Care of Newborn After Delivery Transition Phases

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Questions and Answers

What is a critical factor in the transition of the newborn, as mentioned in the text?

  • Encouraging early solid food consumption
  • Maintaining a neutral thermal environment (correct)
  • Performing a detailed assessment for major anomalies at birth
  • Encouraging bonding with the father or partner

What does hypothermia in newborns lead to, according to the text?

  • Decreased body temperature
  • High oxygen consumption
  • Neurological problems due to hypoglycemia (correct)
  • Increased blood glucose levels
  • Decreased fluid intake

During initial care of a newborn, what should caregivers wear when handling the baby?

  • Face masks and face shields
  • Regular clothing without any special precautions
  • Long coats and hats
  • Gloves and fluid-resistant cover gowns (correct)

What is the timeframe for Phase 2 in the transition phases of newborn care?

<p>From 1 to 3 hours after birth (D)</p> Signup and view all the answers

Which of the following is NOT part of the initial care of a newborn as per the text?

<p>Administering vaccines (C)</p> Signup and view all the answers

What is a potential consequence of hypothermia in newborns, according to the text?

<p>Increased blood glucose levels (C)</p> Signup and view all the answers

What is a common sign of respiratory distress in a newborn that should be immediately reported?

<p>Flaring of the nostrils (A)</p> Signup and view all the answers

Why is drying the infant with a warm towel important according to the text?

<p>To prevent heat loss from the evaporation of amniotic fluid on the skin (A)</p> Signup and view all the answers

What is the purpose of placing a hat on the infant's head after drying?

<p>To prevent heat loss from the moist head (B)</p> Signup and view all the answers

What physiological changes in the cardiopulmonary circulation are discussed in the text?

<p>Physiological changes in newborns (A)</p> Signup and view all the answers

What does the Apgar score evaluate for newborn infants?

<p>Heart rate, respiratory effort, muscle tone, reflex response, and skin color (B)</p> Signup and view all the answers

What is acrocyanosis in newborns?

<p>Normal bluish color of hands and feet due to peripheral circulation (D)</p> Signup and view all the answers

When is the first bath typically given to newborns according to the text?

<p>Once stabilized at 36.5°C to 37°C (A)</p> Signup and view all the answers

What does Narcan (naloxone) help reverse in newborns?

<p><strong>Respiratory depression</strong> induced by narcotics (B)</p> Signup and view all the answers

What factors does Dr.Virginia Apgar's scoring system evaluate at 1 and 5 minutes after birth?

<p>Heart rate, respiratory effort, muscle tone, reflex response to stimulation, and skin color (C)</p> Signup and view all the answers

What should be done if an infant scores between 4-7 on the Apgar scale according to the text?

<p>Gentle stimulation such as rubbing the back (B)</p> Signup and view all the answers

Why is maintaining a neutral thermal environment important for newborns?

<p>To minimize heat loss and reduce oxygen consumption needs.</p> Signup and view all the answers

What potential issue can hypothermia in newborns lead to?

<p>Hypoglycemia (low blood glucose level) and neurological problems.</p> Signup and view all the answers

What should caregivers wear when handling newborns during initial care?

<p>Gloves and fluid-resistant cover gowns.</p> Signup and view all the answers

What is encouraged to be done after the first bath for newborns?

<p>Bonding and breastfeeding.</p> Signup and view all the answers

Why is it important to place a hat on the infant's head after drying?

<p>To prevent significant heat loss from the newborn's moist head when left open to room air.</p> Signup and view all the answers

What does hypothermia in newborns lead to, according to the text?

<p>Hypoxia, which can cause further problems.</p> Signup and view all the answers

What is the purpose of drying the infant with a towel according to the text?

<p>To prevent heat loss caused by evaporation of amniotic fluid on the skin.</p> Signup and view all the answers

What is a common sign of respiratory distress in a newborn that should be immediately reported?

<p>Persistent cyanosis (other than the hands and feet).</p> Signup and view all the answers

What does the Apgar score evaluate for newborn infants?

<p>Heart rate, respiratory effort, muscle tone, reflex response, and skin color.</p> Signup and view all the answers

What physiological changes in the cardiopulmonary circulation are discussed in the text?

<p>Physiological changes in the cardiopulmonary circulation in the newborn.</p> Signup and view all the answers

What is a critical factor in the transition of the newborn, as mentioned in the text?

<p>Maintaining a neutral thermal environment.</p> Signup and view all the answers

What should be done if an infant scores between 4-7 on the Apgar scale according to the text?

<p>Gentle stimulation such as rubbing the back.</p> Signup and view all the answers

What is a potential consequence of hypothermia in newborns, according to the text?

<p>Cold stress leading to increased respiratory rate and oxygen consumption.</p> Signup and view all the answers

What does Narcan (naloxone) help reverse in newborns?

<p>Narcotic-induced respiratory depression.</p> Signup and view all the answers

Match the following transition phases of newborn care with their respective timeframes:

<p>Phase 1 = Immediate care after birth; from birth to 1 hour Phase 2 = From 1 to 3 hours after birth Phase 3 = From 2 to 12 hours after birth Phase 4 = From 12 to 24 hours after birth</p> Signup and view all the answers

Match the following initial care tasks of a newborn with their descriptions:

<p>Maintaining thermoregulation = Ensuring the baby's body temperature remains stable Maintaining cardiorespiratory function = Monitoring the baby's heart and lung functions Observing and documenting for urination and/or passage of meconium = Recording the baby's first urine and stool Identifying the mother, the father or partner, and the newborn = Confirming the identities of the family members</p> Signup and view all the answers

Match the following actions related to newborn care with their purposes:

<p>Performing and documenting a brief assessment for major anomalies = Checking for any significant physical abnormalities Encouraging bonding and breastfeeding = Promoting attachment between parents and child, and initiating feeding Wearing gloves and fluid-resistant cover gowns when handling the newborn = Ensuring infection control measures are followed Giving the infant's first bath after initial care = Cleaning off blood and amniotic fluid from the baby</p> Signup and view all the answers

Match the following consequences in newborns with their causes:

<p>Hypothermia leading to hypoglycemia = Low body temperature using up glucose for heat generation Hypoglycemia causing neurological problems = Low blood glucose affecting the newborn's nervous system Maintaining a neutral thermal environment reducing heat loss = Minimizing oxygen consumption needs in infants Acrocyanosis as a potential issue = Temporary bluish discoloration due to immature circulation</p> Signup and view all the answers

Match the following statements about caregivers with their responsibilities during initial care of a newborn:

<p>All caregivers wearing gloves and fluid-resistant cover gowns = Ensuring proper hygiene and infection prevention Placing a hat on the infant's head after drying = Helping maintain the baby's body temperature Drying the infant with a warm towel = Preventing heat loss and keeping the baby comfortable Encouraging bonding and breastfeeding after initial care = Promoting parent-child attachment and initiating feeding</p> Signup and view all the answers

Match the following terms related to newborn health with their explanations:

<p>Hypothermia in newborns leading to hypoglycemia = Low body temperature causing low blood sugar levels Narcan (naloxone) helping reverse respiratory depression in newborns = Reversing opioid effects on breathing in infants Encouraging bonding and breastfeeding after initial care tasks = Promoting parent-infant attachment and initiating feeding post-birth Observing for urination and meconium passage in infants = Monitoring the baby's first urine output and stool passage</p> Signup and view all the answers

Match the following actions with the appropriate steps for maintaining a neutral thermal environment for a newborn:

<p>Drying the infant with a warm towel = To prevent heat loss caused by evaporation of amniotic fluid on the skin Placing a hat on the infant's head after drying = To prevent significant heat loss from the largest body surface area Wrapping the infant in warm blankets = When taken out of the warmer to prevent heat loss Skin-to-skin contact between mother and newborn = Can also prevent heat loss during bonding or breastfeeding</p> Signup and view all the answers

Match the following signs of respiratory distress with their descriptions:

<p>Persistent cyanosis (other than hands and feet) = Indicates inadequate oxygenation Grunting respirations = A noise heard as the infant exhales without a stethoscope Flaring of the nostrils = An indication of increased work of breathing Retractions under the sternum or between the ribs = Sign of increased respiratory effort</p> Signup and view all the answers

Match the following Apgar score factors with their evaluation order:

<p>Heart rate = Ranked as the most important factor Respiratory effort = Evaluated as the second factor Muscle tone = Third in importance for scoring Reflex response to stimulation on soles of feet = Evaluated before skin color in ranking</p> Signup and view all the answers

Match the following statements about newborn care with their corresponding actions:

<p>First bath delayed until temperature stabilized = Bath is given when temperature is between 36.5°C to 37°C Suctioning before cutting cord = May be initiated by health care provider before cord is cut Application of cord clamp = Done when infant is stable in radiant warmer Administration of oxygen by facemask = Performed until infant is crying vigorously</p> Signup and view all the answers

Match the following physiological responses with their descriptions:

<p>Acrocyanosis = Normal bluish color on hands and feet due to sluggish circulation Spontaneous breathing after birth = Usually begins within a few seconds and helps oxygenate tissues Rapid change in skin color at birth = From cyanotic to pink as infant cries and oxygenates properly Increased heart rate and respiratory rate at birth = Physiological adaptations to extrauterine life</p> Signup and view all the answers

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