RNC - Low Risk Neonatal Nursing Question and answer 100% solved 2023

RNC - Low Risk Neonatal Nursing Question and answer 100% solved 2023 Normal skin assessment - correct answer Acrocyanosis with decreased peripheral pulses, facial bruising and/or petechiae Normal head assessment - correct answer Large in relation to body size, cranial molding, caput succedaneum Normal newborn lung assessment - correct answer RR 40-60/min, coarse rales, prolonged expiration phase Normal newborn heart assessment - correct answer HR 120-160, may peak up to 180 bpm when stimulated, loud S2, split S2, soft systolic murmur (L — R shunt from PDA) Normal newborn GI tract assessment - correct answer Bowel sounds will likely appear within 15 minutes of birth, meconium passage within 24 hrs of birth Normal newborn kidneys - correct answer Urine passage within 24 hrs of birth Normal newborn limb assessment - correct answer Positional oddities from intrauterine positioning (e.g., legs up in frank breech position) Newborn S/S of Hypoglycemia - correct answer Apnea, Pallor, Jittery, Irritability, Weak high-pitched cry, Hypothermia, Labile temps, Lethargy, Poor feeding, Vomiting, Cyanosis, Seizures Causes of Hypoglycemia - correct answer (Other than delayed feeding): IUGR or prematurity, Inborn errors of metabolism or glycogen storage disease, Hypothermia or polycythemia, Adrenal hemorrhage, CHF, Hyperinsulinism HELLP Syndrome - correct answer May be associated with PIH; symptoms: hemolysis, elevated liver enzymes, low platelet count; the client is at risk for hemorrhage, pulmonary edema, and hepatic rupture Gestational Hypertension - correct answer Transient elevation of blood pressure occurring for the first time after mid-pregnancy without proteinuria or other signs of preeclampsia (postpartum period: ends by 12 weeks: Gest HTN. beyond 12 weeks: Chronic HTN). GBS (group B strep) - correct answer Group B streptococcus (GBS) is a type of bacterial infection that can be found in a pregnant woman's vagina or rectum. This bacteria is normally found in the vagina and/or rectum of about 25% of all healthy, adult women. Women who test positive for GBS are said to be colonized The 30-week-gestation fetus of a primagravid mother has been diagnosed in utero with an omphalocele. Which of the following procedures should the nurse anticipate? - correct answer Karyotyping via amniocentesis; Omphalocele and gastroschisis are both commonly associated with accompanying defects or chromosomal abnormalities. An amniocentesis will likely be performed and karyotyping done to identify any chromosomal abnormalities. A 38-week-gestation newborn is vigorous at birth. The infant is dried, wrapped in warm blankets and placed on the mother's chest. At 6 minutes of life, the infant still appears cyanotic. According to recommended practice guidelines, which of the following should the nurse perform FIRST? - correct answer Check the infant's pulse oximeter reading Feedback Recommended practice guidelines for neonatal resuscitation utilize pulse oximeter readings to determine if an infant is within acceptable saturation range for minutes of life. Use of 100% oxygen is discouraged. A 39-week-gestation newborn male weighing 3.3 kg (7.3 lbs.) is admitted to the newborn nursery following a cesarean section. How many kilocalories (kcal) should this infant consume to meet the average daily requirement? - correct answer 330 kcal/day Feedback Term newborns require approximately 100 kcal/kg/day. Premature infants require approximately 120-150 kcal/kg/day. A nurse is developing a teachi