NUR 099 (Nursing Seminar 1)

STUDENT ACTIVITY SHEET BS NURSING / FOURTH YEAR

Session # 8

LESSON TITLE: PEDIA NURSING PART 1 Materials:

LEARNING OUTCOMES: Book, pen and notebook, index card/class list
Upon completion of this lesson, the nursing student can:

1. Apply the nursing process for the health promotion of the

term newborn;
2. Learn how to assess the profile of the newborn and promote References: Pillitteri, A. (2009). Maternal & Child
its well-being; Health Nursing: Care of the Childbearing &
3. Identify the appropriate nursing care of a newborn and Childrearing Family (6th Edition). Lippincott
family in the postpartal period. Williams & Wilkins

LESSON PREVIEW/REVIEW (5 minutes)

MAIN LESSON (55 minutes)

I. Nursing Care of a Family with a Newborn

a. Describe the normal characteristics of the newborn
b. Assess a newborn for normal growth and development
c. Implement the nursing process in the care of the newborn
d. The care of the newborn at birth
II.Nutritional needs of the newborn
a. Nutritional allowances for a newborn
b. Breastfeeding
c. Formula feeding
d. Discharge planning for newborn nutrition

CHECK FOR UNDERSTANDING (25 minutes)

You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed. You
are given 25 minutes for this activity:

Multiple Choice

1. Nurse Nami is currently visiting the Dimatulac family 2 weeks after being discharged from the hospital. Upon
observation, the nurse notes that the umbilical cord has dried and fallen off. The area appears to have healed with no
discharges or erythema present. The mother can be taught to

a. Cover the umbilicus with a band-aid

b. Continue to clean the stump with 70% alcohol for a week
c. Apply an antibiotic ointment on the stump
d. Give the infant a tub bath now

ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. Aling Jona a mother of a term newborn has curiously asked about the thick, white, cheesy coating on her son’s skin.
The nurse must correctly describe this as

a. lanugo
b. milia
c. café-au-lait spots
d. vernix caseosa

ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. When Nurse Kiara is assessing the newborn, she has noted that the newborn has caput succedaneum. Which of the
following statements about this condition is correct?

a. It usually resolves within 3 to 6 weeks

b. It involves swelling of tissue over the presenting part of the presenting head
c. It doesn’t cross the cranial suture lines
d. It’s a collection of blood between the skull and the periosteum

ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. Nurse Diwata is attending a newborn. To help her limit the development of hyperbilirubinemia in the newborn, her plan
of care for her patient should include

a. Monitoring for the passage of meconium each shift

b. Instituting phototherapy for 30 minutes every 6 hours
c. Substituting breastfeeding for formula during the 2 nd day after birth
d. Supplementing breastfeeding with glucose water during the first 24 hours

ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. Nurse Gian is preparing to administer a vitamin K shot to a newborn. Aling Julia is asking the nurse why her newborn
infant needs the injection. The best nursing response would be

a. “Your infant needs vitamin K to develop immunity passive artificial immunity.”

b. “Vitamin K will protect your infant from having jaundice.”
c. “Newborn infants are deficient in vitamin K, and this shot will prevent your infant from any abnormal bleeding.”
d. “Newborns have sterile bowels, and vitamin K will help promote the growth of good bacteria in the digestive
tract.”

ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. A preterm neonate is to be fed with breast milk through the nasogastric tube. The nurse recognizes that breast milk is
preferred over formula milk because it

a. Has fewer fatty acids

b. Provide antibodies
c. Is higher in carbohydrates
d. Contains more lactose

ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. Nurse Santibanez is admitting a preterm newborn to the nursery. The nurse should assess which of the following from
this newborn?
a. Clavicle fracture
b. Palsies
c. Respiratory distress
d. Shoulder dystocia

ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. Nurse Mikasa is caring for a newborn who has just been diagnosed with hypospadias. After discussing the defect with
the parents, the nurse must teach that

a. Surgery will be performed in stages

b. Initial repair is delayed until the age of 6 to 8
c. Post-operative appearance will be normal
d. Circumcision can be performed at any time
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. A full-term newborn was just born. Nurse Sasha must know that the most important nursing intervention to perform
first would be

a. Assessing the APGAR score

b. Remove the wet blankets
c. Apply eye prophylaxis
d. Elicit the Moro reflex

ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. Which of the following newborns is at highest risk for cold stress syndrome?

a. Neonate who has Trisomy 21

b. Infant who has a diabetic mother
c. Infant with erythroblastosis fetalis
d. Post-term infants

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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11. A newborn is born with erythroblastosis fetalis. Which of the following signs and symptoms would the nurse expect to
observe?

a. Ruddy complexion
b. Erythema toxicum
c. Anasarca
d. Alopecia

ANSWER: ________
RATIO:___________________________________________________________________________________________
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12. Four newborns with the following conditions are in the well-baby nursery. The baby with which of the following
conditions is at high risk for physiological jaundice?

a. Mongolian spots
b. Harlequin coloring
c. Cephalhematoma
d. Caput succedaneum

ANSWER: ________
RATIO:___________________________________________________________________________________________
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13. Nurse Angel notes that a 6-hour-old newborn has cyanotic hands and feet. Which of the following nursing
interventions would be appropriate?

a. Assess oxygen saturation with the pulse oximeter

b. Swaddle the newborn in a blanket
c. Place the child under the UV light
d. Administer oxygen

ANSWER: ________
RATIO:___________________________________________________________________________________________
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14. The nursing history for a newborn suspected of having pyloric stenosis would most likely reveal which of the
following?

a. Frequent vomiting of bile-stained fluid

b. Cyanosis and vomiting immediately after feedings
c. Mild emesis progressing to projectile vomiting
d. Absence of gastrointestinal peristalsis

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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15. Nurse Alyana is assessing the reflexes of a newborn. The nurse assesses which of the following reflexes by placing a
finger in the newborn’s mouth?

a. Sucking reflex
b. Landau reflex
c. Babinski reflex
d. Moro reflex
ANSWER: ________
RATIO:___________________________________________________________________________________________
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16. Nurse Kim is assessing a newborn on admission to the NICU. Which of the following findings should the nurse report
to the attending physician?

a. Intercostal retractions
b. Caput succedaneum
c. Epstein’s pearls
d. Harlequin sign

ANSWER: ________
RATIO:___________________________________________________________________________________________
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17. An indirect bilirubin level at birth is 1 to 4 mg/100 ml. any increase over this amount reflects the release of bilirubin as
excessive red blood cells begin their breakdown. To treat the occurrence of jaundice brought by these events it is
important for the newborn to undergo?
a. Vaccination
b. Phototherapy
c. Cord dressing
d. APGAR scoring

ANSWER: ________
RATIO:___________________________________________________________________________________________
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18. If the newborn’s APGAR score is zero. Which of the following would be the best nursing intervention?

a. Resuscitate the patient

b. Place the patient in close monitoring
c. Do nothing since the patient is a well-baby
d. Inject IV epinephrine

ANSWER: ________
RATIO:___________________________________________________________________________________________
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19. Assess the Apgar score of the female infant with the following assessments: the infant appears blue overall, she
grimaces when slapped on the foot and when a catheter is placed in her nostril, the heart has 72 beats per minute,
there is some flexion of the extremities and there is a slow weak cry. What is the APGAR score?

a. 2
b. 3
c. 4
d. 5

ANSWER: ________
RATIO:___________________________________________________________________________________________
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20. Upon assessing the newborn child on his fifth minute you have observed for the following: the child’s heart rate is 123
beats per minute, there is a slow, irregular weak cry, he sneezes when a catheter is placed in his nostril, he grimaces
when the foot is slapped and there is acrocyanosis. What is the APGAR score?
a. 6
b. 7
c. 8
d. 9

ANSWER: ________
RATIO:___________________________________________________________________________________________
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RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.
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LESSON WRAP-UP (10 minutes)

You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

AL Strategy: Turn and Talk

1. The instructor will pose one question to the class.

2. The students will begin to discuss their answers to their seatmate (with observance of social distancing) on a set
allotted time.
3. When the time is up, the instructor will randomly ask the students to share their thoughts and ideas from their partners’
discussion in the class.

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