A preterm newborn at 30 weeks’ gestation is admitted to the NICU with signs of respiratory distress, including nasal flaring, grunting, and cyanosis. The nurse reviews the plan of care and anticipates which of the following interventions will be ordered for the treatment of Respiratory Distress Syndrome (select all that apply)?

A term newborn required positive pressure ventilation at birth due to poor respiratory effort and bradycardia. At 10 minutes of life, the infant remains hypotonic, has poor color, and shows minimal spontaneous movement. Which of the following nursing assessments is most critical to evaluate the potential long-term impact of perinatal asphyxia?

The nurse is caring for a newborn born at 33 weeks gestation. Based on the newborn’s gestational age, the nurse would assess for which of the following findings?

The nurse notes that a 36-hour-old breastfed newborn’s face and chest are slightly jaundiced. Which of the following is the best action by the nurse?

A 6-hour-old term newborn becomes increasingly irritable, has a temperature of 100.9°F (38.3°C), and is feeding poorly.  Which nursing action is most appropriate?

A new mother calls the pediatric clinic worried because her 5-day-old newborn’s stools are “kind of loose” and “look like mustard”.  What is the nurse’s best response?

A mother’s blood type is B negative.  A newborn is at highest risk for pathologic jaundice if the newborn has which of the following results?

A newborn delivered via emergency C-section is assessed at 1 minute.  The baby has a heart rate of 95 bpm, a weak cry, minimal flexion of the extremities, grimaces when suctioned, and is completely blue.  What is the most accurate APGAR score?

During the head-to-toe assessment of a 12-hour-old full-term newborn, the nurse notes the following findings.  Which finding should the nurse identify as normal for this age?

A nurse is caring for a newborn undergoing a heel stick for blood sampling. Which assessment finding best indicates that the newborn is experiencing pain?