NURS 306 Week 4 EXAM WITH
ACTUAL QUESTION AND
ANSWERS[A+ GRADES]
[FOR ANY OTHER EXAM OR ASSIGNMENT EMAIL @MACHARIALWS]
What is Erythomycin Opthalmic Ointment for? - ANSWER>>>>>- Prophylaxis
treatment for gonococcal or chlamydial eye infections
- Prevents bacterial growth by inhibiting folic acid synthesis
- Route and Dose: Apply 1 to 2 cm ribbon to lower conjuctival sac - inner to
outer cantus
- Given within 1 hour
What is vitamin K for? - ANSWER>>>>>- Prevention of hemorrhagic disease
- Boost baby's clotting factor as theirs is not mature yet
- Given within one hour
What is Hblg for? - ANSWER>>>>>- Neonate exposed to Hep B (Mother is Hep
B positive or unknown)
Which meds this week are recommended for all new borns? - ANSWER>>>>>-
Erythromycin Opthalmic Ointment
- Vitamin K
- Hepatitis B vaccine
What is the focus of nursing care during the neonatal period? - ANSWER>>>>>-
Maintain body heat
- Maintain respiratory function
- Reduce risk of function
- Family centered care
What are sensory stimuli that causes a baby to take their first breath? -
ANSWER>>>>>- Sensory stimulus (baby feels air, rub baby's back)
What is a mechanical stimuli that causes a baby to take their first breath? -
ANSWER>>>>>- Pressure as they come out of the birth canal, squeezing their
chest.
- Squeeze also forces amniotic fluid out of the baby's lungs
, What are chemical stimuli that causes a baby to take their first breath? -
ANSWER>>>>>- Blood no longers goes from placenta to baby, stopping blood
flow
- This creates hypoxic enviroment, triggering the baby's respiratory system to
raise their oxygen
What is surfactant? - ANSWER>>>>>- A phospholipid
- Kind of like a lubricant
- More the further along in gestation the baby is
- Allows lungs not to stick together as breathing occurs
Why do preterm babies have a harder time breathing? - ANSWER>>>>>- They
have less surfactant, causing their lungs to stick when they breathe
What is an intervention for preterm labor when a baby is at risk of delivering
early? - ANSWER>>>>>- Admin corticosteroid
- This stimulates increase in surfactant production
What is normal neonate respiratory rate? - ANSWER>>>>>- 30 to 60
What are retractions? - ANSWER>>>>>- Use of accessory muscles
What is nasal flaring? - ANSWER>>>>>Widening of the nostrils during periods
of respiratory difficulty
What is central cyanosis? - ANSWER>>>>>- Is the baby core blue
What is grunting? - ANSWER>>>>>- ehh, ehh, ehh, ehh
If the baby is showing signs of respiratory distress and their O2 saturation is
within acceptable range, what must be done? - ANSWER>>>>>- May give the
baby more time to return to normal
What should happen to the three shunts in a baby's heart when they are born?
- ANSWER>>>>>- A functional closure within a few minutes to an hour after
birth
What is acro cyanosis? - ANSWER>>>>>- Blue/purple tint to baby's extremeties
- Normal for the first 24 hours of life
- Abnormal after the first 24 hours of life
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