VNSG 1409 CHAPTER 17 NURSING CARE OF THE
NEWBORN AT RISK EXAMINATION TEST
QUESTIONS AND SOLUTIONS
◉ What factors place a newborn at risk? Answer: -Premature labor
-Diabetes
-HTN
-Placenta abnormalities
-HIV infection
-Unhealthy lifestyle
◉ What is birth asphyxia? Answer: medical condition resulting from
deprivation of oxygen to a newborn infant that lasts long enough
during the birth process to cause physical harm, usually to the brain.
◉ Possible causes for asphyxia at birth? Answer: -Mom doesn't get
enough o2 during labor
-Moms BP is too high or too low
-Placenta separates from uterus too quickly
-Nuchal cord
-Fetus is anemic and does not have enough RBC to tolerate
contractions
-Newborns airway becomes blocked (meconium aspiration)
,-Delivery is too long or too difficult
◉ S/S of birth asphyxia Answer: -Cyanosis
-Difficulty breathing
-Gasping respirations
-Umbilical cord blood pH <7
-Apgar less than 3 for more than 5 minutes
◉ Nursing care of child with hypoxia Answer: -Administer ordered
medications and fluids
-Monitoring ventilation and oxygenation of the baby
-Monitoring fluid balance
-Monitoring and reporting signs of hypoglycemia, hyperglycemia, and
hyperthermia.
◉ Long term complications of hypoxia Answer: -Cerebral palsy
-Epilepsy
-Blindness
-Delayed motor development
-Intellectual disability
-Learning disabilities
◉ Respiratory distress syndrome is caused by Answer: a lack of
surfactant and immaturity of the lungs
, ◉ The most common signs of RDS include Answer: -Tachypnea
-Dyspnea
-Grunting with expirations
-Nasal flaring
-Intercostal retractions
-Cyanosis
◉ transient tachypnea of the newborn Answer: respiratory condition
that results from incomplete reabsorption of fetal lung fluid in full
term newborns, usually disappears within 3-5 days
◉ Risk factors for TTN Answer: -sedated from maternal pain med in
labor
-prolonged labor
-macrosomia
-babies born c-section
◉ Medical management for RDS in newborns Answer: -
Corticosteriods
-Transfer to ICU
-Sufactant therapy
-O2 therapy
-CPAP
-Mechanical ventilation
NEWBORN AT RISK EXAMINATION TEST
QUESTIONS AND SOLUTIONS
◉ What factors place a newborn at risk? Answer: -Premature labor
-Diabetes
-HTN
-Placenta abnormalities
-HIV infection
-Unhealthy lifestyle
◉ What is birth asphyxia? Answer: medical condition resulting from
deprivation of oxygen to a newborn infant that lasts long enough
during the birth process to cause physical harm, usually to the brain.
◉ Possible causes for asphyxia at birth? Answer: -Mom doesn't get
enough o2 during labor
-Moms BP is too high or too low
-Placenta separates from uterus too quickly
-Nuchal cord
-Fetus is anemic and does not have enough RBC to tolerate
contractions
-Newborns airway becomes blocked (meconium aspiration)
,-Delivery is too long or too difficult
◉ S/S of birth asphyxia Answer: -Cyanosis
-Difficulty breathing
-Gasping respirations
-Umbilical cord blood pH <7
-Apgar less than 3 for more than 5 minutes
◉ Nursing care of child with hypoxia Answer: -Administer ordered
medications and fluids
-Monitoring ventilation and oxygenation of the baby
-Monitoring fluid balance
-Monitoring and reporting signs of hypoglycemia, hyperglycemia, and
hyperthermia.
◉ Long term complications of hypoxia Answer: -Cerebral palsy
-Epilepsy
-Blindness
-Delayed motor development
-Intellectual disability
-Learning disabilities
◉ Respiratory distress syndrome is caused by Answer: a lack of
surfactant and immaturity of the lungs
, ◉ The most common signs of RDS include Answer: -Tachypnea
-Dyspnea
-Grunting with expirations
-Nasal flaring
-Intercostal retractions
-Cyanosis
◉ transient tachypnea of the newborn Answer: respiratory condition
that results from incomplete reabsorption of fetal lung fluid in full
term newborns, usually disappears within 3-5 days
◉ Risk factors for TTN Answer: -sedated from maternal pain med in
labor
-prolonged labor
-macrosomia
-babies born c-section
◉ Medical management for RDS in newborns Answer: -
Corticosteriods
-Transfer to ICU
-Sufactant therapy
-O2 therapy
-CPAP
-Mechanical ventilation
