NSG 3500 EXAM 4 Nursing Practice - Maternal Health - Galen Actual Questions and Answers 100% Guarantee Pass

NSG 3500 EXAM 4
Nursing Practice - Maternal
Health - Galen
Actual Questions and Answers
100% Guarantee Pass




This Exam contains:
➢ Galen College Of Nursing Exam 4

➢ 100% Guarantee Pass.

➢ Each Question Includes The Correct Answer

➢ Expert-Verified explanation

,What are the 4 factors that influence initiation of the first breath
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?: WSWS




Answer: WSWS




- Chemical factors (hypercarbia, acidosis, hypoxia)
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- Sensory factors (stimuli such as noise, light, touch)
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- Thermal factors (sudden temperature change)
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- Mechanical factors (thoracic squeeze during birth clears lung fluid)
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Explanation: These factors collectively stimulate the newborn’s respirator WS WS WS WS WS WS WS




y center to initiate and maintain effective breathing at birth.
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2. Why does hypoxia, hypercarbia, and acidosis trigger respirati
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ons?: WSWS




Answer: WSWS




-
WS Hypoxia lowers blood oxygen (PO2) levels and pH, indicating oxygen defici
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ency. WSWS




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WS Carbon dioxide (PCO2) levels rise, stimulating the respiratory center in the
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medulla to increase respiratory effort.
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Explanation: The medullary respiratory center responds to elevated CO2 WS WS WS WS WS WS WS WS WS




and lowered O2/pH by triggering spontaneous breathing to oxygenate the bl
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ood and remove excess CO2, essential for neonatal adaptation.
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3. Periodic breathing in a newborn is not usually associated with
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any change in skin color or HR. How long are these pauses?:
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Answer: 5-15 seconds WS WS WSWS

,Explanation: Periodic breathing is a benign, immature breathing pattern i WS WS WS WS WS WS WS WS WS




n newborns involving brief pauses, generally up to 10-
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15 seconds, without oxygen desaturation or cardiac changes.
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4. What does each APGAR score mean?:
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Answer: >7 = normal WS WS WS WSWS




4-6 = low WS WS WSWS




<3 = critical WS WS WSWS




Explanation: Scores above 7 indicate good newborn status; scores betwee WS WS WS WS WS WS WS WS WS




n 4- WS




6 suggest mild to moderate distress and may require intervention; a score le
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ss than 3 indicates severe distress and urgent resuscitation is required.
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5. When is the APGAR score assigned?:
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Answer: At 1 and 5 minutes after birth WS WS WS WS WS WS WS WSWS




Explanation: The APGAR scoring system is a quick and standardized met WS WS WS WS WS WS WS WS WS WS




hod to assess the health and immediate adaptation of a newborn at 1 minute
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S and again at 5 minutes after birth. This allows healthcare providers to deter
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mine if the infant needs urgent medical intervention and to evaluate initial r
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esponses to resuscitation efforts. WS WS WS




6. What are the five categories of the APGAR score?:
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Answer: WSWS




1. Heart Rate (HR)
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2. Respiratory Rate (RR)
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3. Muscle Tone
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, 4. Reflex irritability (cry)
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5. Generalized Skin Color (coloring)
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Explanation: These five criteria are evaluated and scored from 0 to 2 base WS WS WS WS WS WS WS WS WS WS WS WS




d on the newborn’s condition immediately after birth to assess their physiol
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ogical stability. WS




7. When the APGAR score is <9 at 5 minutes, it is more importan
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t to stabilize the infant than keep them with mom. T/F?
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Answer: True WS WSWS




Explanation: While bonding with the mother is important, an APGAR sco WS WS WS WS WS WS WS WS WS WS




re less than 9 indicates the newborn may need immediate interventions to e
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nsure adequate oxygenation and circulation, making stabilization the priorit
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y.


8. What are indicators of respiratory difficulties in the newborn?
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: WSWS




Answer: WSWS




- Apnea >20 seconds
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- Expiratory grunting
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- Wheezing
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- Nasal flaring
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- Retractions
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- Use of accessory muscles at rest
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- Tachypnea (high respiratory rate)
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Explanation: These signs indicate increased work of breathing or respirat WS WS WS WS WS WS WS WS WS




ory distress and warrant prompt assessment and intervention.
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