37 Questions
Which of the following is NOT a sign of pain in a newborn?
Relaxed muscles
What is the recommended Neonatal Infant Pain Scale (NIPS) score that indicates a need for pain medication?
5
What is the recommended age for using the CRIES instrument for pain assessment in infants?
6 months and younger
How should infant formula be prepared to kill germs in powdered formula?
Mix with hot boiling water and wait about 5 minutes
What is the recommended temperature for cooling the formula after mixing with hot water?
Room temperature
What is the recommended time frame for using prepared infant formula?
Within 2 hours of preparation or 1 hour from start of feeding
What causes the functional closure of the foramen ovale in newborns?
Decreased pulmonary vascular resistance and decreased umbilical venous return
What triggers the closure of the ductus arteriosus in newborns?
Increase in blood PO2
What is the average mean blood pressure in the lower extremities of preterm newborns?
Higher than that in the upper extremities
Which physiological changes can pain cause in a newborn?
Increased heart rate, respiration rate, and oxygen saturation
How does capillary refill time should be maintained in newborns when the skin is blanched?
Less than 3 seconds
What can repeated painful stimuli contribute to in newborns?
Emotional and behavioral changes
What effect does cold stress have on bilirubin levels in newborns?
Causes elevated unconjugated bilirubin levels
What change may repeated tissue injury lead to in infants?
Heightened response to non-painful touch
What is the purpose of early breastfeeding for newborns?
Increases excretion of meconium and transitional stool
Why is circumcision considered an elective procedure with many health benefits?
It is no longer required for newborns
What is an essential component of providing therapeutic nursing care for newborns?
Assessment of pain
Why may newborns react quite differently to the presence of painful stimuli compared to adults?
They are more sensitive to pain
What is the normal respirations range for a neonate?
30-60
What is the main purpose of a non-stress test (NST) for the baby?
Ensure the baby is well-oxygenated
Which alteration is indicated by late decelerations in fetal heart rate?
Poor placental perfusion
What is the recommended action to fix late and variable decelerations in fetal heart rate?
Change mom's position
Which part of the fetus determines fetal station in relation to the ischial spine?
Presenting part
What comprises the passageway (birth canal) for the baby during delivery?
Pelvic floor muscles, introitus, and bony pelvis
Which of the following is NOT a common sign of delirium in critical care patients?
Improved communication skills
What is the primary focus of critical care interventions for pain management?
Balancing sedative doses
What is the most common ethical issue mentioned in the text related to critical care?
Artificial hydration and nutrition debate
What is the primary focus of interventions to support the caregivers and families of critical care patients?
Engaging in patient-centered, family-focused care
What is a common reaction of siblings to hospitalization of a child, as mentioned in the text?
Jealousy
What are the primary needs of infants in a hospital setting, as mentioned in the text?
Consistent, loving caregivers and daily routine
During which phase of the first stage of labor do contractions become more regular and closer together, and the cervix effaces as dilation progresses more slowly?
Latent phase
What physiological change in the fetus occurs during labor related to fetal circulation, fetal respiration, and fetal heart rate?
Fetal adaptation
What is the primary power associated with the process of labor that initiates at the top of the uterus and up in the fundus?
Primary contractions
Which stage of labor starts with the delivery of the baby and ends with the delivery of the placenta?
Third stage
What is true about the psychologic response of the mother during active labor?
More serious and apprehensive
What is the significance of the Ferguson reflex during labor?
Initiates bearing-down efforts
What are the seven cardinal movements of mechanism of labor that occur in vertex presentation?
Descent, flexion, extension
Test your knowledge on the common nursing diagnoses encountered in critical care settings, including respiratory failure, sepsis, myocardial infarction, and post-cardiac arrest. Explore nursing management for anxiety, pain, communication impairment, and other common issues.
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