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nursing133lmay2016
| Question | Answer |
|---|---|
| What is the difference between a full-term baby and a premature baby? | The premature has greater body surface area. |
| Why is a preterm NEWBORN AT RISK FOR RESPIRATORY DISTRESS SYNDROME? | There is a deficiency of surfactant |
| Is it appropriate for the parents who have experienced the lost of a preterm newborn to hold the newborn? | yes |
| Which classification of a newborn has the lowest risk of complications? Small for gestational age, large for gestational age, Appropriate for gestational age or llow birth rate newborn | Appropriate for gestation age |
| What is the reason for closely monitoring oxygen therapy in a newborn who is receiving Oxygen? | Retinopapthy of prematurity |
| Name three signs of neonatal distress syndrome. | Tachpnea, Intercostal or sub costal retraction, nasal flaring |
| This is an inborn error of metabolism and is autosomal recessive | Phenyloketonuria |
| Appears like white patches that look like milk curds and is caused by candida ablicans. It is called | thrush |
| What would be necessary if the newborn does not respond to treatment for Meconium aspiration syndrome? | ECMO extracorporal membrane oxygention |
| A nurse determines a newborn needs resuscitation ,which of the following should the nurse do first? | Dry the newborn thoroughly |
| Name two risk factors that places a preterm newborn at risk for perinatal asphyxia. | Surfactant deficiency, immaturity of the respiratory system |
| As a nurse what would you expect in a newborn who develops sepsis? | Hypothermia |
| A newborn is expected to have fetal alcohol syndrome. What would the nurse expected to find? | Flatten Maxilla |
| What is the difference between pathological jaundice and physiological jaundice? | Pathological jaundice appears within 24 hours of birth |
| What should be included in a plan of care for a newborn who is receiving phototherapy? | Cover the newborn's eyes while under the biliright. |
| What action should the nurse plan to take when a newborn has an unexpected anomaly? | Explain the defect while showing the baby to the parents. |
| The following symptom would indicate the baby has developed NEC(necrotizing entercolitis ) | Bilious vomiting |
| Name three risk factors for bronchopulmonary dysplasia. | Preterm birth (less than 32 weeks), white race, sepsis |
| A newborn is suspected of developinh persistent pulmonary hypertension. The nurse would prepare the baby for which procedure. Which is | Echocardiogram |
| If a newborn has a Apgar score of 5 or 6 at 5 minutes What is the priority? | Begin resuscitation measures |
| What should parents of a newborn with periventricular hemorrhage know about ther disorder and treatment? | Their newboern could develop a learning disability later |
| There is a collection of blood between the skull bone and its covering (periosteum). What is this called? | Cephalhematoma |
| Name three congenital heart defects that have left to right Shunting. | Atrial septal defect ,ventricular septal defect. Pattent ductus arteriosus |
| Name three drugs that can be tetrogenic to the fetus. | Alcohol, nicotine, and cocaine |
| The fetal blood supply is compromised because the umbilical cord has slipped through the cervix ahead of the presenting part. This is called | umbilical cord prolapse |
| what is amniotic fluid embolism? | rare complication where amniotic fluid or fetal debris crosses the placenta into maternal circulation |
| Is the cause of cubfoot known? | It is not known |
| Doe marijuana have a tetrogenic effect of the fetus? | No |
| In Tetralogy of Fallot the blood is shunted ? | Right to left |
| What are the symptoms of congenital hypothyroidism? | large protruding tongue, slow reflexes,distended abdomen,poor feeding, hoarse cry and dry skin, and goiter |
| Clubfoot (also called talipes equinovarus) is | is a general term used to describe a range of unusual positions of the |
| A baby who has galactosemia needs to have the following restricted? | Lactose |
| Name three variation in newborn head size and appearance. | Cephalhematoma, molding,and caput succedaneum |
| When should resuscitation efforts stopped on a newborn with no heartbeat and respiratory effort after | 10 minutes |
| What signs and symptoms should be reported on a newborn with congenital heart defect who will undergo surgery at a later date | weight loss, fever, increase respiratory rate |
| What i s the normal difference between a newborn's head circumference and chest circumfernce? | 2cm |
| Where is the point of maximal impulse in a newborn? | Lateral to the midclavicular line at the fourth intercostal space |
| The nursery nurse is stroking the newborn's cheek and the newborn turns to the side that was stroked and starts to suck? | rooting reflex |
| Where should the the blood sample for the PKU screening test be obtain? | the heel |
| What are the key elements of cord care that should be stressed? | call the doctor if there is a funny odor, the baby can be placed in a tub to bathe once the cord falls off, exposing the cord stump to air helps it to dry |
| Immediately following the completion of an amniotomy, the nurse should obtain or assess > | Fetal heart rate |
| fetal attitude is | he relationship of the fetal parts to each other. |
| station | level of the biparietal plane of the fetal head relative to the level of the ischial spines of the maternal pelvis. imaginary plane at the level of the spines is "zero station." |
| Early decelerations are causeds by | fetal head compression |
| Late decelerations are caused by | uteroplacental insufficiency |
| What defects make up tetralogy of FALLOET | pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy |
| Oligohydramnios results from | fetal renal abnormalities, poor placental perfusion or premature rupture of the membranses |
| This is a localized soft tissue edema present at birth, Does not increase in size,; swelling ,and cross the suture line | Caput succedaneum |
| What is the palmer grasp | The infant curls fingers around an objecy |
| observe the infant 's head as it is lifted while the nurse mimcs a release and watches for an extension of both arms along with flexion of the legs, | Moro reflex |
| The vertical urinary opening is located on the dorsal side of the penis and not on the glans | Epispadias |
| This is a calcium channel blockers which helps to relax uterine smooth muscle during preterm labor | Procardia (nifidyne ) |
| This is a congenital heart defect where the blood pressure and pulses are higher in the newborn's upper extremities and the lower extremities have a lower blood pressure and weaken pulses | coarctation of the aorta |
| In this defect most of the skull is not present because the skull and cerebrum are malformed. the anterior lobe of the pituitary is intact | Anencephaly |
| Post term babies are high risk for complication such as | Meconium aspiration syndrome, pneumonia,and persistent pulmonary hypertension |
| Newborns of diabetic mothers are at risk for | hypoglycemia, hypocalcemia, hypomangesemia |
| Engagement is | is said to occur when the widest diameter of the fetal presenting part has past through the pelvic inlet |
| This is the transcervical instillation of warmed normal saline into the uterus via sterile catheter (IUPC. It helps cushion the umbilical cord and helps lessen cord compression, May hep with persistant variable decelerations | Amnioinfusion |
| The intensity of a contraction is | most frequently measured by uterine palpation and is describe as mild, moderate ,and sevwer |
| The ___________of a contraction is measured from the begining of one contraction to the beginning of the next contraction | frequency |
| What should you do for a nonreassuring: tracing? | stop oxytocin or remove cervical ripening agent. start oxygen for the mother, increase fluid , change position , Notify doctor. anticipate possible amnioinfusion |
| What medications may be used for a woman with endometritis? | Dancrine and birth controlpilss |
| How do you test the Babinski reflex in a newborn? | Stroking the lateral sole from the heel upward and across the ball of the feet. |
| Name the three fetal shunts. | Foramen ovale, Ductus venosus, and patent ductus arteriosus |
Created by:
bdragich1
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