BSNC 5000 OB Mod 4 Questions with
Correct Answers
Why are newborns born breech more at risk for hip dysplasia? - Answer-Breech birth
increases the risk of hip dysplasia in newborns
RDS and treatment considered for late preterm - Answer--establish oxygenation +
ventilation
-antenatal corticosteroids (<34 wks)
-supportive care
-surfactant replacement therapy
nutrtitional needs for infants - Answer-approx 6 feeds in first 24 hrs
factors that put TERM newborn at risk for hypothermia - Answer--can't shiver
-RR is higher
-higher metabolic demands
-skin is thinner
-higher surface area
-blood vessels = closer to the surface
-thin layer subQ fat
potential consequences of hypothermia and hyperthermia - Answer-Hypothermia:
-vasoconstriction jeopordizes pulmonary perfusion
-hyperbilirubinemia
-hypoglycemia
Hyperthermia:
-dehydration
-wt loss
-poor feeding
-resp distress
-seizure
-brain damage
jaundice and photo therapy - Answer-Occurs in 50-80% of babies
most common cause within 24hrs of birth = Rh incompatibiolity
Physiological adaptations of newborn to make in extrauterine environment - Answer--
establish and maintain resp system
-adjust circulatory changes
, -reg temperature
-ingest, retain and digest nutrients
-eliminate waste
-regulate waste
Pre term infant age - Answer-24-36+6 GA
Late preterm infant age - Answer-34-36+6 GA
Term infant age - Answer-37-41+6 GA
Post term infant age - Answer-42+ GA
when do we usually see jaundice in newborn - Answer-@ 24 hrs
what 2 meds do we give to newborn after birth - Answer--erythromycin (to prevent
infection in eyes)
-vitamin K (to prevent baby from bleeding)
what does APGAR test - Answer-Activity and muscle tone
Pulse
Grimace
Appearance
Respirations
when do we need to redo an APGAR? - Answer-If 5 min score is <7, then we do it again
@ 10 mins
what causes a decreased APGAR score in infant - Answer-traumatic birth, assisted
delivery, meds given to mom that dec RR of baby, cardioresp conditions
TTN - Answer--rapid breathing of term or NEAR term infant
-seen -2hrs after birth
-caused by delay in clearing lung fluid
-short lived (24-48hrs)
-called delayed transition if resolved within 6hrs
when does RDS occur - Answer-immediatley after birth
S/S of TTN - Answer--RR> 60 @1-2hr mark
-Nasal flaring
-grunting
-retractions and WOB
-crackles / dec breath sounds
Correct Answers
Why are newborns born breech more at risk for hip dysplasia? - Answer-Breech birth
increases the risk of hip dysplasia in newborns
RDS and treatment considered for late preterm - Answer--establish oxygenation +
ventilation
-antenatal corticosteroids (<34 wks)
-supportive care
-surfactant replacement therapy
nutrtitional needs for infants - Answer-approx 6 feeds in first 24 hrs
factors that put TERM newborn at risk for hypothermia - Answer--can't shiver
-RR is higher
-higher metabolic demands
-skin is thinner
-higher surface area
-blood vessels = closer to the surface
-thin layer subQ fat
potential consequences of hypothermia and hyperthermia - Answer-Hypothermia:
-vasoconstriction jeopordizes pulmonary perfusion
-hyperbilirubinemia
-hypoglycemia
Hyperthermia:
-dehydration
-wt loss
-poor feeding
-resp distress
-seizure
-brain damage
jaundice and photo therapy - Answer-Occurs in 50-80% of babies
most common cause within 24hrs of birth = Rh incompatibiolity
Physiological adaptations of newborn to make in extrauterine environment - Answer--
establish and maintain resp system
-adjust circulatory changes
, -reg temperature
-ingest, retain and digest nutrients
-eliminate waste
-regulate waste
Pre term infant age - Answer-24-36+6 GA
Late preterm infant age - Answer-34-36+6 GA
Term infant age - Answer-37-41+6 GA
Post term infant age - Answer-42+ GA
when do we usually see jaundice in newborn - Answer-@ 24 hrs
what 2 meds do we give to newborn after birth - Answer--erythromycin (to prevent
infection in eyes)
-vitamin K (to prevent baby from bleeding)
what does APGAR test - Answer-Activity and muscle tone
Pulse
Grimace
Appearance
Respirations
when do we need to redo an APGAR? - Answer-If 5 min score is <7, then we do it again
@ 10 mins
what causes a decreased APGAR score in infant - Answer-traumatic birth, assisted
delivery, meds given to mom that dec RR of baby, cardioresp conditions
TTN - Answer--rapid breathing of term or NEAR term infant
-seen -2hrs after birth
-caused by delay in clearing lung fluid
-short lived (24-48hrs)
-called delayed transition if resolved within 6hrs
when does RDS occur - Answer-immediatley after birth
S/S of TTN - Answer--RR> 60 @1-2hr mark
-Nasal flaring
-grunting
-retractions and WOB
-crackles / dec breath sounds
