ATI MATERNAL NEWBORN PROCTORED EXAM: STUDY SET 2
(FOCUSED REVIEWS)
A baby with neonatal abstinence syndrome may have a wide range of symtoms
including CNS, metabolic, vasomotor, respiratory, and GI. These include:
(list 3 or more for each) - CORRECT ANSWER-CNS:
-increased wakefulness
-high-pitched cry, incessant crying
-irritability
-tremors
-hyperactive w/increased Moro reflex
-increased DTRs
-increased muscle tone
-abrasions and/or excoriations on the face & knees
-convulsions
Metabolic, Vasomotor, Respiratory:
-nasal congestion w/flaring
-frequent yawning
-skin mottling
-tachypnea >60/min
-sweating
-temp >than 37.2 C (99 F)
GI:
-poor feeding
,-regurgitation (projectile vomiting)
-diarrhea
-excessive uncoordinated constant sucking
Hypoglycemia in the newborn findings: - CORRECT ANSWER--poor feeding
-jitteriness/tremors
-hypothermia
-diaphoresis
-weak shrill cry
-lethargy
-flaccid muscle tone
-seizures/coma
-irregular respirations
-cyanosis
-apnea
normal newborn blood glucose=
normal infant (up to 2 yrs) blood glucose= - CORRECT ANSWER-40-80 mg/dl
50-80 mg/dl
newborn dehydration s/s: - CORRECT ANSWER--urine output less than 1
mL/kg/hr
-urine specific gravity more than 1.015
-weight loss
-dry mucous membranes
-absent skin turgor
, -depressed/sunken fontanels
postterm infant s/s: - CORRECT ANSWER--wasted appearance, thin w/loose skin
-peeling, cracked, dry skin, also leathery
-long, thin body
-meconium staining of fingernails and umbilical cord
-long hair and nails
-may be more alert
-hypoglycemic
-macrosomic
-cold stress
Birth injuries: subarachnoid hemorrhage s/s - CORRECT ANSWER--seizures
within the 1st 72 hours
-decreased levels of consciousness
-irritability
Birth injuries: facial paralysis s/s - CORRECT ANSWER--facial flattening
-unresponsiveness to grimace that accompanies crying or stimulation
-eyes remaining open
Sun-setting sign is common with this newborn complication, in which the
whites of the eyes are visible above the iris and the head is enlarged and
fontanels are bulging: - CORRECT ANSWER-Hydrocephalus
Manifestations include murmurs, abnormal heart rate or rhythm,
breathlessness, and fatigue when feeding: - CORRECT ANSWER-patent ductus
arteriosus
(FOCUSED REVIEWS)
A baby with neonatal abstinence syndrome may have a wide range of symtoms
including CNS, metabolic, vasomotor, respiratory, and GI. These include:
(list 3 or more for each) - CORRECT ANSWER-CNS:
-increased wakefulness
-high-pitched cry, incessant crying
-irritability
-tremors
-hyperactive w/increased Moro reflex
-increased DTRs
-increased muscle tone
-abrasions and/or excoriations on the face & knees
-convulsions
Metabolic, Vasomotor, Respiratory:
-nasal congestion w/flaring
-frequent yawning
-skin mottling
-tachypnea >60/min
-sweating
-temp >than 37.2 C (99 F)
GI:
-poor feeding
,-regurgitation (projectile vomiting)
-diarrhea
-excessive uncoordinated constant sucking
Hypoglycemia in the newborn findings: - CORRECT ANSWER--poor feeding
-jitteriness/tremors
-hypothermia
-diaphoresis
-weak shrill cry
-lethargy
-flaccid muscle tone
-seizures/coma
-irregular respirations
-cyanosis
-apnea
normal newborn blood glucose=
normal infant (up to 2 yrs) blood glucose= - CORRECT ANSWER-40-80 mg/dl
50-80 mg/dl
newborn dehydration s/s: - CORRECT ANSWER--urine output less than 1
mL/kg/hr
-urine specific gravity more than 1.015
-weight loss
-dry mucous membranes
-absent skin turgor
, -depressed/sunken fontanels
postterm infant s/s: - CORRECT ANSWER--wasted appearance, thin w/loose skin
-peeling, cracked, dry skin, also leathery
-long, thin body
-meconium staining of fingernails and umbilical cord
-long hair and nails
-may be more alert
-hypoglycemic
-macrosomic
-cold stress
Birth injuries: subarachnoid hemorrhage s/s - CORRECT ANSWER--seizures
within the 1st 72 hours
-decreased levels of consciousness
-irritability
Birth injuries: facial paralysis s/s - CORRECT ANSWER--facial flattening
-unresponsiveness to grimace that accompanies crying or stimulation
-eyes remaining open
Sun-setting sign is common with this newborn complication, in which the
whites of the eyes are visible above the iris and the head is enlarged and
fontanels are bulging: - CORRECT ANSWER-Hydrocephalus
Manifestations include murmurs, abnormal heart rate or rhythm,
breathlessness, and fatigue when feeding: - CORRECT ANSWER-patent ductus
arteriosus
