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Week 2 - NURS 547 Questions With Complete Solutions
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Week 2 - NURS 547 Questions With Complete Solutions
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Week 2 - NURS 547 Questions With Complete Solutions______(i)_________ change at birth leads to _____(ii)_______
recoil
_______(iii)__________ temperature stimulates the respiratory
centre
Liquid in the lungs is replaced with _____(iv)________ Correct
Answer (i) Pressure
(ii) Chest
(iii) Cooler
(iv) Air
Any female within child bearing age can take
____________________________ as a protective mechanism
for a fetus. Correct Answer Folic Acid
Are all of them present at birth? Correct Answer Caput is
Cephalohematoma is NOT
Subgaleal Bleed may or may not be
Are crackles normal right after delivery? Correct Answer Yes -
they have lots of fluid in their lungs that may not be completely
gone after delivery.
Are newborns nose or mouth breathers? Correct Answer Nose
breathers -- any obstruction to the nose must be suctioned
Diabetes of any kind puts baby at risk for
_____________________ abnormalities and
______________________ Correct Answer Congenital;
hypoxia
, Mom has high blood glucose = baby has high blood glucose.
Baby responds by increasing insulin. This causes baby to start to
grow more. Organs grow faster and as they are rapidly growing,
structural malfunctions can happen. Also means they need more
O2 so they're at higher risk for hypoxia.
Do they all appear bruised? Correct Answer Caput -- maybe
Cephalohematoma -- maybe
Subgaleal Bleed -- no
Explain what happens when newborn's compensate for cold
stress by increasing metabolism Correct Answer They use
more glucose which turns into the usage of glycogen stores. This
causes hypoglycemia and results in weight loss if it continues
for long enough.
Explain what happens when newborn's compensate for cold
stress by increasing metabolism of brown adipose tissue Correct
Answer When brown adipose tissue is metabolized, fatty acids
are released. This can drop pH which leads to metabolic
acidosis. Acidosis will cause pulmonary vasoconstriction (too
much H+ affects O2 exchange so the vessels in the lungs
constrict to shunt blood to areas that are getting better O2
exchange). This all results in potential *respiratory distress*
Explain what happens when newborn's compensate for cold
stress by increasing O2 consumption Correct Answer This
occurs as a result of metabolism increases. The baby is trying to
make energy by increase respiratory rate. This leads to hypoxia
and again, respiratory distress.
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