Postpartum 4

juniperk's version from 2017-12-06 19:32


Question Answer
Which of the following neonates is at highest risk for cold stress syndrome? 1. Infant of diabetic mother. 2. Infant with Rh incompatibility. 3. Postdates neonate. 4. Down syndrome neonate.Postdates babies are at high risk for cold stress syndrome because while still in utero they often metabolize the brown adipose tissue for nourishment when the placental function deteriorates.
Postdates babies are at high risk for cold stress syndrome because while still in utero they often metabolize the brown adipose tissue for nourishment when the placental function deteriorates.Babies who have cold stress syndrome will develop respiratory distress. One symptom of the distress is tachypnea
A baby is grunting in the neonatal nursery. What action by the nurse is appropriate?Assess the respiratory rate. Grunting is often accompanied by tachypnea, another sign of respiratory distress.
What laboratory findings would the nurse expect to see in a baby diagnosed with erythroblastosis fetalis?low hematocrit. Severe anemia
What are the signs of fetal alcohol syndrome (FAS)?shortened palpebral (eyelid) fissures, thin upper lip, and hypoplastic philtrum (median groove on the external surface of the upper lip)—are rarely evident in the neonatal period. They typically appear later in the child’s life. Rather the behavioral characteristics of the FAS baby, such as weak suck, irritability, tremulousness, and seizures, are present at birth.
What is the normal glucose for neonates immediate post delivery? 45-90
The amniotic fluid is green and thick. The baby fails to breathe spontaneously. Which of the following actions should the nurse take next?Assist with intubation. Before breathing, the baby must be intubated so that the meconiumcontaminated fluid can be aspirated from the baby’s airway.
A 42-week-gestation baby has been admitted to the neonatal intensive care unit. At delivery, thick green amniotic fluid was noted. What action by the nurse is critical at this time?Respiratory evaluation to monitor for respiratory distress. Meconium aspiration syndrome (MAS) is a serious complication seen in postterm neonates who are exposed to meconium-stained fluid. Respiratory distress would indicate that the baby has likely developed MAS.
During neonatal cardiopulmonary resuscitation, what action should be performed?Provide assisted ventilation at 40 to 60 breaths per minute.
How often should you check temperature?every 4-8 hours minimum
What are 5 signs of dehydration (baby)?decrease in urinary output, sunken fontanels, temperature elevation, lethargy, and tachypnea
How can you assess for enteral feeding intolerance?measure abdominal girth, auscultate bowel sounds, and measure gastric residuals before the next tube feeding
What may happen is a baby is overstimulated?heart and respiratory rates decrease and periods of apnea or bradycardia may follow
What is a sign of pain in a neonate?high pitched intense harsh cry
What are 3 signs the baby may display if an infection is present?Temp instability. Feeding difficulties. Oxygen needs
When does surfactant start to produce and when is it complete?22-36 weeks
What medication can stimulate the production of surfactant?Betamethasone
When does RDS appear and peak?appears 24- 48 hours p birth and peaks at 72 hours
TTN symptom rarely lasts longer than how many hours?72 hours
Does physiologic stress on the fetus, reduce or increase the chances of RDS?REDUCE! Stress increases surfactant production.
List 4 physiologic stress on the fetus that reduce the chances of RDS?Prolonged rupture of membranes, gestational or chronic maternal hypertension, maternal narcotic addiction, and use of prenatal corticosteroids
Chest Xray for RDS might reveal what? hypoaeration, underexpansion, and a “ground glass” pattern
What are 3 clinical manifestations for periventricular- intraventricular hemorrhage (PIVH)?High pitched shrill cry (ICP), increased head circumference- measure 2x/wk, bulging fontanels
What is the care for PIVH?preventative and supportive.
What are the 3 clinical manifestations for a baby with NEC?increased abdominal girth, increased gastric residuals, and decreased or absent bowel sounds.
What will an xr for a baby with TTN show?Streaking, hyperinflation, presence of fluid in fissures that are between the lobes and in pleural spaces.

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