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Chamberlain NR327 exam 2 study guide with complete verified solutions 2025
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Chamberlain NR327 exam 2 study guide with complete verified solutions 2025
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Chamberlain NR327 exam 2 studyguide with complete verified
solutions 2025
- answer ■ Performed within the first 48 hours following birth
■ Take measurements &use the Ballard Scale
o Ballard Gestational Age Tool
■ Provides estimation of gestational age
■ Baseline for growth & development
■ Neuromuscular Maturity
■ 6 ranges
■ assigned # value from -1 to 5
(B)UBBLE - answer Breasts
(size, contour, asymmetry, engorgement, redness, nipples: cracking,
inverted,
bleeding)
(H)ER - answer Homan's sign
■ Assess legs for DVT, unilateral swelling, erythema, & warmth
■ Encourage ambulation
,Accelerations in FHR - answer ■ Temporary increase -
■ Reassuring - no interventions
Advantages of Breastfeeding - answer ■ Less likely to result to
overfeeding leading to obesity
■ Immunological properties help fight infection in infant
■ Provide protection against food allergies
■ Promote optimal mother-infant bonding
■ Less expensive than formula
■ Promote postpartum weight loss
■ Lowers the risk of breast cancer
Another family member - Bonding - answer May view them as
competition or fear that they will be replaced
■ Reassurance & attention from parents will help them feel loved &
important
■ Expect regression (sucking thumb, bedwetting)
■ Encourage discussion about the infant
■ Arrange for child to see infant in the hospital
■ Show photos of baby growing in mommy's belly
■ Encourage others to pay attention to the older child when visiting
APGAR - answer Apgar score: assessed at 1 & 5 minutes
,■ A = appearance (color)
■ P = pulse (heart rate)
■ G = grimace (reflex/irritability)
■ A = activity (muscle tone)
■ R = respiratory effort
APGAR: Appearance - answer 0 = blue/pale all over
1 = pink w/ blue extremities
2 = All pink
APGAR: HR - answer 0 = absent
1 = < 100 bpm
2 = > 100 bpm
- count HR for 1 min: place fingers at junction of umbilical cord and
skin (if cord still pulsates) or place fingers or stethoscope over 5th
intercostal space
APGAR: muscle tone - answer -0=flaccid
-1=some flexion
-2=well-flexed, active movement of extremeties
APGAR: Reflex irritability - answer 0= none
2= grimace, weak cry
3= Good cry
APGAR: Respiration - answer 0=absent
1=slow/irregular weak cry
, 2=Good/Crying
Appropriate for Gestational Age (AGA) - answer Weight, length,
and head circumference are between the 10th and 90th percentiles
for gestational age.
Average newborn length - answer 17-22 inches
Average newborn weight - answer 5.5 to 8.8
B(U)BBLE - answer Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the
symphysis pubis
■ 6-12 hrs after birth the fundus usually is at the level of the
umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1
cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular
motion until it
becomes firm
Baby blues (1-10 days) - answer characterized by mild depressive
symptoms - mood swings, anger,
anxiety, irritability, tearfulness (often for no reason)
■ the "blues" typically peak on postpartum 4 th & 5 th day, may last
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