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RNC-Low Risk Perinatal: Questions With Solutions
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RNC-Low Risk Perinatal: Questions With Solutions
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RNC-Low Risk Perinatal: Questions With SolutionsInfant cuff should be how much wider than the diameter of the limb being
measured? Right Ans - 25-55%
3 categories of infant temperament Right Ans - easy, difficult, slow to warm
This type of murmur is usually Grade 2-5. This murmur appears within hours
of birth and is almost always the result of aortic and pulmonary stenosis or
coarctation of the aorta Right Ans - A loud systolic ejection murmur
A tightly fisted hand in which the thumb is firmly enclosed by the fingers. This
may indicate neurologic abnormality Right Ans - cortical thumb
Decreased cardiac output in a neonate can cause CHF or death within how
many hours? Right Ans - 48
Which mechanism of heat loss is minimized through skin to skin? Right Ans
- conduction
HELLP patients most commonly present with what symptoms? Right Ans -
abdominal/epigastric pain, nausea, vomiting, and malaise
The anterior fontanelle should be Right Ans - 1-4 cm
The posterior fontanelle should be Right Ans - less than 1 cm
What is the most common method of antenatal testing? Right Ans - Non
stress test
Common symptoms of clubbing Right Ans - softening of nail beds, nails that
form a sharper angle with the cuticle, bulging fingertip, and nails curve
downward
How wide is the normal neonatal penis Right Ans - 0.9-1.3 cm
Fidelity Right Ans - "promise keeping", may be derived from autonomy.
The duty to keep promises may promote the greatest good or be seen as an
obligation.
,When you have a RH- mom with a RH+ baby the antenatal treatment includes
Right Ans - transfusion of the fetus with RH- blood
The length of kidneys in a normal sized neonate is Right Ans - 4.5-5 cm
What is the most frequently demonstrated reflex after birth? Right Ans -
The patellar reflex
Describe coldstress Right Ans - it quickly depletes brown fat and glycogen
stores resulting in increased metabolic needs, hypoxemia, hypoglycemia and
increased oxygen consumption
What two types of deliveries lead to spinal cord injuries Right Ans -
cephalic or breech presentations can lead to spinal cord injuries because the
vertebral axis becomes outstretched or there is over rotation of the body in
relation to the head
True or False- Maternal Hepatitis C is a contradiction to breast feeding
Right Ans - false
3 key attributes for mutual relationships between parents and newborns
Right Ans - proximity, reciprocity, and commitment
Respiratory acidosis is reflected in values such as Right Ans - ph <7.20 and
Pc02 > 65
Contradictions to aerobic exercise during pregnancy Right Ans - cervical
insufficiency, restrictive lung disease, hemodynamically significant heart
disease, and ruptured membranes
What nutrient are newborns most efficient in absorbing? Right Ans -
Monosaccharides such as glucose
Leukocoria Right Ans - pupils appear white in color, can be the significant
hallmark or ocular abnormality
Hypocalcemia occurs in what percent of preterm infants? Right Ans - 30-
90%
, At how many hours of life do most infants with serious infants present?
Right Ans - within 48 hours
The three most common complications of amniocentesis are Right Ans -
spontaneous abortion, fetal injury, and infection
How much weight do newborns gain Right Ans - 6-8 oz per week and 1
inch per month
Neonatal weight loss Right Ans - infant lose up to 10% of birth weight but
should regain it by 2 weeks of age
Ways to monitor systemic blood pressure in neonates Right Ans - flush,
palpitation, ultrasound, doppler, oscillometric meaurements
Premature Ventricular beats may result from Right Ans - hypoxia, CHD,
irritation caused by an invasive catheter, or a result of a surgical procediire
How soon should the initial gestational age exam be done on an infant?
Right Ans - within 48 hours of birth
Fragile X syndrome can present this way in males Right Ans - large testes
What is Diaphallias Right Ans - A duplicated penis. It is either classified as
bifid or true.
Describe the normal neonate's testes Right Ans - ovoid in shape, mobile
and on average 1.4-1.6 cm
A short umbilical cord is associated with what? Right Ans - pulmonary
hypoplasia (shorter than 32 cm)
A long umbilical cord is associated with what? Right Ans - prolapsed cord
and fetal entrapment
Describe diamniotic/monochorionic twins Right Ans - If division occurs
between the fourth and eighth day following fertilization it will result in this
type of twins. The chorion has already begun to develop, whereas the amnion
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