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NSG 233 Exam 4 Questions And Answers

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Identify common problems associated with breastfeeding and nursing interventions to help resolve them. ~ 1. Engorgement - rest, ice, last for 24 hr., ibuprofen, raw cabbage leaves 2. sore nipples - warm water compress, wrong position , nipple shields 3. monilial infections- Yeast infection - keep dry, fungal medication for 14 days, 4. Plugged milk ducts - massage, warm compresses, tight clothing, not changing position, mother will have fever or flu like symptoms 5. Mastitis - antibiotics, ibuprofen, rest, cool & warm compresses, cause from not emptying breast fully, engorgement, plugged ducts, sudden decrease of feedings, abrupt weaning, underwire bras. 6. Hepatitis B & C- virus does not transmit to breast milk , only 5 to 6% transmission occurs only in delivery. Discuss patient teaching for the family who is formula - feeding their newborn. ~ 1. never heat in microwave, warm or room temp. is fine. 2. baby in semiupright position. 3. care of bottles and nipples. 4. different kind of formulas and choosing best for the baby. 5. formula preparation. 6. by week 1 baby is drinking 30 to 60 ml each feeding. By week 1 to 2 baby is drinking 840 ml/day. Nutrition

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NSG 233 Exam 4 Questions
And Answers

asphyxia


✓~ Insufficient oxygen and excess carbon dioxide in the blood and tissues.




bilirubin encephalopathy


✓~ Acute manifestation of bilirubin toxicity occurring in the first weeks after birth.




erythroblastosis fetalis


✓~ Agglutination and hemolysis of fetal erythrocytes caused by incompatibility

between the maternal and fetal blood types, such as when the fetus is Rh-positive and

the mother is Rh-negative.




esophageal atresia


✓~ Condition in which the esophagus is separated from the stomach and ends in a

blind pouch.

,gastroschisis


✓~ Protrusion of the intestines through a defect in the abdominal wall. The intestines

are not covered by a peritoneal sac or skin.




hydrops fetalis


✓~ Heart failure and generalized edema in the fetus secondary to severe anemia

resulting from destruction of erythrocytes.




kernicterus


✓~ Chronic and permanent result of bilirubin toxicity.




meningocele


✓~ Protrusion of the meninges through a defect in the vertebrae; a form of neural

tube defect.




myelomeningocele


✓~ Protrusion of the meninges and spinal cord through a defect in the vertebrae; a

form of neural tube defect.

,neonatal abstinence syndrome


✓~ A cluster of physical signs exhibited by newborns exposed in utero to maternal

use of substances such as heroin.




omphalocele


✓~ Protrusion of the intestines into the base of the umbilical cord. The intestines are

covered by a peritoneal sac.




persistent pulmonary hypertension


✓~ Vasoconstriction of the infant's pulmonary vessels after birth; may result in right-

to-left shunting of blood flow through the ductus arteriosus, the foramen ovale, or

both.




spina bifida


✓~ Defective closure of the bony spine that encloses the spinal cord; a type of neural

tube defect.




tracheoesophageal fistula

, ✓~ Abnormal connection between the esophagus and trachea.




transient tachypnea of the newborn


✓~ Condition of rapid respirations caused by inadequate absorption of fetal lung

fluid.




How is TTN different from RDS?


✓~ Transient tachypnea of the newborn is thought to be caused by failure of fetal

lung fluid to be absorbed completely in late preterm, full-term, or preterm infants.

Respiratory distress syndrome (RDS) occurs in preterm infants as a result of

inadequate surfactant. It is less serious than RDS but is the most common respiratory

cause of NICU admission.




Why is there resistance of blood flow into the lungs in PPHN?


✓~ Infants with PPHN have constriction of the pulmonary blood vessels from

inadequate oxygen levels. This increases resistance to blood flow into the lungs and

causes blood to flow through the foramen ovale and patent ductus arteriosus.




How can kernicterus be prevented?

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