NU 201 Family Focused Nursing Care

Immediate Newborn Care Simulation/Orientation Week

Week: Orientation
Date & Time Theory Preparation Clinical Preparation Content Location of Content Materials to Bring
Content Simulation lab
Orientation Week  Read the Care of  Discuss essential newborn care (Read chapter  Prep Sheet with your
Newborn lecture 24,25,26,27 Pg. 533- Questions on laptop
concepts.
 Elsevier Module 659.)  Complete Uniform and
Content (Immediate  Demonstrate and explain preparation for Equipment
Newborn Care, NU201-Immediate
a birth. Newborn Care -Skills
Subcutaneous
injection, Bulb  Apply the APGAR score. Lab-2023
Syringe Suction,
Vitamin K role in  Demonstrate how to remove the
newborn and Student Videos on
secretion.
thermoregulation) Moodle
 Demonstrate how to administer the Vit. K
via subcutaneous injection.
 Newborn Identification & Skin to Skin
contact

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2023

 NU 201 Family Focused Nursing Care
Question 1:

After the nurse administers an injection of vitamin K to a newborn, what is the most appropriate nursing action?

A. Avoiding any sucrose analgesia.

B. Having the mother avoid breastfeeding for 30 minutes.

.C. Applying an ice pack to the injection site

D. Applying pressure to the injection site with a gauze pad.

Question 2:

A 2-day-old newborn begins bleeding profusely from the umbilical cord site. The nurse applies pressure to the site and, upon
reviewing the newborn’s record, learns that the newborn did not receive vitamin K at birth because the mother refused. Which risk
factor associated with classic-onset VKDB might the nurse find in this newborn’s record?

A. Accidental double dosing of vitamin K

B. Ingestion of an adequate amount of commercial formula but no breast milk

C. Nutrition obtained via breastfeeding.

D. Intrauterine growth restriction

Question 3:

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2023

 NU 201 Family Focused Nursing Care
The nurse is documenting the newborn’s response to bulb suctioning. What should the nurse document?

A. The newborn’s blood pressure and urine output before and after suctioning

B. The newborn’s color and respiratory rate before and after suctioning

C. The newborn’s weight and color before and after suctioning

D. The newborn’s blood pressure and weight before and after suctioning

Question 4:

A newborn has a heart rate of 70 bpm after being placed under the warmer, dried, and stimulated. Only 30 seconds have passed
since delivery. What should the newborn resuscitation team do next?

A. Continue to stimulate the newborn until the 1-minute Apgar score can be assigned.

B. Start resuscitation as appropriate before the 1-minute Apgar score is assigned.

C. Start chest compressions before the 1-minute Apgar score is assigned.

D. Ensure the accuracy of the heart rate with an ECG.

Question 5:

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2023

 NU 201 Family Focused Nursing Care
What are the 4 main mechanisms of heat loss? And what is the nursing care that decreases it?

1. Conduction: heat transfer via direct contact with hot or cold surfaces.
2. Convection: heat transfer via air flow over a large body mass.
3. Radiation: heat transmission through absorption via indirect contact from emission of infrared rays.
4. Evaporation: heat loss that converts liquid into vapor.

Question 6:
Vitamin K is administered routinely after delivery to newborns? Give the rationale.
To avoid any bleeding or To prevent catching Vitamin K Deficiency Bleeding(VKDB) to newborn as he / she have lack of vit K as
liver still not development all and cant store and sensitized vit K and umbilical cord can’t deliver enough Vit K so newborn need to
feed by breast milk to insure bacteria in side the GI so he can have enough vit K

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2023

 NU 201 Family Focused Nursing Care

Questions 7:
What are the priority nursing interventions for umbilical cord bleeding? Give your answer in priority.
1. Direct pressure to bleeding site.
2. Mange case by monitoring vital signs.
3. Administering oxygen as indicated.
4. Assessing the extent and severity of the bleeding.
5. Administer vit K as order.

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2023