Common Nursing Diagnoses in Critical Care

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Which of the following is NOT a sign of pain in a newborn?

Tense, rigid muscles

Increased blood pressure

Relaxed muscles (correct)

Grimacing

What is the recommended Neonatal Infant Pain Scale (NIPS) score that indicates a need for pain medication?

3

5 (correct)

7

10

What is the recommended age for using the CRIES instrument for pain assessment in infants?

2 years and younger

1 year and younger

3 months and younger

6 months and younger (correct)

How should infant formula be prepared to kill germs in powdered formula?

Mix with hot boiling water and wait about 5 minutes Signup and view all the answers

What is the recommended temperature for cooling the formula after mixing with hot water?

Room temperature Signup and view all the answers

What is the recommended time frame for using prepared infant formula?

Within 2 hours of preparation or 1 hour from start of feeding Signup and view all the answers

What causes the functional closure of the foramen ovale in newborns?

Decreased pulmonary vascular resistance and decreased umbilical venous return Signup and view all the answers

What triggers the closure of the ductus arteriosus in newborns?

Increase in blood PO2 Signup and view all the answers

What is the average mean blood pressure in the lower extremities of preterm newborns?

Higher than that in the upper extremities Signup and view all the answers

Which physiological changes can pain cause in a newborn?

Increased heart rate, respiration rate, and oxygen saturation Signup and view all the answers

How does capillary refill time should be maintained in newborns when the skin is blanched?

Less than 3 seconds Signup and view all the answers

What can repeated painful stimuli contribute to in newborns?

Emotional and behavioral changes Signup and view all the answers

What effect does cold stress have on bilirubin levels in newborns?

Causes elevated unconjugated bilirubin levels Signup and view all the answers

What change may repeated tissue injury lead to in infants?

Heightened response to non-painful touch Signup and view all the answers

What is the purpose of early breastfeeding for newborns?

Increases excretion of meconium and transitional stool Signup and view all the answers

Why is circumcision considered an elective procedure with many health benefits?

It is no longer required for newborns Signup and view all the answers

What is an essential component of providing therapeutic nursing care for newborns?

Assessment of pain Signup and view all the answers

Why may newborns react quite differently to the presence of painful stimuli compared to adults?

They are more sensitive to pain Signup and view all the answers

What is the normal respirations range for a neonate?

30-60 Signup and view all the answers

What is the main purpose of a non-stress test (NST) for the baby?

Ensure the baby is well-oxygenated Signup and view all the answers

Which alteration is indicated by late decelerations in fetal heart rate?

Poor placental perfusion Signup and view all the answers

What is the recommended action to fix late and variable decelerations in fetal heart rate?

Change mom's position Signup and view all the answers

Which part of the fetus determines fetal station in relation to the ischial spine?

Presenting part Signup and view all the answers

What comprises the passageway (birth canal) for the baby during delivery?

Pelvic floor muscles, introitus, and bony pelvis Signup and view all the answers

Which of the following is NOT a common sign of delirium in critical care patients?

Improved communication skills Signup and view all the answers

What is the primary focus of critical care interventions for pain management?

Balancing sedative doses Signup and view all the answers

What is the most common ethical issue mentioned in the text related to critical care?

Artificial hydration and nutrition debate Signup and view all the answers

What is the primary focus of interventions to support the caregivers and families of critical care patients?

Engaging in patient-centered, family-focused care Signup and view all the answers

What is a common reaction of siblings to hospitalization of a child, as mentioned in the text?

Jealousy Signup and view all the answers

What are the primary needs of infants in a hospital setting, as mentioned in the text?

Consistent, loving caregivers and daily routine Signup and view all the answers

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 Signup and view all the answers

What physiological change in the fetus occurs during labor related to fetal circulation, fetal respiration, and fetal heart rate?

Fetal adaptation Signup and view all the answers

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 Signup and view all the answers

Which stage of labor starts with the delivery of the baby and ends with the delivery of the placenta?

Third stage Signup and view all the answers

What is true about the psychologic response of the mother during active labor?

More serious and apprehensive Signup and view all the answers

What is the significance of the Ferguson reflex during labor?

Initiates bearing-down efforts Signup and view all the answers

What are the seven cardinal movements of mechanism of labor that occur in vertex presentation?

Descent, flexion, extension Signup and view all the answers