NUR 148 STUDY GUIDE WITH SOLUTION

NUR 148 STUDY GUIDE WITH
SOLUTION

"First period of reactivity" or "Golden Hour" - ANSWER -Lasts 30-60 mins

-baby alert and active

-HR irregular and high as 180bpm

-RR as high as 80/min

-Fine crackles in lungs

-hypoactive bowel sounds (NOT absent)

-breastfeeding initiated

"Period of decreased responsiveness" - ANSWER -lasts from 60-100 mins
(hours 2-4 of life)

-bowel sounds more audible

-HR and RR return to baseline

-activity decreases

-acrocyanosis improving

"Second period of reactivity" - ANSWER -awake again and alert

-lasts 4-6 hours (hours4-8 of life)

-HR and RR increase

, -skin color change->overall pinkness

-pass 1st stool

-interest in feeding

Normal newborn apical HR - ANSWER 110-160 bpm

________________ is normal for the first hours to days after birth while cardiac
and respiratory systems are adjucting to extra uterine life. - ANSWER
acrocyanosis

Term neonates lungs hold about how much fluid per kg prior to birth? -
ANSWER 20cc or mL

What does clamping the cord initiate? - ANSWER breathing (crying)

Factors that initiate newborn first breaths? - ANSWER -chemical

-mechanical (passage through birth canal)

-thermal (cold air)

-sensory (senses)




Normal breath sounds in newborn? - ANSWER -abdominal breathing

-shallow and irregular->30-60 bpm

-nasal flaring

-retractions

-tachypnea

Normal respiratory rate for newborn? - ANSWER 30-60/min