A nurse in a newborn nursery is organizing a plan of care for four newborns after receiving a change-of-shift report. Which of the following assessments should the nurse perform first?
Check the blood glucose level of a newborn who is 4 hr old and jittery.
Conduct a universal newborn screening on a newborn who is 26 hr old.
Conduct a New Ballard Score for a newborn who is 12 hr old.
Check the temperature of a newborn who is 2 hr old prior to the first bath.
The Correct Answer is A
A. A jittery newborn at 4 hours old may be experiencing hypoglycemia, which is a potentially serious condition requiring immediate assessment and intervention.
B. Universal newborn screening is important but can be delayed until the newborn is more stable.
C. The New Ballard Score is an assessment of gestational age and can be done after stabilization.
D. Checking temperature prior to the first bath is important but less urgent than evaluating possible hypoglycemia.
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Related Questions
Correct Answer is B
Explanation
A. Urinary frequency is common in pregnancy but does not indicate labor progression.
B. Increased blood-tinged vaginal mucus (bloody show) indicates cervical dilation and labor progression.
C. Station is measured in centimeters but ranges from -3 to +3 relative to the ischial spines, so "3 cm" station is unclear and likely incorrect terminology.
D. Contractions easing with walking suggest false labor rather than progression.
Correct Answer is A
Explanation
A. The umbilical cord typically dries and falls off within 1 to 2 weeks after birth, which is a normal expectation.
B. Newborns do not need daily tub baths; a sponge bath 2–3 times a week is usually sufficient until the cord falls off.
C. Babies should always be placed on their backs to sleep to reduce the risk of sudden infant death syndrome (SIDS), not on their sides.
D. The correct technique for using a bulb syringe is to compress it before inserting it into the baby’s mouth or nose, then release to suction out secretions.
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