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NUR 142 TEST 1 (NEW) UPDATED QUESTIONS AND ANSWERS
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NUR 142 TEST 1 (NEW) UPDATED QUESTIONS AND ANSWERS...
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AWHONN - ANSWER Association of Women's Health Obstetric & NeonatalNurses; standards of practice
Cultural concepts - ANSWER Be culturally sensitive-Adapt clinical practices
to meet cultural differences, Who makes family decisions?, Male / sensitive-
Adaptfemale roles, Communication variations, Taboos, cultural practices (ex.
No circumcision, no pain meds, no erythromyacin ointment (prevents infection),
etc., Religious/spiritual practices, Sociocultural Variations of Childbearing
Families
Sociocultural variations affect:
Choice of provider (ex. Male, female); Nutrition - dietary preferences,
Medications/herbals, Retaining cultural traditions strengthens & enriches family
life & provides security to children.
The leading
factor that contributes to high infant mortality rate: - ANSWER low birth
erythromycinweight
What does G & P stand for? - ANSWER Gravida (total # of pregnancies-
living/nonliving) & Para (live births)
Calculating EDD: - ANSWER First, determine the first day of your last
menstrual period. Next, count back 3 calendar months from that date. Lastly,
add 1 year and 7 days to that date. Thirty days hath April, June, September and
November, all the rest have thirty-one. February has twenty-eight, but leap year
coming one in four.
Normal assessment of a newborn w/in 30 mins of birth: - ANSWER First
period - 1st 30 min after birth
"Golden Hour", infant should be skin to skin
Awake alert and active
, Perfect time to initiate first feed
Rapid RR (80), HR rapid, RRR?
Transient nasal flaring, grunting and chest retractions may occur - monitor!
Followed by sleep (few minutes up to 2-4 hours)
Cephalohematoma - ANSWER Cephalohematoma is a collection of blood
resulting from rup- tured blood vessels between the surface of a cranial bone
(usu- ally parietal) and the periosteal membrane (Figure 24-25). The scalp in
these areas feels loose and slightly edematous. These areas emerge as defined
hematomas between the first and sec- ond day. Although external pressure may
cause the mass to fluctuate, it does not increase in size when the newborn cries.
Cephalohematomas may be unilateral or bilateral and do not cross suture lines.
They are relatively common in vertex births and may disappear within 2 weeks
to 3 months. They may be associated with physiologic jaundice because extra
red blood cells are being destroyed within the cephalohematoma. A large
cephalohematoma can lead to anemia and hypotension.
Storkbites - ANSWER Telangiectatic nevi (stork bites) appear as pale pink or
red spots and are frequently found on the eyelids, nose, lower occipital bone,
and nape of the neck (Figure 24-21). These lesions are common in newborns
with light complexions and are more noticeable during periods of crying. These
areas have no clinical significance and usually fade by the second birthday.
Is there anything special we need to do for a newborn rash? - ANSWER NO
Infection indications at cord stump site: - ANSWER Signs of infection may
include if the cord:
Base appears red or swollen
Continues to bleed
Oozes yellowish or white pus
Produces a foul smelling discharge
Seems painful to your baby
Signs of infection of the umbilical cord stump can result in omphalitis (a life-
threatening infection of the umbilical cord). This is considered a serious
condition and needs to be treated immediately.
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