What should nursing interventions to maintain a patent airway in ...

[JGIBBSON]

What should nursing interventions to maintain a patent airway in a newborn include?
 
  a. Positioning the newborn supine after feedings.
  b. Wrapping the newborn as snugly as possible.
  c. Placing the newborn to sleep in the prone (on abdomen) position.
  d. Using a bulb syringe to suction as needed, suctioning the nose first and then the pharynx.

Question 2

The nurse is assessing the reflexes of a newborn. Stroking the outer sole of the foot assesses which reflex?
 
  a. Grasp
  b. Perez
  c. Babinski
  d. Dance or step

[moormoney]

Answer to Question 1

ANS: A
Positioning the newborn supine after feedings is recommended by the American Academy of Pediatrics to prevent sudden newborn death syndrome. The child can be wrapped snugly but should be placed on the side or back. Placing a newborn to sleep in the prone (on abdomen) position is not advised because of the possible link between sleeping in the prone position and sudden newborn death syndrome. A bulb syringe should be kept by the bedside if necessary, but the pharynx should be suctioned before the nose.

Answer to Question 2

ANS: C
This is a description of the Babinski reflex. Stroking the outer sole of the foot upward from the heel across the ball of the foot causes the big toes to dorsiflex and the other toes to hyperextend. This reflex persists until approximately age 1 year or when the newborn begins to walk. The grasp reflex is elicited by touching the palms or soles at the base of the digits. The digits will flex or grasp. The Perez reflex involves stroking the newborn's back when prone; the child flexes the extremities, elevating the head and pelvis. This disappears at ages 4 to 6 months. When the newborn is held so that the sole of the foot touches a hard surface, there is a reciprocal flexion and extension of the leg, simulating walking. This reflex disappears by ages 3 to 4 weeks.

[JGIBBSON]

Gracias!

[ghepp]

Excellent