Author Question: The nurse is performing immediate care of the newborn. Which of the following interventions are ... (Read 46 times)

kodithompson · **on:** Jul 17, 2018

The nurse is performing immediate care of the newborn. Which of the following interventions are related to the four goals for immediate management of the newborn? Select all answers that apply.

A) Suctioning the baby's nasal passages
B) Placing a cap on the baby's head
C) Assisting the mother to breastfeed
D) Providing a complete body bath and shampoo
E) Placing an identification band on the infants wrist
F) Reporting Mongolian spots if found on the infant's skin

Question 2

A client arrives at the healthcare facility with complaints of purplish-blue discoloration of the skin on his arm that developed after an accident. Which of the following terms should the nurse use to document the skin lesion?

A) Purpura
B) Desquamation
C) Laceration
D) Dermatitis

BUTTHOL369 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A, B, C, E
Feedback:
Four goals for immediate management of the newborn are to (1) establish and maintain an airway and respirations, (2) provide warmth and prevent hypothermia, (3) provide a safe environment and routine preventive measures, and (4) promote maternalinfant attachment. In some facilities, newborns receive a complete body bath and shampoo after they are stable and their body temperature is within normal limits, but this is not an immediate goal. Mongolian spots are a normal skin alteration and should be documented, but not reported.

Answer to Question 2

A
Feedback:
The nurse should document the skin lesion as purpura. Purpura is a skin lesion characterized by discoloration of skin owing to blood in the tissue. A laceration is a skin lesion that appears as a jagged cut through the skin or tissue. Excoriation is a skin lesion that appears as an abrasion or scraped area of the epidermis. Dermatitis is a skin lesion characterized by skin inflammation.