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Physical Assessment RNC NIC Questions With Solutions
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Physical Assessment RNC NIC
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Physical Assessment RNC NICChorioamnionitis: Symptoms - answer Maternal fever >100.4; uterine tenderness;
tachycardia, maternal elevated WBC
What is the significance of green amniotic fluid? - answer meconium stained
What is the significance of yellow amniotic fluid? - answer meconium or sepsis
What is the significance of cloudy amniotic fluid? - answer sepsis
How soon after birth should gestational age assessments be conducted? - answer
within 48 hours to ensure high accuracy
New Ballard score is most accurate when an 20 to 26 week infant is scored when? -
answer within 12 hours of birth
The new ballard score has how many physical and how many neurological categories? -
answer6 of each
New ballard score is accurate by how many weeks? - answerabout two weeks GA
Gestational Age: Posture - answerwith increasing gestation posture is more flexed;
preterm posture is hypotonic
Gestational Age: Square Window - answerangle decreases with increasing gestational
age
Gestational Age: Arm Recoil - answer
Gestational Age: Popliteal Angle - answerAngle decreases with increasing gestational
age
Gestational Age: Scarf Sign - answerperformed by taking infant hand and pulling across
chest to opposite shoulder
Gestational Age: Heel to Ear - answer
Gestational Age: Skin - answerWith increasing GA transparency decreases; texture
increases; vessels less visible
Gestational Age: Lanugo - answerfine hair present from 20 to 28 weeks
, Gestational Age: Plantar Creases - answerappear at 30 weeks; extend to the heel as
GA increases
Gestational Age: Breast Development - answer1-2 mm by 36 weeks
10 mm by 40 weeks
Gestational Age: Eyes and Ears - answerEye lids are fused until 26 to 28 weeks
Ear pinnas are floppy until 34 weeks
Gestational Age: Female Genitalia - answerBy 40 weeks labia majora are covering the
clitoris
Gestational Age: Male Genetalia - answerTestes are undescended until 28 weeks
Fully descended by 40 weeks with rugae
Classify Maturity: Terms - Preterm - answerAny infant born before 37th week of
gestation
Classify Maturity: Terms - Late preterm - answer34 and 0 days up to 36 and 6 days
Classify Maturity: Terms - Term - answerBorn 38 weeks up to 42nd week
CDC recommends what growth chart for ages 0 to 24 months? - answerWorld Health
Organization growth chart
SGA small for gestational age is defined as - answerbirth weight less than 10th
percentile
LGA large for gestational age is defined as - answerbirth weight greater than 90th
percentile
Jaundice of Newborn - answerPathologic finding within 24 hours of life
IGUR vs SGA - answerIUGR infants may or may not be SGA
Types of IUGR: symmetical vs. assymetrical - answerMeasurements all below 10th
percentile
typically occur due to congenital infection, malformation or chromosomal disorder with
symmetrical
with asymmetrical head will be large in comparison to rest of body usually occurs due to
malnutrition or placental insufficiency
Infants classified as IUGR are at risk for what hematologic issue? - answerpolycythemia
hyperviscosity
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