newborn final 242 Flashcards

(41 cards)

1
Q

What type of heat loss:
-Occurs when 2 solid objects of
different temperatures come in
direct contact with each other
A-Convection
B-Radiation
C-Conduction
D-Evaporation

A

C

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2
Q

What type of heat loss:
-Transfer of heat from a solid
surface to surrounding air
A-Convection
B-Radiation
C-Conduction
D-Evaporation

A

A

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3
Q

What type of heat loss:
-Occurs when heat is transferred
from one solid object to
another when the objects are
not in direct contact with each
other
A-Convection
B-Radiation
C-Conduction
D-Evaporation

A

B

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4
Q

What is the primary way a newborn generates heat?
A-Voluntary muscle activity
B-Nonshivering thermogenesis
C-Metabolic processes
D-Peripheral vasoconstriction

A

B

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5
Q

What type of stool is:
-Black, tarry
-Occurs within the first 24hrs of life
A-Transitional stool
B-Formula fed
C- Breast fed
D- Meconium

A

D

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6
Q

What type of stool is:
-Medium brown and seedy
A-Transitional stool
B-Formula fed
C- Breast fed
D- Meconium

A

A

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7
Q

What type of stool is:
-Consistency of toothpaste
A-Transitional stool
B-Formula fed
C- Breast fed
D- Meconium

A

B

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8
Q

What type of stool is:
-Remains loose and lighter brown
A-Transitional stool
B-Formula fed
C- Breast fed
D- Meconium

A

C

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9
Q

What type of behavioral adaptation is:
-Deep sleep, no eye movement, respirations quiet and slower
A-Quiet alert
B-Drowsy
C-Quiet sleep
D-Active alert
E-Active sleep

A

C

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10
Q

What type of behavioral adaptation is:
-Rapid eye movements, may move extremities or stretch
A-Quiet alert
B-Drowsy
C-Quiet sleep
D-Active alert
E-Active sleep

A

E

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11
Q

What type of behavioral adaptation is:
-Transitional period, yawns \, eyes glazed
A-Quiet alert
B-Drowsy
C-Quiet sleep
D-Active alert
E-Active sleep

A

B

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12
Q

What type of behavioral adaptation is:
-Infant able to focus on objects or people. tuned into environment
A-Quiet alert
B-Drowsy
C-Quiet sleep
D-Active alert
E-Active sleep

A

A

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13
Q

What type of behavioral adaptation is:
-Restless, starting to fuss, faster respirations, more aware of discomfort
A-Quiet alert
B-Drowsy
C-Quiet sleep
D-Active alert
E-Active sleep

A

D

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14
Q

What APGAR score would you give:
-Blue extremities, pink body
-Absent pulse
-Grimace on suction
-Active flexion against resistance
-Weak, irregular cry
A-6
B-9
C-10
D-5

A

D

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15
Q

What APGAR score would you give:
-Body & extremities pink
-<100 BPM
-Cry on stimulation
-Some flexion of arms and legs
-Strong crying
A-8
B-9
C-7
D-6

A

A

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16
Q

What is:
-Overriding cranial bones
A-Caput succedaneum
B-Molding
C-Cephalohematoma
D-Subgaleal hematoma

A

B

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17
Q

What is:
-Localized, fluid, present at birth
-Can cross suture lines
A-Caput succedaneum
B-Molding
C-Cephalohematoma
D-Subgaleal hematoma

18
Q

What is:
-Blood collected between the periosteum of the skull bone
-Appears after delivery 1-2nd day
-2-3 weeks to disappear
-Does not cross suture lines
A-Caput succedaneum
B-Molding
C-Cephalohematoma
D-Subgaleal hematoma

19
Q

What is:
-Crosses suture lines
-May extend to orbits, nape of neck
-May be massive
A-Caput succedaneum
B-Molding
C-Cephalohematoma
D-Subgaleal hematoma

20
Q

What causes meconium to be passed in the amniotic fluid? (select 2)
A-Trauma
B-Stress
C-Hypoxia
D-Preterm

21
Q

What is:
-Benign, self-limited condition that can present in infants of any gestational age, shortly after birth
-Caused by a delay in clearance of fetal lung fluid after birth
A-Respiratory distress syndrome
B-Hypoglycemia
C-Transient tachypnea syndrome
D-Hyperbilirubinemia

22
Q

What are s/s of transient tachypnea syndrome? (select all)
A-Grunting
B-RR greater than 60
C-Wheezing
D-Tachycardia
E-Barell chest
F-Mouth breathing

23
Q

Treatment of transient tachypnea syndrome
A-Ventilator for 24hrs
B-BAG checks Q2hrs
C-Supportive care (O2 hood)
D-Low pressure incubator

24
Q

What is the:
-Most common lung disease in premature infants due to lung immaturity
-Caused by not having enough surfactant in the lungs
A-Respiratory distress syndrome
B-Hypoglycemia
C-Transient tachypnea syndrome
D-Hyperbilirubinemia

25
What are some s/s of RDS? (Select all) A-Central cyanosis B-Tachypnea C-Grunting D-Pale MM E-Flaccid limbs
A B C
26
What are some treatment options for RDS (Select all) A- Betamethasone B-Surfactant replacement therapy C-Naloxone D-Nasule canula
A B
27
What is the biggest risk factor for RDS? A-Meconium aspiration B-African American female C-Prematurity D-Multiple gestations
C
28
If the newborn is shaking, what would you suspect is causing it? A-Respiratory distress syndrome B-Hypoglycemia C-Transient tachypnea syndrome D-Hyperbilirubinemia
B
29
s/s of alcohol withdraw syndrome in newborns (Select all) A-Tremors B-Weak suck/poor feeding C-Lethargy D-Increased mouthing behavior E-LGA
A B D
30
Which type of hyperbilirubinemia is: -Usually peaks at day 4-5 and is resolved by day 14 -Most abundant type A-Pathological B-Physiological C-Breast feeding/breast milk jaundice
B
31
Which type of hyperbilirubinemia is: -Appears prior to 24hrs after birth -Usually liver related A-Pathological B-Physiological C-Breast feeding/breast milk jaundice
A
32
Which type of hyperbilirubinemia is: -Usually appears between 24-72hrs of age -Peaks by day 5-15 of life and resolves by week 3 A-Pathological B-Physiological C-Breast feeding/breast milk jaundice
C
33
True or False: -Physiological hyperbilirubinemia appears before the first 24hrs of life
False - After 24hrs
34
True or False: -Pathological hyperbilirubinemia appears before the first 24hrs of life
True
35
In order for a baby to have hemolytic jaundice, what blood type would mom and baby have to have? A- Mom has A or B, baby has O B-Mom has O, baby has A or B
B
36
What is: -Chronic and permanent damage due to hyperbilirubinemia? A-Kernicterus B-Icterus C-Dysplasia
A
37
Name the progression of jaundice and at which point should the nurse run emergency labs
Head - Trunk - Extremities When jaundice reaches beyond the thighs
38
For mild hyperbilirubinemia, which nursing intervention would you implement? A-Phototherapy B-Exchange transfusion C-Increase feeding times
C
39
For moderate hyperbilirubinemia, which nursing intervention would you implement? A-Phototherapy B-Exchange transfusion C-Increase feeding times
A
40
For severe hyperbilirubinemia, which nursing intervention would you implement? A-Phototherapy B-Exchange transfusion C-Increase feeding times
B
41
What do we need to ensure the infant has on when in phototherapy?
Eye mask