1. A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the client place the infant to her breast within 15 minutes after birth. The nurse is aware that the initiation of breastfeeding is most effective during the first 30 minutes after birth. What is the correct term for this phase of alertness? First Period of Reactivity The first period of reactivity is the first phase of transition and lasts up to 30 minutes after birth. The infant is highly alert during this phase. The transition period is the phase between intrauterine and extrauterine existence. The second period of reactivity occurs approximately between 4 and 8 hours after birth, after a period of sleep. 2. Part of the health assessment of a newborn is observing the infants breathing pattern. What is the predominate pattern of newborns breathing? Abdominal with synchronous chest movements In a normal infant respiration, the chest and abdomen synchronously rise and infant breaths are shallow and irregular. Breathing with nasal flaring is a sign of respiratory distress. Diaphragmatic breathing with chest retraction is also a sign of respiratory distress. 3. The nurse is assessing a full term, quiet, and alert newborn. What is the average expected apical pulse range (in beats per minute)? 120 to 160 The average infant heart rate while awake is 120 to 160 beats per minute. The newborns heart rate may be approximately 85 to 100 beats per minute while sleeping and typically a little higher than 100 to 120 beats per minute when alert but quiet. A heart rate of 150 to 180 beats per minute is typical when the infant cries. 4. A newborn is placed under a radiant heat warmer. The nurse understandsthat thermoregulation presents a problem for the newborn. What is the rationale for this difficulty? Newborns have a relatively thin layer ofsubcutaneousfat that provides poor insulation The newborn has little thermal insulation. Furthermore, the blood vessels are closer to the surface of the skin. Changes in environmental temperature alter the temperature of the blood, thereby influencing temperature regulation centers in the hypothalamus. 5. An African-American woman noticed some bruises on her newborn daughters buttocks. The client asks the nurse what causesthese. How would the nurse best explain this integumentary finding to the client? Mongolian spot