HESI Case Study-Healthy Newborn – Flashcards
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ID bands of mother and infant do not match, what is the priority match?
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Report the discrepancy of the ID bands to the RN in charge
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Infant feels cold, what should PN implement first?
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Obtain infant's axillary temp
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PN places infant under warmer, what should PN do next?
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Take off all the infants clothes except the diaper
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"Why is my baby's head messed up?"
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The molding of the head from delivery through the birth canal is normal
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Soft swelling of scalp along suture line
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Document finding
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Bluish spots on infant's sacral area?
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Mongolian spots
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Physical finding that should be reported to RN
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Natal teeth not covered by gum
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Finding in extremities that warrants additional assessment
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hip abduction limited in the supine position
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Findings consistent with an infant born at 40w gestation
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-plantar creases covering entire soles of the feet -palpable anterior and posterior fontanelles
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Why injection?
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prevent/treat hemorrhagic diseases
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What would postpone bath?
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RR 64
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Action the PN should take?
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Obtain infant's blood glucose level
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PN best response?
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Remind of safety, help place in crib
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What action?
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Place cap on infant, demonstrate how to swaddle
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What action?
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Observe change diaper
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What action?
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Review the recommendation of using plain water instead of powder
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What action?
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Report missing consent to RN
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How should PN respond?
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It's ok to nurse infant
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How should PN respond?
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Amount of weight loss is typical for FT infants
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What problem can be detected with PKU test?
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The lack of liver enzyme that converts proteins can lead to intellectual disability if not found and treated early
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PN action for PKU test?
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-Apply glove before obtaining specimen from newborn -Cuddle and comfort infant after specimen is obtained -Apply pressure to site with dry gauze after -Puncture outer aspect of heel no deeper the 2.0 mm -Warm the heel 5-10 minutes before obtaining
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Vaccines at 2 months?
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-Second dose of hepatitis B (HepB) vaccine -First dose of rotavirus vaccine (RV) -First dose of Haemophilus influenzae typer b (Hib) -Pneumococcal conjugate vaccine (PCV) -Inactivated poliovirus vaccine (IPV)
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Rationale for burping?
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Regurgitation
