NUR 142-Test 1 Questions And Answers
(Guaranteed A+)
AWHONN - answer✔Association of Women's Health Obstetric & Neonatal Nurses; standards of
practice
Cultural concepts - answer✔Be culturally sensitive-Adapt clinical practices to meet cultural
differences, Who makes family decisions?, Male / female 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.
Leading factor that contributes to high infant mortality rate: - answer✔low birth weight
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?
ALL RIGHTS RESERVED.
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.
Teaching parents how to bathe an infant and avoid hypothermia: - answer✔Bathe quickly & dry
as you go; head last
Diaper, hat, shirt & double wrap in baby blankets or skin-to-skin
Encourage mom to breast feed after bath
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