NUR 418 Exam 3 blueprint
Study online at https://quizlet.com/_h9gh9u
1. Infant Care Plan- ?
ning
2. RDS in newborns Respiratory distress syndrome (RDS) is a life-threatening lung disorder that results
from small, underdeveloped alveoli and insufficient levels of pulmonary surfactant.
These combined factors can cause an alteration in alveoli surface tension that
eventually results in atelectasis.
Causes
ÏHypoxemia and hypercarbia.
ÏPulmonary artery vasoconstriction.
ÏRight-to-left shunting through the ductus arteriosus and foramen ovale as the
neonate's body attempts to counteract the compromised pulmonary perfusion.
ÏMetabolic acidosis that occurs from a buildup of lactic acid that results from
prolonged periods of hypoxemia.
ÏRespiratory acidosis that occurs from the collapsed alveoli being unable to rid the
body of excess carbon dioxide.
Nursing interventions
Provide respiratory support such as oxygen, ET tube, suction
Minimize oxygen demand by maintaining a neutral thermal environment, clus-
tering care to decrease stress, and treating acidosis as clinically indicated and
ordered.
Monitor vital signs, oxygen saturation, and blood gas results.
Maintain neutral thermal environment to decrease the risk of cold stress.
Monitor I&O and daily weights.
Promote rest by implementing calming measures or administering ordered seda-
tion.
3. Transient Tachyp- Condition of rapid respirations caused by inadequate absorption of fetal lung fluid.
nea of the new-
born
4.
, NUR 418 Exam 3 blueprint
Study online at https://quizlet.com/_h9gh9u
Infant weigh Normal birth weight- 2,500-4,000 g (5 lb 8 oz-8 lb 13 oz)
trends Weight loss of 5%-10% of birth weight during the first week is normal. This is due
to water loss through urine, stools, and lungs and an increase in metabolic rate. It
is also related to limited fluid intake.
The neonate will regain birth weight within 10 days.
Weight above the 90th percentile is common in neonates of diabetic mothers.
Weight below the 10th percentile is due to prematurity, intrauterine growth restric-
tion, malnutrition during the pregnancy.
During the first year of life, the infant experiences rapid growth. The infant will
double his or her birth weight by 5 months and triple by age 1.
Infants experience growth spurts at 3 to 5 days, 1 week, 6 weeks, 3 months, and 6
months.
5. Cultural roles in ÏIt is critical that nurses acquire the knowledge and skills to provide quality care
birth to culturally divergent groups. Expectations of nursing practice will increasingly
demand sensitivity to the cultural needs of families and competence in providing
care.
ÏAll nursing care is given within the context of many cultures: that of the patient,
nurse, health care system, and the larger society. Childbirth directly involves two
bodies in one; it's the only time in life when the care surrounds two (or more)
humans contained in one body. The mother's body must adapt to changes asso-
ciated with accommodating another life, while the baby must adapt to life outside
the womb after birth
6. Paternal roles fol- Early parenting behaviors include rocking, soothing and carrying their infant.
lowing birth
7. Potential Compli- Neonates with IUGR are at risk for:
cations for Un- ÏLabor intolerance related to placental insufficiency and inadequate nutritional and
derweight in- oxygen reserves.
fants ÏMeconium aspiration related to asphyxia during labor.
ÏHypoglycemia related to inadequate glycogen stores and reduced gluconeoge-
, NUR 418 Exam 3 blueprint
Study online at https://quizlet.com/_h9gh9u
nesis, and an increase in metabolic demands from heat loss, which diminishes
glucose stores.
ÏHypocalcemia, defined as serum calcium levels less than 7.5 mg/dL, related to
birth asphyxia.
ÏSigns of hypocalcemia are often similar to those of hypoglycemia and include
jitteriness, tetany, and seizures.
8. SGA nursing in- ÏReview prenatal and intrapartal records for risk factors.
terventions ÏAssess for respiratory distress.
ÏAssess the neonate for gross anomalies.
ÏAssess the skin for color and signs of meconium staining.
Infants with meconium staining have an increased risk of respiratory distress.
ÏMaintain a neutral thermal environment.
SGA infants have decreased subcutaneous fat and are more susceptible to hy-
pothermia.
ÏDecrease risk of hypoglycemia.
SGA infants are at high risk for hypoglycemia due to their decreased amount of
subcutaneous fat and thus are at increased risk of cold stress.
ÏAssess for signs of hypoglycemia.
ÏMonitor blood glucose.
ÏProvide early and frequent feedings.
SGA infants may need gavage feedings due to poor suck or inability to finish
feedings due to lack of stamina.
ÏMonitor for hypocalcemia.
ÏWeigh daily.
SGA infants may require higher caloric intake.
ÏMonitor vital signs.
ÏMonitor for feeding intolerance.
SGA infants are susceptible to NEC due to placental insufficiency.
ÏObtain laboratory tests as per orders.
ÏTeach parents the importance of keeping the baby warm and providing frequent
feedings.
Study online at https://quizlet.com/_h9gh9u
1. Infant Care Plan- ?
ning
2. RDS in newborns Respiratory distress syndrome (RDS) is a life-threatening lung disorder that results
from small, underdeveloped alveoli and insufficient levels of pulmonary surfactant.
These combined factors can cause an alteration in alveoli surface tension that
eventually results in atelectasis.
Causes
ÏHypoxemia and hypercarbia.
ÏPulmonary artery vasoconstriction.
ÏRight-to-left shunting through the ductus arteriosus and foramen ovale as the
neonate's body attempts to counteract the compromised pulmonary perfusion.
ÏMetabolic acidosis that occurs from a buildup of lactic acid that results from
prolonged periods of hypoxemia.
ÏRespiratory acidosis that occurs from the collapsed alveoli being unable to rid the
body of excess carbon dioxide.
Nursing interventions
Provide respiratory support such as oxygen, ET tube, suction
Minimize oxygen demand by maintaining a neutral thermal environment, clus-
tering care to decrease stress, and treating acidosis as clinically indicated and
ordered.
Monitor vital signs, oxygen saturation, and blood gas results.
Maintain neutral thermal environment to decrease the risk of cold stress.
Monitor I&O and daily weights.
Promote rest by implementing calming measures or administering ordered seda-
tion.
3. Transient Tachyp- Condition of rapid respirations caused by inadequate absorption of fetal lung fluid.
nea of the new-
born
4.
, NUR 418 Exam 3 blueprint
Study online at https://quizlet.com/_h9gh9u
Infant weigh Normal birth weight- 2,500-4,000 g (5 lb 8 oz-8 lb 13 oz)
trends Weight loss of 5%-10% of birth weight during the first week is normal. This is due
to water loss through urine, stools, and lungs and an increase in metabolic rate. It
is also related to limited fluid intake.
The neonate will regain birth weight within 10 days.
Weight above the 90th percentile is common in neonates of diabetic mothers.
Weight below the 10th percentile is due to prematurity, intrauterine growth restric-
tion, malnutrition during the pregnancy.
During the first year of life, the infant experiences rapid growth. The infant will
double his or her birth weight by 5 months and triple by age 1.
Infants experience growth spurts at 3 to 5 days, 1 week, 6 weeks, 3 months, and 6
months.
5. Cultural roles in ÏIt is critical that nurses acquire the knowledge and skills to provide quality care
birth to culturally divergent groups. Expectations of nursing practice will increasingly
demand sensitivity to the cultural needs of families and competence in providing
care.
ÏAll nursing care is given within the context of many cultures: that of the patient,
nurse, health care system, and the larger society. Childbirth directly involves two
bodies in one; it's the only time in life when the care surrounds two (or more)
humans contained in one body. The mother's body must adapt to changes asso-
ciated with accommodating another life, while the baby must adapt to life outside
the womb after birth
6. Paternal roles fol- Early parenting behaviors include rocking, soothing and carrying their infant.
lowing birth
7. Potential Compli- Neonates with IUGR are at risk for:
cations for Un- ÏLabor intolerance related to placental insufficiency and inadequate nutritional and
derweight in- oxygen reserves.
fants ÏMeconium aspiration related to asphyxia during labor.
ÏHypoglycemia related to inadequate glycogen stores and reduced gluconeoge-
, NUR 418 Exam 3 blueprint
Study online at https://quizlet.com/_h9gh9u
nesis, and an increase in metabolic demands from heat loss, which diminishes
glucose stores.
ÏHypocalcemia, defined as serum calcium levels less than 7.5 mg/dL, related to
birth asphyxia.
ÏSigns of hypocalcemia are often similar to those of hypoglycemia and include
jitteriness, tetany, and seizures.
8. SGA nursing in- ÏReview prenatal and intrapartal records for risk factors.
terventions ÏAssess for respiratory distress.
ÏAssess the neonate for gross anomalies.
ÏAssess the skin for color and signs of meconium staining.
Infants with meconium staining have an increased risk of respiratory distress.
ÏMaintain a neutral thermal environment.
SGA infants have decreased subcutaneous fat and are more susceptible to hy-
pothermia.
ÏDecrease risk of hypoglycemia.
SGA infants are at high risk for hypoglycemia due to their decreased amount of
subcutaneous fat and thus are at increased risk of cold stress.
ÏAssess for signs of hypoglycemia.
ÏMonitor blood glucose.
ÏProvide early and frequent feedings.
SGA infants may need gavage feedings due to poor suck or inability to finish
feedings due to lack of stamina.
ÏMonitor for hypocalcemia.
ÏWeigh daily.
SGA infants may require higher caloric intake.
ÏMonitor vital signs.
ÏMonitor for feeding intolerance.
SGA infants are susceptible to NEC due to placental insufficiency.
ÏObtain laboratory tests as per orders.
ÏTeach parents the importance of keeping the baby warm and providing frequent
feedings.
