Solution to Paediatrics Quiz

1.       Vastus lateralis.

2.       Connect the resuscitation bag to the oxygen outlet.   

The highest priority on admission to the nursery for a newborn with low Apgar scores is airway, which would involve preparing respiratory resuscitation equipment. The other options are also important, although they are of lower priority. 

3.       “Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding.”

Vitamin K is necessary for the body to synthesize coagulation factors. Vitamin K is administered to the newborn infant to prevent abnormal bleeding. Newborn infants are vitamin K deficient because the bowel does not have the bacteria necessary for synthesizing fat-soluble vitamin K. The infant’s bowel does not have support the production of vitamin K until bacteria adequately colonizes it by food ingestion.

  

4.       “Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding.”

Vitamin K is necessary for the body to synthesize coagulation factors. Vitamin K is administered to the newborn infant to prevent abnormal bleeding. Newborn infants are vitamin K deficient because the bowel does not have the bacteria necessary for synthesizing fat-soluble vitamin K. The infant’s bowel does not have support the production of vitamin K until bacteria adequately colonizes it by food ingestion.

5.       Instillation of the preparation into the lungs through an endotracheal tube.

The aim of therapy in RDS is to support the disease until the disease runs its course with the subsequent development of surfactant. The infant may benefit from surfactant replacement therapy. In surfactant replacement, an exogenous surfactant preparation is instilled into the lungs through an endotracheal tube.

6.    Continue to breastfeed every 2-4 hours.

    Breast feeding should be initiated within 1 hour after birth and 

    every 2-4 hours thereafter. The other options are not necessary

7.   Place the tape measure under the infant’s head, wrap around the occiput, and measure just above the eyes.

 To measure the head circumference, the nurse should place the tape measure under the infant’s head, wrap the tape around the occiput, and measure just above the eyebrows so that the largest area of the occiput is included.

8.        Tachypnea and retractions.,

The infant with respiratory distress syndrome may present with signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall retractions, or audible grunts.

9.     Document the findings. The penis is normally red during the healing process.

A yellow exudate may be noted in 24 hours, and this is a part of normal healing. The nurse would expect that the area would be red with a small amount of bloody drainage. If the bleeding is excessive, the nurse would apply gentle pressure with sterile gauze. If bleeding is not controlled, then the blood vessel may need to be ligated, and the nurse would contact the physician. Because the findings identified in the question are normal, the nurse would document the assessment.

10.   Drying the infant in a warm blanket.

Evaporation of moisture from a wet body dissipates heat along with the moisture. Keeping the newborn dry by drying the wet newborn infant will prevent hypothermia via evaporation.