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NRSG 421 Maternity Exam Questions And Accurate Answers
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NRSG 421 Maternity Exam Questions And Accurate AnswersImmediately after the birth of a neonate, the nurse dries and positions the neonate.
Following this, the neonate remains apneic. What should the nurse do next?
a. Assign the first APGAR score
b. Initiate positive pressure ventilation
c. Administer oxygen
d. Begin cardiac compressions
B
T/F Most newborns require immediate cord clamping
F, most dont need clamping right away or resuscitation
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T/F Newborns can be evaluated and stabilized during skin to skin contact with mother
after delivery
,T
About ___ of newborns need help with ventilating and ___ of newborns need further
resuscitation
10, 1
3 benefits for newborn with skin to skin
improve breastfeeding
thermoregulation
blood sugar stabilization
At delivery, if newborn is not at least term gestation, has good tone, or is
breathing/crying what is the FIRST step to take? (5)
dry
warm
stimulate
position airway
suction if needed
what are 5 actions if newborn has laboured breathing or persistent cyanosis?
position airway
suction if needed
pulse oximeter
oxygen if needed
consider CPAP
what are 3 actions if newborn has apnea, gasping, or HR <100?
, positive pressure ventilation
pulse oximeter
consider cardiac monitor
If after initial actions and newborn hr still <100, what 3 actions?
ensure adequate ventilation
consider ETT or laryneal mask
cardiac monitor
If after initial actions and newborn hr still <60, what 4 actions?
ETT or laryngeal mask
Chest compressions
Coordinate PPV with 100% O2
UVC
Target O2 at 1 min, 2 min, and 3 min?
1 min: 60-65%
2 min: 65-70
3 min: 70-75%
*What is baseline fetal HR?
110-160 bbp
What is variability?
What is normal and healthy?
variation from baseline 10-25 bpm
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