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NURS 2207 Final Exam: Questions With Solutions By Expert
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NURS 2207 Final Exam: Questions With Solutions By Expert
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NURS 2207 Final Exam: Questions With Solutions ByExpert
Fontanelles Right Ans - No bulging, not sunken in, Flat and soft
Posterior Fontanelle closes first because it is the smallest
Average size is 32 to 37 cm or 2 cm greater than the chest circumference.
Anterior and posterior fontanelle should be open with posterior fontanelle's
closing sooner at 8 to 12 weeks and anterior fontanelle is closing at 18 months
Anterior Fontanel Right Ans - junction of frontal and parietal bones
Posterior Fontanel Right Ans - Junction of the Parietal and occipital bone
Babinski reflex Right Ans - Disappears at 1 year of age
Reflex in which a newborn fans out the toes when the sole of the foot is
touched
Newborn temperature Right Ans - 36.5-37.5 (97.7-99.5)
Respiratory distress and transient tachypnea Right Ans - Respiratory rate
>60 BPM·
Short term, typically lasts 24-72 hrs
Definition: a respiratory disorder usually seen shortly after delivery in babies
who are born near or at term. Transient means it is short lived (usually less
than 24 hours) and tachypnea means rapid breathing.
Assessment: Indications of respiratory distress, nasal flaring, chest
retractions, cyanosis, grunting
Treatment: CPAP, oxygen, monitor SpO2, monitor blood gases, IV fluids will be
used if infant cannot feed, prophylactic antibiotics, NG tube, orogastric tube
Risk factors: prematurity, rapid vaginal delivery, c section delivery, babies of
mothers with diabetes and asthma
Oxygen can be administered by an oxygen hood, nasal cannula, continuous
positive airway, pressure or endotracheal tube. Oxygen should be warmed
and humidifier prior to administration to decrease insensible, food loss, and
heat loss.
Tummy time Right Ans -
,Fetal Circulation Right Ans - baby doesn't use lungs in utero
3 shunts in fetal circulation
Ductus Venosus-Liver
Foramen Ovale-Right and Left Atrium
Ductus Arteriosus-Pulmonary artery and aorta
shunts blood away from the lungs
placenta provides oxygenated blood, embeds itself in the uterus and connects
with moms circulation which gives the baby oxygen and nutrients from moms
circulation
Umbilical Circulation Right Ans - two arteries (unoxygenated), one vein
(oxygenated)
initially white and gelatinous
dry shriveled up and blackened by 2nd or 3rd day
sloughs off within 7-10 days
abnormal- granuloma, patent urachus (base of cord draining) umbilical cord
hernia
Fetal Circulation after birth Right Ans - Ductus venosus closes once baby
takes their first breath fluid clears the lungs, alveoli pop open relieving
pressure in the heart allowing closure of the foramen ovale
prostaglandins from the placenta are cut off which a lots for closure of the
ductus arteriosus
Jaundice Right Ans - Normal Level 5 mg/dL
Risk factors:
Premature birth: do not process bilirubin as fast, do not feed as much and
have fewer bowel movements causing less excretion of bilirubin
Severe bruising at birth: may have higher levels of bilirubin due to breakdown
or excessive red blood cells
blood type: if baby and mothers blood types differ the baby may receive
antibodies that cause abnormal rapid breakdown of red blood cells
breastfeeding: those who struggle to breastfeed or are dehydrated and have
low caloric intake are at an increased risk of jaundice
Race: East Asian cultures are at a higher risk of developing Jaundice
Complications:
Bilirubin Encephalopathy: In babies with severe jaundice, there's a risk of
bilirubin passing into the brain causing listlessness, difficulty waking, high-
,pitched crying, poor sucking or feeding, backward arching of the neck and
body, fever
Kernicterus: Kernicterus is the syndrome that occurs if acute bilirubin
encephalopathy causes permanent damage to the brain causing involuntary
and uncontrolled movements (athetoid cerebral palsy), permanent upward
gaze, hearing loss, improper development of tooth enamel
Diagnosis: physical, blood work, transcutaneous bilirubinometer
Treatment: Bili Blanket, Bili light (photo therapy), Exchange transfusion,
enhanced nutrition, intravenous immunoglobulin
Screening: Bili tool
Breastfeeding jaundice Right Ans - 3-4th day of life decreased milk intake,
resulting to increase enterohepatic circulation. fluid and caloric
supplementation
Breastmilk Jaundice Right Ans - late starts to rise on day 4B glucuronidase
in breastmilk which increases enterohepatic circulation if breastfeeding is
stopped levels fall, if started again levels rise
Fetal Head Right Ans - Fetal skull
Vault of cranium
Overlapping bones (molding):Allows skull to pass through narrow parts of
maternal pelvis, Frontal, parietal, occipital bones
Sutures: Membranous joints uniting cranial bones allow for molding
Average size of a newborn head: 32-38 cm
Male Condom Right Ans - Protection against STIs for men and women
Men accepting responsibility for use
Effectiveness determined by proper use
Male Condom Education Right Ans - check expiration date on the package
avoid using oil based lubricants, contraceptive foam or water-based lubricant
may be used use
placed the unrolled condom on the tip of an erect penis, leaving a small space
at the tip of the condom to collect sperm, then unroll the condom from the tip
of the erect penis to the base
After intercourse the partner should withdraw the erect penis from the
vagina, while holding the rim of the condom to prevent leakage.
, If the penis becomes flaccid before the condom is removed, the partner should
hold onto the edge of the common wall of drawing the penis to ensure the
condom remains on, and the semen is not spilled inspect used condoms for
tears or holes as a break and integrity of the sheath will decrease
effectiveness, discard, used condom in a disposable water container. Do not
flushing the toilet.
Male Condom Advantages Right Ans - sexual intercourse maybe prolonged
condoms are available in a variety of sizes and styles at low cost without a
prescription partners can participate in placing the condom to enhance
enjoyment all condoms, except those made from natural skins offer protection
against pregnancy an STI's natural skin condoms have pores I can allow
passage of viruses
Male Condom Disadvantages Right Ans - the penis must be a erect before
placing a condom to prevent spillage of semen. A man must withdraw after
ejaculation. While the penis is still a erect condoms can rupture or leak,
increasing the potential for semen to escape into the vagina
oil based lubricant can decrease effectiveness of a condom condoms are single
use only misplacement peroneal or vaginal irritation
Women's Condom Right Ans - Careful insertion necessary
Fits over cervix like a diaphragm
Available OTC
Women's Condom Education Right Ans - insert the closed end of the
condom into the vagina so the ring fit smoothly against the cervix partner
should insert the penis into the open and leaving approximately 2.5 cm of
sheath for flexible ring outside of the introitus after intercourse, remove the
condo before standing up by squeezing the twisted outer ring to close the
sheath will gently pulling it out of the vagina
Women's Condoms Advantages Right Ans - condom may be inserted up to
eight hours before intercourse.
The client who is more sensitive the latex can use the female condom.
Both partners are protected against STI's during intercourse
female condoms are available without a prescription use of lubricants will not
increase the effectiveness breast-feeding women can safely use condoms
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