Question

Baby H. was just born in a hospital that provides single-room maternity care (SRMC). SRMC allows the
infant to remain with the parents after birth. H.'s mother was in labor for 12 hours and gave birth vaginally.
Baby H. is the first baby born to these parents. The nurse will complete the physical assessment and
observe for physiologic changes in the infant's transition from intrauterine to extrauterine life.

1. Name the three phases that occur during this transition period and state an approximate
time frame for each.

2. What care is specific to the first period of reactivity?

3. The sleep phase and second reactive phase might occur in the SRMC or in the nursery. Identify
eight assessments or tasks that the nurse needs to do during the transitional care period.

4. You are preparing to give the injection of vitamin K (AquaMEPHYTON). The order is to
give 0.5 mg subcutaneously on arrival in the nursery. The medication comes in a solution of
1 mg/0.5 mL. Calculate how much medication you will draw up into the syringe.

5. Erythromycin ointment is instilled in both eyes to prevent which of these infections?
a. Chlamydia
b. Herpes simplex virus infection
c. Gonorrhea
d. Human papillomavirus (HPV) infection

6. Once the transitional care and documentation are completed, the infant might be transferred
to the normal newborn nursery if the hospital does not use SRMC. The newborn nursery
nurse is responsible for what ongoing care of the newborn infant?

7. The laboratory performs a Coombs test on Baby H. What is the purpose of the Coombs test?
a. It is done to identify the infant's blood type.
b. It tests for damage to the red blood cells (RBCs) from maternal antibodies.
c. It checks the RBCs for anemia.
d. It is a test for immunity to the hepatitis virus.

8. True or False: A phenylketonuria (PKU) blood test can be done any time before an infant is
discharged to home. If false, explain your rationale.

Answer 1

1 first period of reactivity-occurin first 30 to 60 minutes of life and is described by an alert,exploratory and active newborn

2 period of relative inactivity- take place 2-3 hours after birth .the new born becomes interested in external stimuli and falls asleep for afew minutes to sevseal hours

3 second period of reactivity-occurs between 4-6 hours after birth this will last from 10 minutes to several hours heart and respiratory ratemay increase but should remain with in normal limits

QUESTION2

CARE SPECIFIC TO FIRST PERIOD OF REACTIVITY IS start beast feeding because suck is stong in this phase and this time may represent a psychologically sensitive period for programming future behaviour ,and may benefit breast feeding outcomes

early skin to skin contact begins ideally at birth and invoves placing the nacked baby prone on the mothers chest [cover back with warm blanket]

QUESTION 3

8 ASSESSMENTS IN TRANSITIONAL CARE PERIOD ARE

general measurments such as weight,length,chest and head circumference

gestational age assessment-for maximum reliability,gestational age need to be assessed in the initial four hours of birth

general appearance assessment- findings    that might be incluide jaundice,lack of interest in the environment ,cyanosis,heart rate over 160 bits per minutes or less than 100 bits per minutes,lack of responsiveness or movement and hypertonic or hypotonic position

skin assessment

head assessment

respiratory , cardiac,neurological assessment

genito urinary system assessment

extremities ,spine and back assessment

QUESTION 4

IF MEDICATION IS 1 MG /0.5ml

to administer 0.5 mg

give half dose that is 0.25 ml

QUESTION 5

ANSWER IS CHLAMIDIA

CHLAMYDIA IS THE MOST COMMON CAUSE OF PINK EYE -A SEXUALLY TRANSMITTED DISEASE CAN OCCUR TO BABY AFTER BIRTH

other infections like gonorrhoea is not so common like chlamydia eventhough erythromycin ointment is also used to treat   that

QUESTION 7

ANSWER IS - B

COOMBS TEST DETECT Rh incopmpatibility between mother and fetus   and to check damage to the RBC from meternal antibodies

QUESTION 8 answer is false

pku test is done a day or two after baby's birth.this test is done after 24 hours[after baby has ingested some proteins in the diet to ensure accurate results]