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NCMA 219 MIDTERM EXAM STUDY QUESTIONS AND CORRECT ANSWERS
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  • NCMA 219

Premature infant 3 weeks before the baby's estimated due date Premature infant physical appearance lanugo covering entire back and face Sole have few creases Scrotum little rugae Post mature infant physical abundant scalp hair Visible creases on palms and soles of feet Minimal fat deposit (thin &...

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  • August 4, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ncma 219 midterm exam study questions and correct
  • premature infant 3 weeks before the babys estima
  • premature infant physical appearance lanugo cover

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  • NCMA 219
  • NCMA 219

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NCMA 219 MIDTERM EXAM STUDY
QUESTIONS AND CORRECT ANSWERS
Premature infant ✅3 weeks before the baby's estimated due date

Premature infant physical appearance ✅lanugo covering entire back and face
Sole have few creases
Scrotum little rugae

Post mature infant physical ✅abundant scalp hair
Visible creases on palms and soles of feet
Minimal fat deposit (thin &elongated body)

Nursing care for respiratory function ✅position the neonate: semi prone or side lying
Maintain respiratory tract patency
Stimulate to remind to breathe - flick the sole of the foot or massage the back
Monitor O2 thearpy
Assess respiratory efforts

Respiratory efforts ✅grunting
Nasal flaring
Cyanosis apnea

Nursing care for temperature ✅minimize the cold stress
Maintain skin temperature of 36.1 to 36.7
Continously monitor temp
Prevent rapid warm or cooling (sponge batch is the best way)
Use cap to prevent heat loss

Nursing care for hydration and normal glucose ✅monitor for hypoglycemia
Assess tolerance of oral or tube feedings
Monitor hydration closely
Assess for gastric residual, bowel sounds, change in stool pattern and abdominal girth
Monitor weight gain or loss

Maintenance of hydration and normal glucose ✅glucose IVF
Thermoregulation
Monitor IVF rate
Breastfeeding every 2-3 hours

If breastfeeeding is contraindicated ✅IVF D5050

, IUGR ✅condition where a fetus does not grow normally in the utero

Causes of IUGR ✅maternal age (placental grading)
High altitude
Infection
Hypertension (eclampsia, preeclampsia)
Smoking
Undernutrition

Respiratory distress syndrome is otherwise known as ✅hyaline membrane disease

RDS ✅conditions of surfactant deficiency and physiologic maturity of the thorax

RDS Diagnostic exams ✅x -ray
Blood glucose
ABG
Fetal lung maturity assay (the fastest)

RDS laboratory findings ✅diffuse granular pattern (broken glass)
Hypoxemia
Increase carbon dioxide
Respiratory acidosis on ABG
Hypoglycemia
Number of surfactant (fetal lung maturity assay)

RDS medication ✅artificial surfactant (intratracheal)
Nitric oxide

Action of nitric oxide ✅dilate pulmonary bronchus

Clinical manifestation of RDS ✅tachypnea >60
Flaring nares
Expiratory granting
Chest retractions (sternal and subcostal)
Seesaw respiration

Meconium aspiration syndrome assessment ✅widened anteroposterior diameter of the
chest (barrel - chest)

Management of Meconium Aspiration Syndrome ✅antibiotics

Meconium aspiration syndrome nursing care ✅endotracheal suctioning
O2 support
Exogenous surfactant administration
IVF administration

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