Exam (elaborations)
Nurp 531 Exam 4 Questions And Answers Latest Update .
- Course
- NRP 531
- Institution
- University Of Phoenix
Nurp 531 Exam 4 Questions And Answers Latest Update .
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Solution 2024/2025Pepper
Nurp 531 Exam 4 Questions And Answers
Latest Update 2024-2025
Neonatal Death ANS✔✔ Occurs within 1st 28 days
45% of deaths world wide
Leading cause of neonatal mortality ANS✔✔ prematurity and low birth
weight
Increased risk in African-Americans
If born <32 weeks gestation then increased risk of mortality and long term
disability
Categories of Genetic disorders ANS✔✔ Monogenic - caused by a single
gene mutation
Multifactorial - Combination of gene variations that may be environmentally
influenced
Chromosomal - Excess of deficiency of genes located on chromosomes or by
structured changes within the chromosomes.
Autosomal Recessive Disorders ANS✔✔ CF
, Solution 2024/2025
Pepper
Sickle Cell
Tay-Sacs
Beta-thallasemia
X-Linked recessive disorders ANS✔✔ SCID
Hemophilia A & B
Gestational DM can cause what effect on neonates? ANS✔✔ Increase risk of
congenital malformations
Risk of:
Macrosomia
Cesarean birth
Shoulder dystocia
Birth trauma
Hypoglycemia in the infant
Jaundice
IUGR
Pre-eclampsia
Polyhydraminos
Congenital Hypothyroidism ANS✔✔ Required screening
Can cause developmental disability
, Solution 2024/2025
Pepper
increased risk in females, Hispanics, and Asians
Hypertension during pregnancy is ANS✔✔ The leading cause of maternal
mortality
Drugs to avoid during pregnancy ANS✔✔ Lithium
ACE inhibitors
Anticonvulsants
Mega-doses of vitamin A
SSRI's
NSAIDS
What type of drug more readily crosses the placenta? ANS✔✔ Lipid soluble
If mom HIV positive, what does baby receive? ANS✔✔ Zidovudine x 6 weeks
or x 4 weeks if infant term and mom was on retrovirals.
APGAR score ANS✔✔ Scale of 1-10 that is measured at 1 minute and 5
minutes that measures cardiac and respiratory adjustment - 1 minute
measures how well the baby tolerated the birthing process; 5 minutes
measures how baby completed the neonatal transition.
HR
respiratory effort
, Solution 2024/2025
Pepper
reflex irritability
Muscle tone
Color
Ballard score ANS✔✔ Used to determine gestational age on newborns born
between 20-44 weeks.
Measured 2 hours after birth and again at 48 hours if complications
occurred.
Appropriate for gestational age ANS✔✔ 10-90th percentile
Small for gestational age ANS✔✔ <10th percentile
Large for gestational age ANS✔✔ >90th percentile
Normal head circumference ANS✔✔ 31-38 cm
12-15 inches
Should be measured 3 times and the largest should be recorded
Normal weight ANS✔✔ 2500-4000 g
5 lb 8 oz - 8 lb 13 oz
normal Length ANS✔✔ 46-56 cm
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