NUR 234 Exam 2 (with Complete Solutions)

List signs of respiratory distress correct answers Nasal flaring, chest retractions, grunting on exhalation, labored breathing, generalized cyanosis, flaccid body posture, abnormal breath sound, abnormal respiratory rates, abnormal heart rates, abnormal respiratory rates Describe normal stool characteristics, when does the baby pass meconium correct answers Yellow-gold loose stool=breast fed, greenish black tarry stool=meconium which is passed 12-24 hrs after birth is sterile, seedy greenish brown stool=transitional stool, yellow green soft formed stool=newborn with formula Define cold stress and identify symptoms of cold stress correct answers Excessive heat loss which requires a newborn to use compensatory mechanisms like non shivering thermogenesis/tachypnea to maintain core body temperature, baby can become less active, lethargic, hypotonic, weaker. The highest risk is within first 12 hrs. List ways neonates lose heat and interventions to prevent each type of heat loss correct answers Conduction: transfer of heat from object to object Convection: flow of heat from body surface Evaporation: liquid is converted to vapor Radiation: loss of body heat to cooler, solid surfaces Prewarm blankets and hats, keep infant transporter charged and heated, dry newborn after birth, encourage skin to skin contact, use heated and humidified oxygen, and use radiant warmers Develop a teaching plan for crib safety at home and recommendation for feeding a neonate correct answers Well fitting crib sheet, firm mattress, don't use larger sheets than the crib and keep the crib clear of stuffed animals and blankets Explain the pathophysiology of jaundice and treatment correct answers Combination of increased bilirubin production secondary to accelerated destruction of erythrocytes, decreased excretory capacity secondary to low levels of lignin in hepatocytes and low activity of bilirubin conjugating enzyme -Phototherapy What does the ortolan maneuver assess for correct answers Listen for sounds during this maneuver, there should be no "cluck" or "click" heard when the legs are abducted. Scubas a sound indicates the femoral head hitting the acetabulum as the head reenter, suggest hip dysplasia Cephalohematoma correct answers Collection of blood between the periosteum and the bone that occurs several hours after birth. It does no cross suture lines and is generally reabsorbed over the next 6-8 weeks Molding correct answers Changed shape of fetal skull at birth as a result of overlapping cranial bones