NCMA219 Midterm Reviewer Nursing Informatics

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What is the purpose of administering antibiotics like Ampicillin, Gentamycin, and Amikacin in cases of respiratory distress?

To reduce nasal flaring

To support breathing functionality

To treat bacterial infections (correct)

To relieve chest pain

What is the significance of ECMO (Extracorporeal Membrane Oxygenation) in severe cases of tachypnea?

To assist in nebulizer treatments

To remove excess carbon dioxide from the blood

To provide oxygen support directly to the lungs (correct)

To measure pulmonary function

What can the presence of meconium-stained nails, skin, and umbilical cord indicate?

Possible meconium aspiration syndrome (correct)

An increase in respiratory rate

Improved oxygen saturation levels

A need for phototherapy

In what scenario would a newborn baby require suctioning immediately after birth?

If meconium is present in the amniotic fluid Signup and view all the answers

How does fetal distress contribute to the risk of meconium aspiration syndrome?

By reducing oxygen supply to the fetus Signup and view all the answers

What is the main characteristic of neonatal sepsis?

Bacterial infection in the bloodstream Signup and view all the answers

What is a common characteristic associated with a baby experiencing failure to thrive?

Lethargy with poor muscle tone Signup and view all the answers

How does failure to thrive affect a baby's subcutaneous fat?

It causes a loss of subcutaneous fat Signup and view all the answers

Which behavior is not typically associated with babies experiencing failure to thrive?

Reaching for toys eagerly Signup and view all the answers

Why might a baby with advanced failure to thrive be near acidosis from starvation?

The nutritional status being extremely poor Signup and view all the answers

What is a concerning sign regarding speech development in babies experiencing failure to thrive?

Markedly delayed or absent speech Signup and view all the answers

Which of the following is not a common characteristic of a baby with failure to thrive?

Achievement of developmental milestones Signup and view all the answers

What defines a high-risk newborn according to the text?

A newborn with a greater than average chance of morbidity or mortality due to conditions related to birth. Signup and view all the answers

Why is screening pregnant women for risk factors important according to the text?

To predict any high-risk newborns accurately during pregnancy. Signup and view all the answers

What is the significance of identifying high-risk newborns during pregnancy?

It allows for the prediction of morbidity or mortality in newborns. Signup and view all the answers

Why is predicting high-risk newborns challenging according to the text?

Because not all high-risk cases can be predicted during pregnancy. Signup and view all the answers

What is the main purpose of screening pregnant women for high-risk factors?

To identify infants who may need extra care at birth. Signup and view all the answers

How does identifying high-risk newborns during pregnancy impact their postnatal care?

It allows for tailored care for those infants requiring extra attention. Signup and view all the answers

What is the consequence of premature birth on retinal vascular maturation?

Normal growth is stopped Signup and view all the answers

How does exposure to high oxygen concentrations affect retinal vascular development in premature infants?

Down regulates retinal endothelial growth factor Signup and view all the answers

What is Hyperoxia vasocessation referring to in the context of premature infants?

Delayed growth of blood vessels Signup and view all the answers

Which stage of retinopathy of prematurity is characterized by a widening demarcation line that thickens to form a ridge?

Stage 2 Signup and view all the answers

What happens in Stage 3 of retinopathy of prematurity?

Abnormal growth of blood vessels occurs Signup and view all the answers

Why do babies in Stage 1 of retinopathy of prematurity usually not require treatment?

The condition doesn't progress at this stage Signup and view all the answers

What is the definition of apnea in a term infant?

Pauses of less than 20 seconds accompanied by pallor, cyanosis, bradycardia, or hypotension Signup and view all the answers

What distinguishes premature apnea from term infant apnea?

Presence of bradycardia, hypotension, cyanosis, and pallor in term infant apnea Signup and view all the answers

Which of the following is NOT a cause of apnea in newborns?

Hypercapnia Signup and view all the answers

What is a common treatment for apnea in newborns?

Continuous positive airway pressure (CPAP) therapy Signup and view all the answers

Which symptom combination is indicative of apnea in newborns?

Apnea + color change + choking Signup and view all the answers

Which factor characterizes premature infants' response to apnea?

Stress due to procedures or physical effort Signup and view all the answers