NSG 211- FINAL EXAM QUESTIONS WITH COMPLETE ANSWERS GRADED A+

NSG 211- FINAL EXAM QUESTIONS WITH COMPLETE ANSWERS GRADED A+ Phototherapy - Answer-- naked except for diaper - remove only for feedings - Turn Q2H if there is no bili blanket - eye shields - monitor: bilirubin labs, I&O, temp - kernicterus: brain damage from increased bilirubin Grasp reflex - Answer-press finger against the base of the infants fingers/toes - fingers & toes will curl forward Moro reflex - Answer-"startle reflex"- drop the baby - Sharp extension & abduction of arms followed by flexion & adduction to "embrace" the position Rooting reflex - Answer-Touch or stroke from the side of the mouth toward the cheek - baby will turn their head toward the side touched Babinski reflex - Answer-Reflex in which a newborn fans out the toes when the sole of the foot is touched Sucking reflex - Answer-Reflex that causes a newborn to make sucking motions when a finger or nipple if placed in the mouth Swallowing reflex - Answer-when liuid is placed in a baby's mouth, it will swallow NRP vs PALS - Answer-- NRP: only for infants 28 days or younger - PALS: children over 28 days old Placenta previa main S/S - Answer-Bright red, painless vaginal bleeding Why would a mother receive Rhogam? - Answer-If mom has Rh- blood & baby has Rh + blood Pushing before completely dilating can cause... - Answer-Cervical swelling & lacerations Prior to an IUPC, this is the only way to tell how strong a contraction is - Answer-Palpation Infants born to mothers with DM should be monitored for - Answer-Hypoglycemia Main S/S of ectopic pregnancy - Answer-Referred shoulder pain Gestational trophoblastic disease S/S - Answer-Uterus size does not match gestation, increased HCG, no FHR, hyperemesis, abdominal pain, preeclampsia - choriocarcinoma (avoid pregnancy for 1 year) Incompetent cervix tx - Answer-Cervical cerclage Main S/S of placental abruption - Answer-Rigid board-like abdomen Preeclampsia tx - Answer-Magnesium sulfate What does HELLP stand for? - Answer-- Hemolysis - Elevated Liver ezymes - Low Platelet count DIC - Answer-Bleeding & clotting at the same time - always a secondary diagnosis - causes bleeding (old IV site) GBS - Answer-NOT an STI, part of some women's normal flora in the vagina - Can cause neonatal sepsis - Test wk 34-46 - if mother is +, IV antibiotics will be given for 4 hrs during labor Magnesium toxicity can cause - Answer-Respiratory distress & cardiac arrest How often do you monitor for magnesium toxicity? - Answer-Every hour Hyperemesis gravidarum can lead to - Answer-dehydration & malnutrition Precipitous labor complications - Answer-Maternal trauma & hemorrhage, GBS tx is delayed McRoberts maneuver - Answer-Priority maneuver for shoulder dystocia - legs back & HOB down Shoulder dystocia puts baby at risk for: - Answer-brachial plexus injury - Erb's palsy: arm - Klumpke's palsy: hand Prolapsed cord nursing management - Answer-- Knee-chest position - alleviate pressure off the cord - check FHR - O2 at 10L via nonrebreather - IV fluid bolus, turn off pitocin, left side Main S/S of uterine rupture - Answer-Sharp/tearing abdominal pain with a contraction, followed by pain cessation Anaphylactoid syndrome (amniotic fluid embolism) - Answer-Meconium, hair, skin cells in maternal circulation 4 T's of PPH - Answer-1. Tone: pitocin, cytotec, massage 2. Trauma: tears/laceration 3. Tissue: retained placenta- removal (D&C or D&E) 4. Thrombin: clotting disorders, decreased platelet count- call the dr Pulmonary embolism - Answer-Life-threatening emergency - Pt is at risk from delivery to 6 wks postpartum Mastitis tx - Answer-Feed frequently Breastfeeding contraindications - Answer-- HIV, TB, herpes on the breast, varicella, Hep B & C - Chemo meds (methotrexate) - Lithium - Drug abuse - exposure (isotopes) - Infants with galactosemia What does it mean when an infant relaxes & unclenches their fist? - Answer-That they are full