are evaluated in an infant. Apgar score is the baseline for all future observations.
Apgar scoring
Respiratory Evaluation
Physical Examination
Care of the Newborn at Birth
Care of the Newborn in the Postpartum Period
Practice Quiz: Care of the NewbornQuestions 1. What is the highest priority in the newborn assessment? A. Reflex irritability 2. A newborn has an Apgar score of 6. What would be the intervention? A. Nothing should be done;
this is a normal score. 3. Why is it important to assess the newborn’s height and weight? A. To check if the newborn is adapting well to extrauterine life. 4. Why is newborn identification and registration essential? A. So the parents can immediately see the baby. 5. When is an appropriate time to bathe the newborn? A. Immediately after birth Answers and Rationale 1. Answer: B. Breathing
2. Answer: D. Newborn’s airway needs to be cleared.
3. Answer: D. B and C
4. Answer: B. To avoid switching of babies or kidnapping.
5. Answer: C. Before feeding the newborn
The care of the newborn starts at the hand of their healthcare providers and must be transitioned properly to their parents for continuity of care. An appropriate education for the parents and immediate family members regarding the dos and don’ts for newborn care should be included in the discharge plan so that when the newborn is already safe at home, there is a guarantee that they are well-cared for by their family members. Which is the priority need that must be included in the nursing care for a child with pneumonia?Initial priorities in children with pneumonia include the identification and treatment of respiratory distress, hypoxemia, and hypercarbia. Grunting, flaring, severe tachypnea, and retractions should prompt immediate respiratory support.
Which should the nurse include in the plan of care for a toddlerWhich should the nurse include in the plan of care for a toddler-age client who follows a vegetarian or vegan diet? The toddler-age client who follows a vegetarian or vegan diet is at risk for iron deficiency anemia; therefore, the nurse should plan on monitoring hemoglobin and hematocrit levels.
Which should the nurse anticipate when assessing a toddlerWhich should the nurse anticipate when assessing a toddler-age client's respirations? Respirations for the toddler-age client continue to be abdominal during the toddler-age years. Respirations are normal; therefore, the nurse does not anticipate tachypnea or dyspnea.
What is the primary nursing goal for a hospitalized toddler?The primary nursing goal in the care of a hospitalized child younger than 5 years of age is to prevent or minimize separation from parents or primary caregivers. Although preventing discomfort is important, the primary nursing goal is to prevent separation from parents or primary caregivers.
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