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OB EXAM 2 N4270 MIZZOU GRADED A+ Maternal Risks of Forceps-Assisted Delivery - Urinary Incontinence - Trauma to the Birth Canal - Hematomas - Cervical Lacerations - Pelvic Floor Injuries - Increased Perineal Pain - Postpartum Infections - Increased Bleeding Fetal Circulation - Which body part d...

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  • August 20, 2024
  • 44
  • 2024/2025
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OB EXAM 2 N4270 MIZZOU GRADED A+


Maternal Risks of Forceps-Assisted Delivery

- Urinary Incontinence

- Trauma to the Birth Canal

- Hematomas

- Cervical Lacerations

- Pelvic Floor Injuries

- Increased Perineal Pain

- Postpartum Infections

- Increased Bleeding



Fetal Circulation

- Which body part directs fetal blood from the right atrium to the left atrium?

- ✔️ Foramen Ovale



- The foramen ovale allows blood to bypass the lungs, directing it from the right to the left atrium.



Assessment of Newborn

- A sleeping newborn has a heart rate of 74 beats/min. What should the nurse do?

- ✔️ Continue with vital sign assessment.



- A low heart rate in a sleeping newborn is normal; monitoring should continue without disturbance.



- Heat Loss Mechanism When Moving Neonate:

- ✔️ Conduction



- Moving the infant to a warmer area reduces conductive heat loss.

,- Reason for 5% Birth Weight Loss in a 4-Day-Old Infant:

- ✔️ Water Loss



- Newborns typically lose 5-10% of birth weight due to fluid shifts and insensible water loss.



- Indication a Newborn Can Tolerate Feedings:

- ✔️ Active Bowel Sounds Upon Auscultation



- Active bowel sounds indicate digestive readiness for feedings.



Nursing Actions for Newborns

- Newborn Hasn't Voided in 48 Hours: What to do first?

- ✔️ Palpate the lower abdomen.



- Assessment for bladder distention and possible issues before taking further action.



- Effective Soothing Technique for Infants:

- ✔️ Cuddling



- Cuddling can provide comfort and reassurance to the infant.



Assessing Newborn Health Problems

- Health Problem to Assess in Newborn After Severe Maternal Hypertension:

- ✔️ Thrombocytopenia



- Newborns may experience lowered platelet counts due to maternal conditions.

,Additional Newborn Information

- When Are Bowel Sounds Present in Newborns?

- ✔️ Within the First 30 to 60 Minutes After Birth.



- Percentage of Voiding by Newborns:

- ✔️ 90% within the first 24 hours; 99% by 48 hours.



- Average Resting Heart Rate in Newborns:

- ✔️ 110 to 160 beats/min in the first week.



- Caloric Requirement for Newborns:

- ✔️ 120 kcal/kg/day for weight gain.



Teaching About Physiologic Jaundice

- Effective Teaching Statement Regarding Jaundice:

- ✔️ "I must monitor the frequency and color of my baby's stool to check for bilirubin excretion."



- Monitoring for Impaired Heat Production in Newborns:

- ✔️ The Infant Was Born Prematurely.



Expected Weight Loss in Newborns

- Weight Loss Percentage Expected in a 4-Day-Old Infant:

- ✔️ 5% to 10% Weight Loss.



Following birth, a newborn's caloric intake is often insufficient for weight gain until the newborn is 5 to
10 days old. During this time there may be a weight loss of 5% to 10% in term newborns, which is caused
by a shift of intracellular water to extracellular space and insensible water loss. A failure to lose weight
may indicate water retention. Weight loss above 11% is not expected.

, During a home visit, the parent of a newborn reports the baby is very quiet and whimpers when the
family dog barks.

Which response should the nurse make?



"Hearing is not really developed in babies at this age."

"Your baby should be tested for a hearing disability."

"Newborn behavioral responses to stress vary."

"Your baby is probably still tired from the birth process." ✔️"Newborn behavioral responses to stress
vary."



The nurse is teaching a pregnant couple about fetal circulation.

Which function should be explained for the foramen ovale?



-Connects the pulmonary artery and descending aorta



-Carries blood from the mother to the fetus



-Provides the fetus with the required nutrition



-Serves as a passageway between the right atrium and the left atrium ✔️The Foramen ovale serves as a
passageway between the right atrium and the left atrium



Fetal blood is directed from the right atrium across the foramen ovale into the left atrium, the left
ventricle, and the ascending aorta. The ductus arteriosus is a tubular connection between the
pulmonary artery and descending aorta. The placenta serves as a source of gas exchange and nutrition
to the fetus. The umbilical vein carries placental blood to the fetus.



A patient who is breastfeeding a 3-day-old infant reports the infant's stool is sticky and black.

Which action should the nurse take?



Document this expected finding.

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