NURS 3031 QUESTIONS WITH COMPLETE ANSWERS.

NURS 3031 QUESTIONS WITH COMPLETE ANSWERS.


Theyneonatalyperiody-yCORRECTyANSWER-
fromybirthythroughytheyfirsty28ydaysyofylife

Approximatelyy_______yofyamnioticyfluidyisyforcedyoutyofytheylungsyinytheydeliveryypro
cess.y-yCORRECTyANSWER-30mL

Ductusyvenousy-yCORRECTyANSWER-
Clampingyofytheycordycausesyconstrictionyofytheyvesselsyandyclosureyofytheyductusyve
nousyimmediately.y
-yclosesybyythey3rdydayyofylife

Foramenyovaley-yCORRECTyANSWER-
openingybetweenytheyrightyatriumyandytheyleftyatriumy
-yclosesywhenytheyleftyatrialypressureyisyhigherythanytheyrightyatrialypressure

Ductusyarteriosusy-yCORRECTyANSWER-
connectsytheypulmonaryyarteryywithytheydescendingyaorta
-yusuallyyclosesywithiny15yhoursypostybirth

SignsyofyRespiratoryyDistressy-yCORRECTyANSWER-Cyanosis
Apnea/tachypnea
Retractions
Grunting
Flaringyofynostrils
Hypotonia

Apgaryscoringy-yCORRECTyANSWER-Takenyaty1yandy5yminutesyafterybirth

Neutralythermalyenvironmenty[NTE]y-yCORRECTyANSWER-
Anyenvironmentythatymaintainsybodyytemperatureywithyminimalymetabolicychangesy
andy/oryoxygenyconsumption.

Factorsythatynegativelyyaffectythermoregulationy-yCORRECTyANSWER-
Decreasedysubcutaneousyfat
Decreasedybrownyfatyinypretermyinfants
Largeybodyysurface
Lossyofyheatyfromyconvection,yradiation,yconduction,yand/oryevaporation

Brownyfaty/yNon-shiveringythermogenesisy-yCORRECTyANSWER-
Locatedyinytheyneck,ythorax,yaxilla,yscapularyareas,yaroundyadrenalyglandsyandykidne
ys.yItyincreasesymetabolism,yheatyproductionyonceyusedyityisynotyreplenished.yNeonat
esyareyatyhigheryriskyofythermoregulatoryyissuesybecauseyofyhigherybodyysurfaceyare

, aytoybodyymassyratio,yhigherymetabolicyrates,yandyimmatureythermoregulatoryyabilit
ies.

Evaporationy-yCORRECTyANSWER-
Lossyofyheatythroughyconversionyofyliquidytoyvapor
Directlyyafterybirthyorybathing

Convectiony-yCORRECTyANSWER-
Lossyofyheatyfromyinfant'sywarmybodyytoycooleryairycurrents.
Draftsyfromywindows,yACyoryoxygenymasks

Conductiony-yCORRECTyANSWER-
Transferyofyheatyfromycoolerysurfaceybyydirectycontact.
Coldyhands,ycoldyequipment

Radiationy-yCORRECTyANSWER-
Transferyofyheatytoyaycolderysolidyobjectynotyinycontactywithyinfant.
Coldywallyofyisoletteyorycoldyequipmentynearyinfant

Temperatureythatyindicatesycoldystressy-yCORRECTyANSWER-
Lessythanyoryequalytoy36yCy/y97.6yF

Whoyisyatyriskyforycoldystressy-yCORRECTyANSWER-
Prematureyinfants,ySGA,yhypoglycemia,yprolongedyresuscitationyefforts,ysepsisy,yneur
ological,yendocrineyorycardiorespiratoryyproblems

Signsyandysymptomsyofycoldystressy-yCORRECTyANSWER-
Coolyskin,ylethargy,ypallor,ytachypnea,ygrunting,yhypoglycemia,yhypotonia,yjitteriness
,yweakysuck

Bloodyglucoseythatyindicatesyhypoglycemiay-yCORRECTyANSWER-Lessythany40

Whoyisyatyriskyforyhypoglycemiay-yCORRECTyANSWER-
Diabeticymoms,yLGA,ypost/ypretermyinfants,ySGA,yhypothermia,yinfection,yrespirator
yydistress,yresuscitation,ybirthytrauma

Signsyandysymptomsyofyhypoglycemiay-yCORRECTyANSWER-
Jitteriness,yhypotonia,ylethargy,yirritability,yapnea,ytemperatureyinstability

IndirectyBilirubiny-yCORRECTyANSWER-
Fatysoluable,yproducedyfromybreakdownyofyRBC

DirectyBilirubiny-yCORRECTyANSWER-
Waterysoluble,yconvertedyfromyindirectybilirubinybyyliveryenzymes