Exam 2: NUR230/ NUR 230 (NEW 2023/ 2024) The Childbearing/Child Caring Family Exam Review| Questions and Verified Answers| 100% Correct-
... [Show More] Galen
QUESTION
Why is the first sign that the baby is not oxygenating well
Answer:
Low HR
QUESTION
What is involution of the uterus?
and how many cm should it return postpartum per day?
within in the first 12 hours ?
within 24 hours?
Answer:
return of uterus to prepregnant state
Uterine involution should occur at a rate of 1-2 cm per day and at 2 weeks postpar- tum should not be felt externally
may rise above the umbilicus by 1cm within the first 12 hours should be at umbilicus (the level of a 20 week gestation)
QUESTION
Know nursing plan of care for newborn with AB negative blood type
Answer:
QUESTION
Know how to score the APGAR and what different scores mean
Answer:
• Looks at how the baby is doing the first little bit of life
• Heart Rate, Respiratory Effort, Muscle Tone, Reflex Irritability, Skin Color
• Babies will not get a 10 due to acrocyanosis. That is okay"
• Checked ati minute then again at 5
QUESTION
Know what phototherapy is, interventions during this, and what would require follow-up when receiving therapy
Answer:
• For babies with high bilirubin levels and that are jaundice
• Keep their eyes covered
• Monitor bilirubin levels
• Check temp every 2 hrs
QUESTION
Know what to teach mother about formula feeding
Answer:
• Burb baby every 15 mL
• Do not prop the bottle up
• Don't warm in microwave. Hot spots in milk can burn the baby
• Do not water down to save on formula. This is life threatening to the baby
• Feed every 3-4 hrs
• The infant should be positioned semi-upright
• Hold baby when bottle feeding to help with bonding
QUESTION
Know expected findings after circumcision
Answer:
Will look extremely red
- Will begin to have yellow scabs on it. Leave them alone
• place Vaseline it to prevent it from sticking to diaper
QUESTION
Know how to care for the newly circumcised newborn
Answer:
• Clean penis with warm water after each void
• Assess for bleeding every 15-30 mins for first hour then hourly for next 4-6 hrs
• Monitor urinary output and amount for first voiding
• Nurses can change or apply a gauze and pressure if there is bleeding postprocedure
QUESTION
Know why the newborn receive a Vit K injection
Answer:
• Baby doesn't produce Vit K until day 7 of being born
• It is given to prevent hemorrhagic disease
QUESTION
Know what RDs is and why artificial surfactant is necessary
Answer:
• Respiratory distress syndrome
• Must establish adequate oxygenation and ventilations
• Occurs in preterm infants and IUGR
Surfactant is for lung maturity. Allows for exchange of C02 and 02 effectively.
QUESTION
Know what Jaundice and increased bilirubin put and infant at risk for
Answer:
• Puts newborn at risk for kernicterus if bilirubin level is over 25 mg/dL
• IF it gets this high it can lead to: o Mental retardation o Hearing Loss o Learning/Developmental Disabilities
QUESTION
37. Know what birth control method provides protections ofSTI's
Answer:
Condoms
QUESTION
S/S of Down's Syndrome
Answer:
• Low set ears
• Wide set eyes
• Protruding tongue [Show Less]