RNC NIC

Caloric Requirement during pregnancy 2500 kcals/day Total recommended weight gain during pregnancy 25 to 35 lbs Inadequate intake of folic acid is associated with Neural tube defects such as: myelomeningocele Recommended dosage of folic acid to prevent NTD 0.4 to 0.8 mg daily Recommended folic acid for previously affected children with NTD 4 mg daily x 4 weeks prior to conception and then for first three months of pregnancy Morning sickness is due to increased levels of... human c...

Infants born to Mothers who receive no prenatal care are at increased risk of what? correct answer: Prematurity Low Birth Weight Maternal iron deficiency anemia Neonatal mortality Explain in 5 steps why does an IDM presents with hypoglycemia at birth? correct answer: 1. Glucose crosses the placenta whereas insulin doesn't. 2. When Mom has elevated insulin, the fetus also has elevated insulin 3. The fetus produces insulin starting at 20 weeks of Gestation 4. After 20 weeks the fetus...

Pre-ductal SpO2 target 1 min correct answer: 60-65% Pre-ductal SpO2 target 2 min correct answer: 65-70% Pre-ductal SpO2 target 3 min correct answer: 70-75% Pre-ductal SpO2 target 4 min correct answer: 75-80% Pre-ductal SpO2 target 5 min correct answer: 80-85% pre ductal SpO2 target: 10 min correct answer: 85-95% < 30 sec correct answer: chest compressions are initiated when HR < 60 after ____ sec of ventilation 3:1 ratio // 120 correct answer: compression/ven...

Chorioamnionitis : Symptoms correct answer: Maternal fever >100.4; uterine tenderness; tachycardia, maternal elevated WBC What is the significance of green amniotic fluid? correct answer: meconium stained What is the significance of yellow amniotic fluid? correct answer: meconium or sepsis What is the significance of cloudy amniotic fluid? correct answer: sepsis How soon after birth should gestational age assessments be conducted? correct answer: within 48 hours to ensure hig...

What risks are present in infants born to mothers who receive no or little prenatal care? correct answer: LBW premature birth Maternal iron-deficiency anemia Increased neonatal mortality Describe the fetal response to mothers with diabetes correct answer: Because glucose crosses the placenta, the baby's BG increases as the mom's does. Insulin does not cross the placenta and the fetal pancreas does not produce it until 20 weeks. So, before insulin production, the increased BG leads to r...

Magnesium Homeostasis correct answer: 1.5-2.5 mg/dl; important for muscle contractions and enzymatic function For greatest possible accuracy; when should urine output be measured? correct answer: right after it occurs; infants on radiant warmer may loose volume due to evaporation before diaper is weighed Sodium correct answer: major extra cellular cation; plays pivotal role in fluid homeostasis What major change of fluid occurs for the neonate at birth? correct answer: decrease in e...

Most common heart defect correct answer: Ventricular septal defect (VSD) foramen ovale correct answer: connects the two atria in the fetal heart In fetal circulation, the ___ ventricle is the dominant ventricle correct answer: Right The ____ receives the greatest percentage of fetal cardiac output and is the organ of ______ vascular resistance correct answer: Placenta, lowest How much fetal blood goes to the lungs? correct answer: 10% of blood ____ keeps the PDA patent after ...

Pre-term correct answer: RDS Hypoglycemia Hypothermia IVH sepsis PDA long term problems Post term correct answer: Fetal distress Hypoglycemia Neonatal asphyxia Mec aspiration syndrome Birth injuries SGA correct answer: Hypoglycemia Hypocalcemia Neonatal asphyxia Meconium aspiration Polycythemia LGA correct answer: Birth trauma Asphyxia Hypoglycemia RDS think of what for cephalhematoma correct answer: hyperbilirubinemia erythema toxicum contains what corre...

Complications of hyperthermia correct answer: -increased metabolic demands -increased oxygen requirements -apnea Why might a HYPERthermic infant be hypotensive? correct answer: They are vasodilated in an attempt to dissipate heat What are three complications of increased insensible water loss? correct answer: HYPERnatremia, dehydration, evaporative heat loss What circumstances would warrant a baby being on an elemental formula? correct answer: Liver disease, short gut syndrome, dy...

Neonates born to mothers with uncontrolled asthma are at increased risk for a. acidosis b. apnea c. low birth weight correct answer: C-Neonates born to women with asthma that is not under control are at increased risk for prematurity and low birth weight. If asthma is controlled, neonatal outcomes are similar to those neonates born to mothers WITHOU asthma. Pregnancy outcomes of women with renal disease most relates to a. etiology of renal disease b. degree of renal insufficiency ...