Maternity NSG 3500 Final exam with complete solution
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Course
NSG 3500
Institution
NSG 3500
Maternity NSG 3500 Final exam with complete solution
What is the purpose of a bulb syringe and what would you educate on? -Correct Answer-- clears secretions from oral/nasal passages
- educate on proper technique & care
>>> you want to wash them in warm, soapy water each day or every o...
Maternity NSG 3500 Final exam with
complete solution
What is the purpose of a bulb syringe and what would you educate on? -Correct Answer-- clears
secretions from oral/nasal passages
- educate on proper technique & care
>>> you want to wash them in warm, soapy water each day or every other day & air dry
How do you perform cord care & what would you educate on? -Correct Answer-- clean the stump
w/water & gauze only
-avoid soaps/lotions/creams
-dries out approx. 1-2hr after birth
by day 10-14 it will detach completely
What are the normal VS for infants? -Correct Answer-- RR: 30-60
- HR: 110-160 bpm
- Temp: 97.7-99.3
- BP: 60-80/40-50
When checking an infants BP & the upper extremity is higher than the lower extremities what could be
the cause? -Correct Answer-aortic coarctation
What does the umbilical cord contain? -Correct Answer-2 arteries & 1 vein
What is the weight range for a newborn? -Correct Answer-2500-4300 grams
10-90%
What is the normal range for head circumference of a newborn? -Correct Answer-full term: 13-15 inches
(33-38 cm)
,What does it mean if you notice the head circumference is outside of the normal range? -Correct
Answer->4cm compared to the chest measurement may indicate hydrocephalus or increased ICP
smaller than chest indicate microcephaly
What is the normal range for chest circumference? -Correct Answer-12-13 inches (30.5-33cm)
What are the types of circumcisions? -Correct Answer-- yellen/gomco >>> protects the head of the penis
- mogan >>> credit card
- plastibell >>> plastic ring & string left
What meds are administered before/during a circumcision? -Correct Answer--lidocaine block
-sugar water >>> calms & distracts during the procedure
What do you assess after a circumcision? What do you educate on? -Correct Answer-- observe 1st void &
bleeding to evaluate for urinary obstruction
-monitor for s/s of infection
-apply petroleum ointment to site >>> except w/ plastibell
-diaper care >>> not too loose/tight
What are the risk factors for uncircumcised men? -Correct Answer-UTI
Penial CA
STI
What is the difference between the 2 types of jaundice? -Correct Answer-Physiological:
-occurs between 1st 24-48hr after birth
, Pathological:
-occurs w/in 1st 24hr after birth
What is phototherapy and what would you educate on? -Correct Answer--used as a treatment for
jaundice
-placed around/above newborn
-need to keep NB warm >>> r/f hypothermia
-keep goggles/eye protection on at all times
-look for s/s of bilirubin encephalopathy
What is APGAR? -Correct Answer--appearance, pulse, grimace, activity, respiration
- how well the infant adjusts to extrauterine life
What are s/s of respiratory distress? -Correct Answer-cyanosis/acrocyanosis
periodic breathing
apnea
expiratory grunting
wheezing
nasal flaring
retractions
use of accessory muscles when at rest
abnormal breathing rate
What do you do w/a baby who is in RDS? -Correct Answer--pregnant women who go into labor before
35th week receive a steroid injection to help NB produce surfactant to prevent alveolar collapse
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