SCHOOL OF HEALTH AND ALLIED HEALTH SCIENCES

Nursing Department

SELF-DIRECTED LEARNING 7 (CLINICAL AREA)

Name: ________________________________________ Group: _____ Date:__

I. Supply the missing term or the information requested.

1. The average respiratory rate for the neonate is: __________.

2. The infant is vulnerable to heat instability and loses heat readily through four separate
mechanisms: _______________, _______________, ________________, and ______________.

3. Describe and contrast the stools of a bottle-fed and a breast-fed infant.

4. Why would the nurse be concerned after learning that a neonate has not passed a stool by 24
hours after birth?

II. Case Study

Mrs. Yale delivered (vaginally) a baby boy today. Baby boy Yale was evaluated to be 38
weeks’ gestation and to weigh 3,200 grams. Mrs. Yale plans to breastfeed her baby. You are
assigned as the nurse to take care of the mother and baby.

1. 24 hours after delivery, a number of reflexes were tested on the infant. Below is the list of
reflexes that were tested, supply the missing data:

Age
Reflexes How to test? Newborn’s Response of
Disappearance

Blink

Rooting

Tonic Neck

Moro

1
Babinski

2. Within 12 hours after birth, the infant passed a sticky black stool. Explain why this should not
alarm you.

3. On the day of discharge, baby boy Yale appears to have yellow skin and sclera. What lab test
might be ordered at this time? What would be indicated if the results are higher than normal
values?

4. What effect does breastfeeding have on this condition?