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NU 404 Unit 5 Test With Complete Solution
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NU 404 Unit 5 Test WithComplete Solution
What is acrocyanosis? - ANSWER peripheral cyanosis; bluish discoloration of
hands and feet in most newborns at birth that is a normal finding for the first
24 hr
- may last for 7-10 days
The Ballard scale is.... - ANSWER a gestational age assessment.
- abbreviated scale determines gestational age.
- Dubowitz score.
Core values - ANSWER professional values
In regards to maternal history, we need to know if mom has had... - ANSWER
any communicable diseases or been around someone with a communicable
disease in the past 14 days
Involution is - ANSWER reduction in size of the uterus after birth and its
return to its non-pregnant conditions
The uterus decreases _______ a day - ANSWER 1-2 cm (1 finger breath)
Subinvolution is - ANSWER failure of a part (e.g. the uterus) to reduce to its
normal size and condition after enlargement from functional activity.
Subinvolution is r/t - ANSWER fibromas, infection, or retained placenta
fragments
,The first assessment of the newborn is performed when? - ANSWER
immediately after birth and at discharge
The FHR could be elevated if... - ANSWER mom is dehydrated.
A c-section puts baby at greater risk for... - ANSWER retained secretions.
- vaginal births aid in clearing baby's lungs bc it compresses baby's chest.
(intrathoracic pressure)
Do babies have discharges? - ANSWER no.
If mom's RPR is active, will the baby go home? - ANSWER no.
- check for syphilis in all newborns
- make sure RPR in non reactive
Describe Apgar scoring. - ANSWER rapid numeric assessment of the
newborn's transition to extrauterine life based on 5 signs that indicate the
physical state of the neonate
What are the 5 signs in the Apgar scoring? - ANSWER 1: heart rate, based on
auscultation or palpation of the umbilical cord.
2: resp. effort, based on observed movement of the chest wall.
3: muscle tone, based on degree of flexion and movements of extremities
4: reflex irritability, based on response to suctioning of the nares/gentle slaps
on soles of feet
5: generalized skin color, described as pallor, cyanotic, or pink.
When do we do Apgar scoring? - ANSWER 1 min, 5 min, 10 min.
,- even if infant scores perfectly, he/she will still be reassessed.
What does a 0-3 Apgar score indicate? - ANSWER distress
What does a 4-6 Apgar score indicate? - ANSWER moderate difficulty
What does a 7-10 Apgar score indicate? - ANSWER infant should have no
difficulty adjusting to extrauterine life
If a baby is not moving or crying, we give a gentle rub on the .... - ANSWER
sternum
When using the bulb syringe, we suction the... - ANSWER mouth first, then
nose while baby is on moms perineum
What does wharton's jelly do? - ANSWER keeps umbilical cord from getting
tangled
Where do we cut umbilical cord? - ANSWER right in front of cord clamp
- check to make sure vessels (3) are there: 2 arteries, 1 vein.
The first temp we take is - ANSWER rectal; axillary temps after that. (remove
vernix under arm, it alters reading)
After a bath, we should get another - ANSWER temp; be sure it has not
dropped
- if baby gets too cold they will have cold stress
How often do we take VS - ANSWER every 30 min until stable
The postpartum period is the - ANSWER interval between birth and the
return of the reproductive organs to their normal non-pregnant state
- aka the puerperium, or 4th trimester of pregnancy
, Postpartum nursing assessment involves - ANSWER rest, ambulation,
nutrition, B&B (bladder and bowel) function, lactation, health promotion
What does ambulation help the mom do in the postpartum period? -
ANSWER helps mom pass gas, decrease risk of thrombus formation, helps
strengthen the body
Normally, postpartum moms can eat.. - ANSWER what they want.
True or false:
Don't touch baby without gloves on until after bath. - ANSWER true
Never receive the baby at birth without... - ANSWER blankets; must be
wrapped because it can lose heat going from mom to the warmer.
What is our postpartum assessment? - ANSWER BUBBLE HE
What is BUBBLE HE? - ANSWER - breast
- uterus
- bladder
- bowel
- lochia
- episiotomy
- homans
- emotional
What is the leading cause of morbidity in postpartum? - ANSWER infection
Afterbirth pains typically resolve in - ANSWER 3-7 days
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