NURS 306 QUIZ #4 AND ANSWERS
VERIFIED BY EXPERTS QUESTIONS
AND ANSWERS
AWHONN,gWHOgrecommendationsgforglengthgofgbreastfeedingg-gans-
6gmonthsgminimum
physicalgfindings:gPretermg-gans--abundantgofglanugo
-smoothg(nogpalmargorgplantargcreases)
-thingandgtranslucentgsking
-nogbreastgbudsg(nipples)
-testesghavegnotgdescended
-clitorisgisgnotgcovered
-verygflexible
-pronegtogheatgloss
-increasedgamountsgofgvernixgcaseosa
physicalgfindings:gnormalgbabyg-gans--sparseglangog(minimal)
-wrinklesgonganteriorg2/3gofgsole
-moregadiposegtissue
-vernixgcaseosa
-storkegbites
-strabimusgandgnysagmus
-acrocyanosis
-mottling
-Harlequingsign
physicalgfindings:gpostgtermg-gans--noglanugo
-nogvernix
-wrinklesgallgover
-testesgdescendedg(pendeles)
-crackedgskin
-longgnails
-meconiumgstaining
Whichgbabiesgshouldghavegnormalgreflexes?g-gans-allgofgthem
Whygshouldgyougstillgdocumentgmongoliangspotsgevengifgtheyregnormal?g-gans-
cangbegmistakengforgbruising
,Primarygengorgement:ginterventionsgforgmomgwhogdoesgnotgwantgtogbreastfeedg
-gans-supportivegbragandgiceg(0gstimulation)
Primarygengorgement:ginterventionsgforgmomgwhogwantsgtogbreastfeedg-gans-
warmgcompress,ggetgmilkgout
Mastitisgcauseg-gans-crackedgnipples,gptgcangstillgBFgongantibiotics
MastitisgS/Sg-gans-feverg(>100.4F)
redness
malaise
stillgbreastfeed
Normalgrespirationgforgnewborng-gans-30-60
Normalgtempgforgnewborng-gans--97.7-99gFg(axillary)
-36.5-37.2gC
Normalgpulsegforgnewborng-gans-110-160gbpm
NormalgBPgforgnewborng-gans-50-75/30-45
Isgapneagforg10-15gsecondsgnormal?g-gans-yes
normalgglucosegforgnewborng-gans-40-60
Whatgleadsgtogthegbaby'sgfirstgbreath?g-gans-acidosis
9lbg12ozgbaby,gptghadgangepisiotomygandgtoregtog3rdgdegree,gwhatgaregsomeg
interventionsg-gans-
icegpack,gsitzgbath,gibuprofeng600gmggq6hrsgandgdocusategsodiumg100gmggpo
gBID
Whatgisgagriskgfactorgofgphysiologicgjaundice?g-gans-cephalohematoma
Whengshouldgyougdecreasegsupplementation?g-gans-firstg2gdaysgofglife
Cangyougbreastfeedgoutgofgonegbreastgonly?g-gans-Yes
Contraindicationsgtogbreastfeedingg-gans--Illicitgdrugguse
-ActivegandguntreatedgTB
-Receivinggdiagnosticgorgtherapeuticgradioactivegisotopes
-Receivinggantimetabolitesgorgchemotherapy
-Activegherpesglesionsgongthegbreast
-HIVgpositive
, -Infantsgwithggalactosemia
Newborngadvantagesgtogbreastfeedingg-gans-decreasedgriskgof:g
-Infantgdiarrheag
-Respiratoryginfectionsg
-Ofgbeingghospitalizedgforgrespiratorygsyncytialgvirusg
-Otitisgmediag
-Necrotizinggenterocolitisg
-Childhoodgobesityg
-Decreasedgcost
Maternalgadvantagesgtogbreastfeedingg-gans--
Decreasedgbloodglossgandgdecreasedgriskgofginfection
-Cheaper
-Weightgloss
-Decreasegriskgofgosteoporosis
Colostrumg-gans--Stageg1,gpresentgstartingging2ndgtrimester
-
Thick,gyellowishgbreastgfluidgthatghasghigherglevelsgofgproteingandglowerglevelsg
ofgfats,gcarbohydrates,gandgcalories
-ContainsghighglevelsgofgIgGgandgIgA
Colostrumgactsgasga:g-gans-laxativegandgassistgingpassagegofgmeconium
Transitionalgmilkg-gans--Stageg2,gconsistsgofgcolostrumgandgmilk
-Lastsg6gtog13gdays
-
Decreasingglevelsgofgproteingandgincreasingglevelsgofgfat,gcarbohydrates,gandgca
lories
Foremilkg-gans--Stageg3
-
Producedgandgstoredgbetweengfeedings,greleasedgatgthegbeginninggofgthegfeedin
ggsession
-Hasghighgwatergcontent,glowgingfat
Hindmilkg-gans--Stageg3
-Producedgduringgthegfeedinggsessiongandgreleasedgatgthegendgofgthegsession
-Hasghighgfatgcontent
Patientgisg4gweeksgpostpartum,gbabygatg36gweeksgandg4gdays,gbabygwasgfine,
gweighedg5glbsgandgwentghomegwithgher.gNowgthegbabygisgnotggaininggweight.
gWhatgmightgbegagpossiblegcause?gWhy?g-gans--
Babygisgonlyggettinggthegforemilkgandgisgstoppinggtoogearly
-Babyggetsgtiredg(consideredgpretermgbaby)
VERIFIED BY EXPERTS QUESTIONS
AND ANSWERS
AWHONN,gWHOgrecommendationsgforglengthgofgbreastfeedingg-gans-
6gmonthsgminimum
physicalgfindings:gPretermg-gans--abundantgofglanugo
-smoothg(nogpalmargorgplantargcreases)
-thingandgtranslucentgsking
-nogbreastgbudsg(nipples)
-testesghavegnotgdescended
-clitorisgisgnotgcovered
-verygflexible
-pronegtogheatgloss
-increasedgamountsgofgvernixgcaseosa
physicalgfindings:gnormalgbabyg-gans--sparseglangog(minimal)
-wrinklesgonganteriorg2/3gofgsole
-moregadiposegtissue
-vernixgcaseosa
-storkegbites
-strabimusgandgnysagmus
-acrocyanosis
-mottling
-Harlequingsign
physicalgfindings:gpostgtermg-gans--noglanugo
-nogvernix
-wrinklesgallgover
-testesgdescendedg(pendeles)
-crackedgskin
-longgnails
-meconiumgstaining
Whichgbabiesgshouldghavegnormalgreflexes?g-gans-allgofgthem
Whygshouldgyougstillgdocumentgmongoliangspotsgevengifgtheyregnormal?g-gans-
cangbegmistakengforgbruising
,Primarygengorgement:ginterventionsgforgmomgwhogdoesgnotgwantgtogbreastfeedg
-gans-supportivegbragandgiceg(0gstimulation)
Primarygengorgement:ginterventionsgforgmomgwhogwantsgtogbreastfeedg-gans-
warmgcompress,ggetgmilkgout
Mastitisgcauseg-gans-crackedgnipples,gptgcangstillgBFgongantibiotics
MastitisgS/Sg-gans-feverg(>100.4F)
redness
malaise
stillgbreastfeed
Normalgrespirationgforgnewborng-gans-30-60
Normalgtempgforgnewborng-gans--97.7-99gFg(axillary)
-36.5-37.2gC
Normalgpulsegforgnewborng-gans-110-160gbpm
NormalgBPgforgnewborng-gans-50-75/30-45
Isgapneagforg10-15gsecondsgnormal?g-gans-yes
normalgglucosegforgnewborng-gans-40-60
Whatgleadsgtogthegbaby'sgfirstgbreath?g-gans-acidosis
9lbg12ozgbaby,gptghadgangepisiotomygandgtoregtog3rdgdegree,gwhatgaregsomeg
interventionsg-gans-
icegpack,gsitzgbath,gibuprofeng600gmggq6hrsgandgdocusategsodiumg100gmggpo
gBID
Whatgisgagriskgfactorgofgphysiologicgjaundice?g-gans-cephalohematoma
Whengshouldgyougdecreasegsupplementation?g-gans-firstg2gdaysgofglife
Cangyougbreastfeedgoutgofgonegbreastgonly?g-gans-Yes
Contraindicationsgtogbreastfeedingg-gans--Illicitgdrugguse
-ActivegandguntreatedgTB
-Receivinggdiagnosticgorgtherapeuticgradioactivegisotopes
-Receivinggantimetabolitesgorgchemotherapy
-Activegherpesglesionsgongthegbreast
-HIVgpositive
, -Infantsgwithggalactosemia
Newborngadvantagesgtogbreastfeedingg-gans-decreasedgriskgof:g
-Infantgdiarrheag
-Respiratoryginfectionsg
-Ofgbeingghospitalizedgforgrespiratorygsyncytialgvirusg
-Otitisgmediag
-Necrotizinggenterocolitisg
-Childhoodgobesityg
-Decreasedgcost
Maternalgadvantagesgtogbreastfeedingg-gans--
Decreasedgbloodglossgandgdecreasedgriskgofginfection
-Cheaper
-Weightgloss
-Decreasegriskgofgosteoporosis
Colostrumg-gans--Stageg1,gpresentgstartingging2ndgtrimester
-
Thick,gyellowishgbreastgfluidgthatghasghigherglevelsgofgproteingandglowerglevelsg
ofgfats,gcarbohydrates,gandgcalories
-ContainsghighglevelsgofgIgGgandgIgA
Colostrumgactsgasga:g-gans-laxativegandgassistgingpassagegofgmeconium
Transitionalgmilkg-gans--Stageg2,gconsistsgofgcolostrumgandgmilk
-Lastsg6gtog13gdays
-
Decreasingglevelsgofgproteingandgincreasingglevelsgofgfat,gcarbohydrates,gandgca
lories
Foremilkg-gans--Stageg3
-
Producedgandgstoredgbetweengfeedings,greleasedgatgthegbeginninggofgthegfeedin
ggsession
-Hasghighgwatergcontent,glowgingfat
Hindmilkg-gans--Stageg3
-Producedgduringgthegfeedinggsessiongandgreleasedgatgthegendgofgthegsession
-Hasghighgfatgcontent
Patientgisg4gweeksgpostpartum,gbabygatg36gweeksgandg4gdays,gbabygwasgfine,
gweighedg5glbsgandgwentghomegwithgher.gNowgthegbabygisgnotggaininggweight.
gWhatgmightgbegagpossiblegcause?gWhy?g-gans--
Babygisgonlyggettinggthegforemilkgandgisgstoppinggtoogearly
-Babyggetsgtiredg(consideredgpretermgbaby)
