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NURS 221 EXAM 2 NEWEST 2024 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE 200 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) ALREADY GRADED A+$27.99
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NURS 221 EXAM 2 NEWEST 2024 ACTUAL EXAM 2
VERSIONS (VERSION A AND B) COMPLETE 200
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) ALREADY GRADED A+
What serum glucose level should be maintained in an
infant with abnormal clinical symptoms? - ....ANSWER
>>>>Above 40 mg/dL and as high as 55 to 65 mg/dL in
other infants.
What are the signs and symptoms of hypoglycemia in
the newborn? - ....ANSWER >>>>Jitteriness, lethargy,
poor feeding, abnormal cry, hypotonia, temperature
instability (hypothermia), respiratory distress, apnea,
and seizures.
What are the characteristics of meconium stained
amniotic fluid? - ....ANSWER >>>>It is green, and it is
,either thin (light) or thick (heavy), depending on the
amount of meconium present.
What are the three possible reasons for the passage of
meconium in the amniotic fluid? - ....ANSWER >>>>1.)
It is a normal physiologic function that occurs with
maturity (meconium passage being infrequent before
weeks 23 or 24, with an increased incidence after 38
weeks) or with a breech presentation.
2.) It is the result of hypoxia induced peristalsis and
sphincter relaxation.
3.) It can be a sequel to umbilical cord compression
induced vagal stimulation in mature fetuses.
SAFETY ALERT (pg. 454): - ....ANSWER >>>>Every birth
should be attended by at least one person whose only
responsibility is the baby and who is capable of
initiating resuscitation. Either that person or someone
else who is immediately available should have the
skills required to perform a complete resuscitation,
including endotracheal suctioning to remove
meconium, if necessary.
What is the immediate management of the newborn
with meconium stained amniotic fluid before birth? -
,....ANSWER >>>>1.) Assess the amniotic fluid for the
presence of meconium after rupture of membranes.
2.) If the amniotic fluid is meconium stained, gather
equipment and supplies that might be necessary for
neonatal resuscitation.
3.) Have at least one person capable of performing
endotracheal intubation on the baby present at the
birth.
What is the immediate management of the newborn
with meconium stained amniotic fluid after birth? -
....ANSWER >>>>1.) Assess the baby's respiratory
efforts, heart rate, and muscle tone
2.) Suction only the baby's mouth and nose, using
either a bulb syringe or a large bore suction catheter if
the baby has: strong respiratory efforts, good muscle
tone, heart rate >100 beats/minute
3.) Suction the trachea using an endotracheal tube
connected to a meconium aspiration device and
suction source to remove any meconium present
before many spontaneous respirations have occurred
or assisted ventilation has been initiated if the baby
has: depressed respirations, decreased muscle tone,
heart rate <100 beats/minute
, What are the guidelines for treating Hypercyanotic
spells? - ....ANSWER >>>>1.) Place infant in knee/chest
position.
2.) Use a calm, comforting approach.
3.) Administer 100% "blow by" oxygen.
4.) Give morphine subcutaneously or through an
existing IV line.
5.) Begin full IV replacement and volume expansion if
needed.
6.) Repeat morphine administration.
What does the acronym TORCH stand for? -
....ANSWER >>>>T - Toxoplasmosis
O - Other (e.g., HBV, parvovirus, HIV, West Nile virus)
R - Rubella
C - CMV Infection
H - Herpes Simplex
To be effective, when must Rhlg (e.g., RhoGAM) be
administered to unsensitized mothers? - ....ANSWER
>>>>During first pregnancies and within 72 hours after
the birth or spontaneous or therapeutic abortion. It is
also administered during subsequent pregnancies at
26 to 28 weeks of gestation and after pregnancy
losses. Rhlg is also given after any other event in which
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