MNN FINAL REVIEW
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Questions and Answers

What are the nursing interventions for a high-risk newborn in regards to temperature?

  • Minimize cold stress
  • Prevent rapid warming or cooling
  • Use a cap to prevent heat loss from the head
  • All of the above (correct)

    • What are the signs and symptoms of increased intracranial pressure in a newborn with hydrocephalus?

  • Increased blood pressure
  • Decreased heart rate and respiratory rate
  • Bulging fontanelles
  • All of the above (correct)

    • The primary prevention measure for spina bifida is the intake of _____ acid during pregnancy.

    folic

    After surgery for spina bifida, the child will likely have paralysis in their legs.

    <p>True</p> Signup and view all the answers

    What are some of the goals of care for a child with a cleft palate?

    <p>All of the above</p> Signup and view all the answers

    What are some of the nursing cares for a newborn with a club foot?

    <p>All of the above</p> Signup and view all the answers

    What is the name of the genetic disorder that requires babies to be tested for at birth?

    <p>PKU</p> Signup and view all the answers

    What are some of the common physical signs of Down syndrome?

    <p>All of the above</p> Signup and view all the answers

    RhoGAM administration has increased the incidence of erythroblastosis fetalis in newborn babies.

    <p>False</p> Signup and view all the answers

    What are some of the manifestations of erythroblastosis fetalis?

    <p>All of the above</p> Signup and view all the answers

    Phototherapy is a treatment for infants with jaundice that uses light therapy to break down excess bilirubin.

    <p>True</p> Signup and view all the answers

    Which of the following is a serious complication of meconium aspiration syndrome?

    <p>All of the above</p> Signup and view all the answers

    A baby born to a diabetic mother is at risk for hypoglycemia.

    <p>True</p> Signup and view all the answers

    What are the nursing care interventions for a high-risk newborn with regards to temperature?

    <p>All of the above</p> Signup and view all the answers

    What are some signs of increased intracranial pressure (ICP) in a newborn with Hydrocephalus?

    <p>All of the above.</p> Signup and view all the answers

    What is the recommended treatment for Hydrocephalus?

    <p>Surgery</p> Signup and view all the answers

    Spina bifida occulta is the most severe form of spina bifida.

    <p>False</p> Signup and view all the answers

    A baby with Spina bifida will always need surgery.

    <p>True</p> Signup and view all the answers

    What is the primary goal of nursing care for a baby with Cleft Lip?

    <p>All of the above</p> Signup and view all the answers

    Club Foot can be treated with casting and stretching exercises.

    <p>True</p> Signup and view all the answers

    What are some of the potential complications associated with PKU?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT a common physical sign of Down Syndrome?

    <p>Enlarged colon</p> Signup and view all the answers

    What is the primary concern for a baby with Erythroblastosis Fetalis?

    <p>Jaundice</p> Signup and view all the answers

    RhoGam administration is given to the baby to prevent Erythroblastosis Fetalis.

    <p>False</p> Signup and view all the answers

    Phototherapy is a treatment for jaundice, but can also pose a risk of injury to the baby's eyes and gonads.

    <p>True</p> Signup and view all the answers

    What is the primary cause of Meconium Aspiration Syndrome?

    <p>Breathing in meconium during labor</p> Signup and view all the answers

    Babies born to mothers with diabetes are at a higher risk for hypoglycemia.

    <p>True</p> Signup and view all the answers

    Neonatal Abstinence Syndrome (NAS) is a condition that can only occur in babies born to mothers who use heroin or cocaine.

    <p>False</p> Signup and view all the answers

    Which of the following is NOT a common symptom of Neonatal Abstinence Syndrome?

    <p>Weight gain</p> Signup and view all the answers

    Match the following newborn conditions with their primary causes:

    <p>Hydrocephalus = Excess cerebrospinal fluid accumulation in the brain Spina Bifida = Incomplete closure of the spinal cord Cleft Lip/Palate = Incomplete fusion of the lip and/or palate Clubfoot = Abnormal positioning of the foot in the womb PKU = Inborn error in metabolism of phenylalanine Down Syndrome = Trisomy 21: an extra copy of chromosome 21 Erythroblastosis Fetalis = Blood incompatibility between mother and baby Meconium Aspiration Syndrome = Breathing meconium before or during birth Infant of Diabetic Mother = Mother's diabetes can cause infant's blood sugar fluctuation Neonatal Abstinence Syndrome = Withdrawal from drugs used by the mother during pregnancy</p> Signup and view all the answers

    What is the primary nursing care intervention for an infant displaying signs of jaundice?

    <p>Administer phototherapy</p> Signup and view all the answers

    Which of the following is a potential risk factor associated with a post-term newborn?

    <p>Asphyxia</p> Signup and view all the answers

    How should a preterm infant's feeding be managed according to nursing goals?

    <p>Consider using kangaroo care</p> Signup and view all the answers

    Which nursing assessment is critical when evaluating a preterm infant's hydration status?

    <p>Assessing turgor and weight</p> Signup and view all the answers

    What condition can arise from an infant's immature liver function?

    <p>Jaundice</p> Signup and view all the answers

    Which position is recommended for optimal care of a preterm infant?

    <p>Side-lying</p> Signup and view all the answers

    What is an important consideration for nursing care during discharge planning for an infant?

    <p>Ensuring family support is in place</p> Signup and view all the answers

    What is a common complication that may occur due to meconium aspiration in newborns?

    <p>Pneumonia</p> Signup and view all the answers

    What aspect is crucial in assessing during jaundice treatment in infants?

    <p>Skin, sclera, and mucous membranes</p> Signup and view all the answers

    Which of the following is a special need for nursing care in preterm infants?

    <p>Providing supplemental vitamins</p> Signup and view all the answers

    What weight is categorized as large for gestational age (LGA) in newborns?

    <p>Over 8.8 pounds (4000 g)</p> Signup and view all the answers

    Which characteristic is NOT typically associated with preterm newborns?

    <p>Well-developed muscles</p> Signup and view all the answers

    What is a common respiratory issue observed in preterm newborns?

    <p>Apnea and bradycardia</p> Signup and view all the answers

    What is a potential consequence of cold stress in newborns?

    <p>Hypoglycemia</p> Signup and view all the answers

    What is a sign of hypoglycemia in newborns?

    <p>Bulging fontanelles</p> Signup and view all the answers

    Which factor contributes to feeding difficulties in preterm newborns?

    <p>Immature sphincter muscles</p> Signup and view all the answers

    What can be a cause of respiratory distress syndrome (RDS) in preterm newborns?

    <p>Oxygen toxicity</p> Signup and view all the answers

    What primarily affects the nutritional needs of preterm newborns?

    <p>Small stomach capacity</p> Signup and view all the answers

    What condition should be monitored due to its association with respiratory problems in preterm newborns?

    <p>Bradycardia</p> Signup and view all the answers

    Which of the following statements about vernix caseosa is true regarding preterm newborns?

    <p>It is abundant in preterm infants.</p> Signup and view all the answers

    Which of the following indicates a nursing intervention for a preterm infant regarding thermoregulation?

    <p>Utilizing an incubator or warmer</p> Signup and view all the answers

    What is a significant risk factor for a post-term newborn?

    <p>Greater chance of meconium aspiration</p> Signup and view all the answers

    Which nursing assessment is essential to evaluate an infant for jaundice?

    <p>Observing skin, sclera, and mucous membranes</p> Signup and view all the answers

    What is a common nutritional challenge faced by preterm infants?

    <p>Difficulty with adequate feeding volumes</p> Signup and view all the answers

    Which of the following nursing interventions is important for a preterm infant regarding positioning?

    <p>Positioning the infant side-lying or prone</p> Signup and view all the answers

    Which characteristic is commonly associated with preterm newborns?

    <p>Superficial veins displayed</p> Signup and view all the answers

    What is a common sign of hypoglycemia in newborns?

    <p>Bulging fontanelles</p> Signup and view all the answers

    Which statement is true regarding the feeding difficulties in preterm newborns?

    <p>They have an immature suck and swallow mechanism</p> Signup and view all the answers

    What is a reason for temperature regulation issues in preterm newborns?

    <p>Lack of adequate SQ fat</p> Signup and view all the answers

    Which factor is a common cause of respiratory distress in preterm infants?

    <p>Insufficient surfactant production</p> Signup and view all the answers

    What contributes to the risk of cold stress in preterm newborns?

    <p>Excessive body surface area relative to mass</p> Signup and view all the answers

    Which assessment is crucial for monitoring a preterm infant's oxygenation?

    <p>Pulse oximetry monitoring</p> Signup and view all the answers

    What indicates a risk of inadequate nutrition in preterm newborns?

    <p>Small stomach capacity</p> Signup and view all the answers

    What is the main difference between the 'ParaGuard' and 'Mirena' intrauterine devices?

    <p>'ParaGuard' is effective for 12 years without hormones.</p> Signup and view all the answers

    Which side effect is NOT commonly associated with the use of intrauterine devices?

    <p>Weight gain</p> Signup and view all the answers

    What is a key teaching point for patients using barrier methods of contraception?

    <p>Diaphragms and cervical caps should be refitted yearly.</p> Signup and view all the answers

    What is the primary function of male condoms?

    <p>To block sperm and prevent STIs.</p> Signup and view all the answers

    What should a patient do if they suspect the placement of their intrauterine device has changed?

    <p>Check the strings weekly for the first month.</p> Signup and view all the answers

    Why might a patient using a diaphragm be advised to reapply spermicides?

    <p>Spermicides become ineffective after 1 hour.</p> Signup and view all the answers

    What is a significant risk associated with using hormonal contraceptives like the 'Mirena' IUD?

    <p>Risk of ectopic pregnancy.</p> Signup and view all the answers

    What instructions should be provided regarding the storage of male condoms?

    <p>They should not be stored in a wallet to avoid damage.</p> Signup and view all the answers

    What is the primary genetic difference between monozygotic and dizygotic twins?

    <p>Monozygotic twins share 50% of their genes.</p> Signup and view all the answers

    Which hormonal contraceptive method requires injections every three months?

    <p>Medroxyprogesterone acetate (Depo-Provera).</p> Signup and view all the answers

    What is one of the warning signs associated with hormonal contraceptive use described by the acronym ACHES?

    <p>Severe leg pain or swelling.</p> Signup and view all the answers

    What does Natural Family Planning (NFP) NOT include as a method?

    <p>Hormonal contraceptives.</p> Signup and view all the answers

    Which contraceptive method has the potential to decrease effectiveness when certain antibiotics are taken?

    <p>Oral contraceptives.</p> Signup and view all the answers

    What is a characteristic of dizygotic twins during fertilization?

    <p>They result from two separate eggs and sperm.</p> Signup and view all the answers

    Which side effect is most commonly associated with the use of Medroxyprogesterone acetate?

    <p>Irregular menstruation.</p> Signup and view all the answers

    What effect does hormonal contraception have on the cervical mucus?

    <p>Prevents ovulation and makes it thicker.</p> Signup and view all the answers

    What phase of the human sexual response involves the body preparing for sexual activity through increased blood flow and muscle tension?

    <p>Excitement phase</p> Signup and view all the answers

    What is the primary site of fertilization in the female reproductive system?

    <p>Fallopian tubes</p> Signup and view all the answers

    During which stage of fetal development does the major organ systems begin to form?

    <p>Embryonic stage</p> Signup and view all the answers

    What is one of the primary functions of the placenta during pregnancy?

    <p>Transporting oxygen and nutrients to the fetus</p> Signup and view all the answers

    Which contraception method is considered a permanent solution to prevent pregnancy?

    <p>Tubal litigation</p> Signup and view all the answers

    In the context of the menstrual cycle, which hormone is primarily responsible for triggering ovulation?

    <p>Luteinizing hormone (LH)</p> Signup and view all the answers

    Which stage of the human sexual response is characterized by a gradual release of sexual tension and a return to the pre-arousal state?

    <p>Resolution phase</p> Signup and view all the answers

    What is an essential aspect of the reproductive cycle that is necessary for implantation of the fertilized egg?

    <p>Formation of the corpus luteum</p> Signup and view all the answers

    What is a potential consequence of untreated gestational diabetes?

    <p>Macrosomia in the infant</p> Signup and view all the answers

    What is the function of RhoGAM in cases of Rh incompatibility?

    <p>To prevent maternal immunization against Rh+ blood cells</p> Signup and view all the answers

    Which sign could indicate heart disease in a pregnant woman?

    <p>Pitting edema of lower extremities</p> Signup and view all the answers

    Which symptom is associated with iron deficiency during pregnancy?

    <p>Restless leg syndrome</p> Signup and view all the answers

    What is a common complication due to gestational diabetes for the newborn?

    <p>Hyperbilirubinemia</p> Signup and view all the answers

    What should be monitored in a pregnant woman with heart disease?

    <p>Blood pressure changes</p> Signup and view all the answers

    Which dietary recommendation is crucial for preventing folic acid deficiency?

    <p>Consume more leafy green vegetables</p> Signup and view all the answers

    What is a primary effect of magnesium therapy during pregnancy?

    <p>Relax uterine muscles</p> Signup and view all the answers

    Which of the following recommendations is appropriate to manage leg cramps during pregnancy?

    <p>Dorsiflex the foot and increase calcium intake</p> Signup and view all the answers

    What is the ideal weight gain for an overweight individual during pregnancy after the first trimester?

    <p>0.6 pound per week</p> Signup and view all the answers

    Which nutrient is critical for preventing neurological birth defects during pregnancy?

    <p>Folic acid</p> Signup and view all the answers

    What is recommended to alleviate symptoms of supine hypotensive syndrome during the third trimester?

    <p>Lay on the left side to relieve pressure on vena cava</p> Signup and view all the answers

    Which of the following statements about edema in pregnancy is correct?

    <p>Elevating the legs can help reduce swelling in feet and ankles</p> Signup and view all the answers

    What dietary component is essential for bone development during pregnancy?

    <p>Calcium</p> Signup and view all the answers

    Which position is beneficial for a pregnant woman experiencing faintness and dizziness?

    <p>Laying on her left side</p> Signup and view all the answers

    What is pica, and why can it be harmful during pregnancy?

    <p>A craving for nonfood substances that can cause nutritional deficiencies</p> Signup and view all the answers

    What is the recommended exercise type during pregnancy to reduce risks?

    <p>Mild to moderate activities like walking</p> Signup and view all the answers

    What is a significant physiological change that occurs during the second trimester of pregnancy?

    <p>Increase in narcissism and emotional stability</p> Signup and view all the answers

    What should be avoided during pregnancy to prevent overheating?

    <p>Saunas and tanning beds</p> Signup and view all the answers

    Which of the following is advised for managing travel during pregnancy?

    <p>Avoiding locations with high infectious disease risks</p> Signup and view all the answers

    During pregnancy, what is a critical consideration for older expectant parents?

    <p>They are categorized as elderly primiparas.</p> Signup and view all the answers

    How is fetal well-being assessed in relation to fetal movements?

    <p>Counting fetal movements after meals for one hour</p> Signup and view all the answers

    What is a common emotional response experienced during the first trimester of pregnancy?

    <p>Intense feelings of ambivalence and mood swings</p> Signup and view all the answers

    What diagnostic test is used to visually confirm pregnancy and assess the gestational sac?

    <p>Ultrasound examination</p> Signup and view all the answers

    What is a common cause of late postpartum hemorrhage?

    <p>Retention of placental fragments</p> Signup and view all the answers

    Which intervention is crucial for preventing uterine atony post-delivery?

    <p>Keeping the bladder empty</p> Signup and view all the answers

    What should nurses monitor to assess blood loss effectively?

    <p>Pad saturation and weight</p> Signup and view all the answers

    Which of the following is a potential symptom of endometritis?

    <p>Prolonged and severe cramps</p> Signup and view all the answers

    What is a recommended position for a patient at risk for thromboembolic disorders?

    <p>Seated with legs elevated</p> Signup and view all the answers

    What is the primary treatment for a deep venous thrombosis (DVT)?

    <p>Anticoagulation drugs</p> Signup and view all the answers

    Which action is NOT recommended for pregnant women to avoid thromboembolic complications?

    <p>Crossing their legs for comfort</p> Signup and view all the answers

    What should be done if a mother starts experiencing hemolytic complications after delivery?

    <p>Place the mother on NPO status</p> Signup and view all the answers

    What is the recommended timeframe for removing a urinary catheter after vaginal delivery?

    <p>Within 24 hours after delivery</p> Signup and view all the answers

    During which phase of milk production does the milk contain the highest amount of antibodies?

    <p>Colostrum</p> Signup and view all the answers

    What is the appropriate technique for breastfeeding regarding the position of the mother?

    <p>Hold the breast with one hand and support the baby's head with the other</p> Signup and view all the answers

    What is an important piece of advice for a mother monitoring her newborn's intake during breastfeeding?

    <p>Newborns should nurse for about 10-15 minutes per breast for 8-10 times a day</p> Signup and view all the answers

    Which of the following should NOT be used for pain management during afterpains?

    <p>Aspirin</p> Signup and view all the answers

    What nursing intervention can help reduce the risk of thrombophlebitis in postpartum patients?

    <p>Administering prophylactic anticoagulants and early ambulation</p> Signup and view all the answers

    During lactation, the mother's milk undergoes changes; which of the following is true for transitional milk?

    <p>It contains increased lactose and calories compared to colostrum</p> Signup and view all the answers

    What is the recommended method for breaking the seal when removing an infant from the breast?

    <p>Use the mother's finger to break the seal</p> Signup and view all the answers

    What physiological change occurs in the cardiovascular system postpartum?

    <p>Increased blood clot formation risk</p> Signup and view all the answers

    What should be monitored in a cesarean section patient regarding the abdominal dressing?

    <p>Inspect for REEDA (redness, edema, ecchymosis, discharge, approximation)</p> Signup and view all the answers

    Which factor affects the abdominal wall postpartum?

    <p>The abdominal wall may appear 'dough-like' due to stretching</p> Signup and view all the answers

    What is a common nursing consideration for moms receiving RhoGAM postpartum?

    <p>Administer within 72 hours if they are Rh+</p> Signup and view all the answers

    What change occurs in the integumentary system soon after childbirth?

    <p>Striae will fade to silver as hormone levels decrease</p> Signup and view all the answers

    Which of the following indicates a possible complication in a postpartum patient?

    <p>Persistent fever after 24 hours with chills</p> Signup and view all the answers

    Which statement regarding breastfeeding techniques is accurate for new mothers?

    <p>Proper latch is essential for effective breastfeeding.</p> Signup and view all the answers

    What is a key consideration for bottle feeding guidelines for infants?

    <p>Hold the bottle horizontally to reduce air swallowing.</p> Signup and view all the answers

    What is the primary action to take during an emergency delivery scenario?

    <p>Stay with the client and use the call light to get help</p> Signup and view all the answers

    Which of the following is essential to monitor prior to the onset of labor?

    <p>Amniotic fluid characteristics</p> Signup and view all the answers

    What is a significant intervention for nursing care after birth?

    <p>Wear gloves until after the first bath</p> Signup and view all the answers

    Which vital sign monitoring is necessary during labor?

    <p>Both maternal and fetal heart rates</p> Signup and view all the answers

    What physiologic changes should be observed during labor?

    <p>Increased uterine contractions</p> Signup and view all the answers

    What is the recommended frequency for contractions during labor to ensure safety?

    <p>More than every 2 minutes</p> Signup and view all the answers

    What should be done if a client is undergoing oxytocin infusion and contractions exceed 90 seconds?

    <p>Stop the infusion of oxytocin</p> Signup and view all the answers

    Which factor is NOT included in the admission data collection for fetal condition?

    <p>Nutrition history</p> Signup and view all the answers

    Which of the following is NOT part of the 'Powers' in labor?

    <p>Position of the mother</p> Signup and view all the answers

    What is the normal range for fetal heart rate (FHR) during labor?

    <p>110-160 bpm</p> Signup and view all the answers

    Which statement correctly describes the control over contractions during labor?

    <p>Contractions must be monitored for frequency and duration</p> Signup and view all the answers

    Which of the following components is part of the 'Passenger' during childbirth?

    <p>Fetus</p> Signup and view all the answers

    What should be assessed as part of the maternal condition during labor admission?

    <p>Maternal vital signs</p> Signup and view all the answers

    What is a primary nursing care action during labor before birth?

    <p>Perform perineal prep</p> Signup and view all the answers

    Which nursing intervention is essential when monitoring fetal status during labor?

    <p>Check fetal position and presentation</p> Signup and view all the answers

    What should a nurse do if an emergency delivery is required?

    <p>Use the call light to get assistance</p> Signup and view all the answers

    Which of the following is a physiologic change during labor?

    <p>Increased maternal heart rate</p> Signup and view all the answers

    What critical step should be taken for the baby immediately following birth?

    <p>Wear gloves until after the first bath</p> Signup and view all the answers

    What should be reported to the registered nurse regarding contractions during labor?

    <p>Contractions occurring every minute</p> Signup and view all the answers

    Which of the following factors represent 'The Passenger' in the labor process?

    <p>Fetal positioning and size</p> Signup and view all the answers

    What is an important consideration during admission data collection for labor?

    <p>Fetal heart rate monitoring from 120-160</p> Signup and view all the answers

    Which action should be taken if oxytocin infusion is currently being administered and contractions are noted to last longer than established time limits?

    <p>Stop the oxytocin infusion</p> Signup and view all the answers

    What constitutes 'The Powers' in the labor process?

    <p>Uterine contractions and maternal pushing efforts</p> Signup and view all the answers

    Which of the following is not a safety alert associated with contractions during labor?

    <p>Contractions that cease for more than 30 minutes</p> Signup and view all the answers

    When assessing the psyche during labor, which factor is most critical?

    <p>Evaluating maternal anxiety levels</p> Signup and view all the answers

    Which of the following is a critical aspect when evaluating fetal condition during labor?

    <p>Monitoring of Fetal Heart Rate (FHR)</p> Signup and view all the answers

    What is a primary source of pain during labor?

    <p>Dilation and stretching of cervix</p> Signup and view all the answers

    Which prenatal class focuses specifically on assisting siblings in adjusting to a new baby?

    <p>Sibling</p> Signup and view all the answers

    What effect does childbirth pain typically have on a woman's motivation during labor?

    <p>It motivates her to assume different positions to assist the fetus</p> Signup and view all the answers

    What is one of the common sources of pain related to the pressure exerted during childbirth?

    <p>Pressure from the fetus on pelvic structures</p> Signup and view all the answers

    Which of the following methods might help alleviate pain during labor?

    <p>Engaging in light exercise and massage</p> Signup and view all the answers

    Which of the following is a disadvantage of non-pharmacologic pain management techniques during childbirth?

    <p>They require prior rehearsal.</p> Signup and view all the answers

    What is the primary focus of the Bradley Method during childbirth preparation?

    <p>Husband coached birth with relaxation techniques.</p> Signup and view all the answers

    Which of the following interventions is avoided within one hour of birth when using opioids for pain management?

    <p>Naloxone, a narcotic antagonist.</p> Signup and view all the answers

    Which principle underlies the Dick Read Method of childbirth preparation?

    <p>The relaxation of the fear-tension-pain cycle.</p> Signup and view all the answers

    What is a potential limitation of pharmacologic pain management methods during childbirth?

    <p>They can lead to hypotension.</p> Signup and view all the answers

    What is the most likely reason the woman is relatively comfortable at 5 cm dilation?

    <p>Her contractions are mild and infrequent.</p> Signup and view all the answers

    What observation should a nurse promptly report for a woman with ruptured membranes at 31 weeks gestation?

    <p>Maternal vital signs with a temperature of 38.2 C (100.7 F)</p> Signup and view all the answers

    After a vaginal birth complicated by shoulder dystocia, what should the nurse primarily assess in the newborn?

    <p>Clavicle for potential fracture</p> Signup and view all the answers

    In which situation is external version most likely to be performed?

    <p>At 38 weeks gestation with a breech fetus</p> Signup and view all the answers

    What is the first nursing action if a visibly prolapsed umbilical cord occurs?

    <p>Relieve pressure on the cord</p> Signup and view all the answers

    What is a common characteristic of hypotonic labor dysfunction?

    <p>Dilation with abnormally slow progress</p> Signup and view all the answers

    Which intervention will likely enhance comfort for a woman with a perineal laceration in the first two hours post-birth?

    <p>An ice pack to reduce swelling</p> Signup and view all the answers

    What fetal heart rate variation indicated potential concern during labor?

    <p>Consistent low heart rate of 95 bpm</p> Signup and view all the answers

    Which nursing intervention is critical after an amniotomy?

    <p>Record fetal heart rate for at least 1 minute</p> Signup and view all the answers

    What is the purpose of amnioinfusion during labor?

    <p>To reduce umbilical cord compression</p> Signup and view all the answers

    What maternal condition requires immediate reporting if temperature reaches 100.4°F or higher?

    <p>Maternal infection risk</p> Signup and view all the answers

    What color of amniotic fluid indicates the need to notify the physician?

    <p>Green</p> Signup and view all the answers

    Which complication can arise from prolonged labor?

    <p>Maternal dehydration</p> Signup and view all the answers

    What condition is associated with premature rupture of membranes?

    <p>Higher risk of uterine tenderness</p> Signup and view all the answers

    What are the risks associated with oligohydramnios during labor?

    <p>Decrease in fetal heart rate</p> Signup and view all the answers

    What vital sign assessment is crucial for monitoring infection after amniotomy?

    <p>Maternal temperature every 2-4 hours</p> Signup and view all the answers

    What is a critical nursing action after fetal heart rate is noted as abnormal?

    <p>Notify the healthcare provider immediately</p> Signup and view all the answers

    What factor increases the risk of complications related to premature rupture of membranes?

    <p>Presence of meconium</p> Signup and view all the answers

    What deficiency causes a preterm infant respiratory distress syndrome?

    <p>Surfactant</p> Signup and view all the answers

    How will the nurse safely ensure tube placement when preparing to initiate a gavage feeding?

    <p>Aspirate stomach contents.</p> Signup and view all the answers

    When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. What do these findings indicate?

    <p>Respiratory distress syndrome</p> Signup and view all the answers

    Study Notes

    Newborn with Perinatal Injury or Congenital Malformation

    • Temperature Management: Maintain skin temperature between 36.1°C and 36.7°C (96.8°F and 97.7°F) to minimize cold stress. Continuously monitor temperature and prevent rapid warming or cooling. Use a cap to prevent heat loss from the head.

    • Food and Fluids: Monitor for hypoglycemia. Assess tolerance of oral or tube feedings. Monitor hydration closely and assess for gastric residuals, bowel sounds, changes in stool pattern, and abdominal girth. Monitor weight gain or loss.

    • Respiratory Function: Position infants in a semiprone or side-lying position. Maintain a patent respiratory tract and stimulate breathing as needed. Monitor oxygen therapy and assess respiratory effort. Note signs such as grunting, nasal flaring, cyanosis, and apnea.

    Hydrocephalus

    • Manifestations: Large head, delayed development, lack of appetite, tendency to vomit easily, and poor resistance to infection are common. Visual aids depicting enlarged ventricles and a compressed brain are present.

    • Nursing Care (Pre-Op): Measure head circumference daily. Maintain frequent position changes to support the head. Prevent skin breakdown. Observe and record food intake, vomiting, skin condition, and motor abilities. Monitor for signs of increased intracranial pressure (ICP). Note signs such as increased blood pressure, decreased heart rate, and respiratory rate and report to the healthcare provider immediately.

    • Nursing Care (Post-Op): Monitor for signs of increased ICP and infection. Check the operative area for inflammation. Positioning will depend on the fontanelle. Monitor I&O and for fluid overload. Skin assessments. Measure head, chest, and abdomen. Control pain; observe feeding; and keep surgical suture lines clean. Instruct parents to report any signs of infection.

    Spina Bifida

    • Prevention: Adequate folic acid intake during pregnancy reduces the risk of spina bifida.

    • Pre-Op Nursing Care: Prevent injury/infection to the sac; cover with sterile dressing and keep moist. Maintain routine newborn care. Record observations. Position infant prone to prevent sac pressure.

    • Post-Op Nursing Care: Perform neurological assessments. Prevent infection. Monitor urological functions. Care for skin. Ensure appropriate feeding. Maintain a latex-free environment. Connect with support resources.

    Cleft Lip and Palate

    • Cleft Lip Pre-Op Care: Monitor for signs of oral, respiratory, or systemic infection and report to the RN. Prevent infant sucking motions by using elbow restraints.

    • Cleft Lip and Palate Post-Op Care (general): Prevent sucking. Observe for positioning. Prevents infection and injury. Provide emotional support and pain management.

    • Cleft Palate Goals: Improved feeding, improved speech, improved dental development, nurturing a positive self-image, and instructions to parents for reporting any signs of infection.

    Club Foot

    • Nursing Care: Splinting/casting start early in the course of treatment. Implement passive stretching exercises. Educate parents.

    PKU (Phenylketonuria)

    • Safety Alert: PKU is an inherited metabolic disorder. Children with PKU must follow a special diet free of phenylalanine to prevent developmental issues. Foods to avoid include meat, dairy products, nuts, eggs, and cereals.

    Down Syndrome

    • Physical Signs: Decreased muscle tone at birth, excess skin on the nape of the neck, flattened nose, upward-slanting eyes, small ears and mouth, wide/short hands/fingers, separated joints between the bones of the skull, single palmar crease, and white spots on the colored part of the eye.

    • Nursing Care: Counseling parents. Involve parents in care-planning: be empathetic and respectful to their grief. Inform and support siblings. Engage parents in open communication. Support family groups or resources like the National Association for Down Syndrome.

    Erythroblastosis Fetalis

    • Manifestations: Hyperbilirubinemia (jaundice) is a common manifestation.

    • Treatment: RhoGam administration is used to prevent the condition. Administration typically follows the delivery of a Rh+ infant, as well as at 28th week of pregnancy, and after spontaneous/therapeutic abortion or amniocentesis.

    Meconium Aspiration Syndrome

    • Nursing Care: Assist with amnioinfusion. Assess respiratory distress. Provide supportive care (warmth). Supplemental oxygen. Energy-conserving care plan. NICU intubation or mechanical ventilation.

    Infant of Diabetic Mother

    • Nursing Care: Close monitoring of vital signs, early feeding, frequent blood glucose assessments (must be above 40 mg/dL). Monitor for signs of irritability, tremors, and respiratory distress.

    Neonatal Abstinence Syndrome (NAS)

    • Nursing Care: Swaddling. Maintain quiet environment. Minimize external stimuli. Observe for seizures.

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    Description

    This quiz covers essential management strategies for newborns with perinatal injuries or congenital malformations, focusing on temperature management, nutrition, and respiratory function. It also addresses the manifestations of hydrocephalus in infants. Test your knowledge on vital care practices for these conditions.

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