RNC - Low Risk Neonatal Nursing Exam 2023 A+
Normal skin assessment - ANS-Acrocyanosis with decreased peripheral pulses, facial bruising and/or
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petechiae
Normal head assessment - ANS-Large in relation to body size, cranial molding, caput succedaneum
Normal newborn lung assessment - ANS-RR 40-60/min, coarse rales, prolonged expiration phase
Normal newborn heart assessment - ANS-HR 120-160, may peak up to 180 bpm when stimulated, loud
S2, split S2, soft systolic murmur (L —> R shunt from PDA)
Normal newborn GI tract assessment - ANS-Bowel sounds will likely appear within 15 minutes of birth,
meconium passage within 24 hrs of birth
Normal newborn kidneys - ANS-Urine passage within 24 hrs of birth
Normal newborn limb assessment - ANS-Positional oddities from intrauterine positioning (e.g., legs up in
frank breech position)
Newborn S/S of Hypoglycemia - ANS-Apnea, Pallor, Jittery, Irritability, Weak high-pitched cry,
Hypothermia, Labile temps, Lethargy, Poor feeding, Vomiting, Cyanosis, Seizures
Causes of Hypoglycemia - ANS-(Other than delayed feeding): IUGR or prematurity, Inborn errors of
metabolism or glycogen storage disease, Hypothermia or polycythemia, Adrenal hemorrhage, CHF,
Hyperinsulinism
HELLP Syndrome - ANS-May be associated with PIH; symptoms: hemolysis, elevated liver enzymes, low
platelet count; the client is at risk for hemorrhage, pulmonary edema, and hepatic rupture
Gestational Hypertension - ANS-Transient elevation of blood pressure occurring for the first time after
mid-pregnancy without proteinuria or other signs of preeclampsia (postpartum period: ends by 12
weeks: Gest HTN. beyond 12 weeks: Chronic HTN).
GBS (group B strep) - ANS-Group B streptococcus (GBS) is a type of bacterial infection that can be found
in a pregnant woman's vagina or rectum. This bacteria is normally found in the vagina and/or rectum of
about 25% of all healthy, adult women. Women who test positive for GBS are said to be colonized
The 30-week-gestation fetus of a primagravid mother has been diagnosed in utero with an omphalocele.
Which of the following procedures should the nurse anticipate? - ANS-Karyotyping via amniocentesis;
Omphalocele and gastroschisis are both commonly associated with accompanying defects or
chromosomal abnormalities. An amniocentesis will likely be performed and karyotyping done to identify
any chromosomal abnormalities.
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