H-Maternity GRADE A Q&A
Ophthalmia neonatorum is diagnosed. What is the nurse's estimate of the infant's age?
---About 3 to 4 days - (correct answer)Untreated ophthalmia neonatorum becomes
apparent on the third or fourth postnatal day and provides evidence that the mother may
have had gonorrhea or a chlamydial infection.
Newborn Prophylactic Eye Care:
---OINTMENTS:
--Erythromycin
--Tetracycline - (correct answer)--Place along the entire lower lid in conjuctival sac.
--after 1 min. may wipe away
If parents desire open-eye BONDING period, may delay eye prophylaxis up to 1 hour. -
(correct answer)...
A nurse is assessing the newborn of a known opioid user for signs of withdrawal: -
(correct answer)1. Sneezing
2. Hyperactivity
3. High-pitched cry
Fetal alcohol syndrome (FAS):
1. Thin upper lip--(vermilion)
2. Small upturned nose
3. Smooth vertical ridge in the upper lip-(philtrum) - (correct answer)
A nurse places the newborn under a radiant warmer. What complication is the nurse
attempting to prevent? - (correct answer)--Metabolic acidosis
,A mother who notes that her newborn regurgitates after feedings asks the nurse
whether her baby is ill. - (correct answer)---An underdeveloped cardiac sphincter
causes regurgitation.
Infants of *diabetic* mothers are at risk for *respiratory distress syndrome* as a result of
delayed synthesis of surfactant caused by a high serum level of insulin. - (correct
answer)---
Diabetes:
1st trimester--insulin needs decrease. (commonly as a result of N/V) - (correct answer)
Insulin Dependent Mother:
Insulin target ranges:
1. 70 to 100 mg/dL before meals & bedtime snacks.
2. 100 to 120 mg/dL 1 hour after meals. - (correct answer)...
Insulin needs *fall* significantly for the *first 24hrs* postpartum because the client has
usually been on NPO status for a period of time during labor and the labor process has
used maternal glycogen stores. - (correct answer)...
Milia on the infant's face:
---Avoid squeezing them and don't try to wash them off. - (correct answer)Although milia
are common, they do not disappear for several weeks after birth. Milia are not
birthmarks; the tiny plugged sebaceous glands are the result of maternal hormonal
influence. Attempts to remove milia will irritate the infant's skin, and such attempts are
not needed because the milia will disappear during the first month of life.
, *Vernix* is found on a newborn at about *38* weeks' gestation and *disappears* after
*40* weeks' gestation. - (correct answer)....
Anticoagulant medications:
(that can be given to a pregnant woman)
--*Enoxaparin* (Lovenox)
--*Heparin* (Hep-Lock) - (correct answer)...
Lacerations are easier to repair than an episiotomy. - (correct answer)---
*First* degree episiotomy: - (correct answer)--Involves only the *epidermis*
*Second* degree episiotomy: - (correct answer)Involves the dermis, muscle and fascia.
*Third* degree tear : - (correct answer)extends into the *anal sphincter*.
*Fourth* degree episiotomy: - (correct answer)--extends up the *rectal mucosa*.
Severe preeclampsia :
1. H/A
2. Visual Disturbances
3. Abd. Pain - (correct answer)---
Biophysical Profile:
Each of the five components -
---body movements,---------- muscle tone,
Ophthalmia neonatorum is diagnosed. What is the nurse's estimate of the infant's age?
---About 3 to 4 days - (correct answer)Untreated ophthalmia neonatorum becomes
apparent on the third or fourth postnatal day and provides evidence that the mother may
have had gonorrhea or a chlamydial infection.
Newborn Prophylactic Eye Care:
---OINTMENTS:
--Erythromycin
--Tetracycline - (correct answer)--Place along the entire lower lid in conjuctival sac.
--after 1 min. may wipe away
If parents desire open-eye BONDING period, may delay eye prophylaxis up to 1 hour. -
(correct answer)...
A nurse is assessing the newborn of a known opioid user for signs of withdrawal: -
(correct answer)1. Sneezing
2. Hyperactivity
3. High-pitched cry
Fetal alcohol syndrome (FAS):
1. Thin upper lip--(vermilion)
2. Small upturned nose
3. Smooth vertical ridge in the upper lip-(philtrum) - (correct answer)
A nurse places the newborn under a radiant warmer. What complication is the nurse
attempting to prevent? - (correct answer)--Metabolic acidosis
,A mother who notes that her newborn regurgitates after feedings asks the nurse
whether her baby is ill. - (correct answer)---An underdeveloped cardiac sphincter
causes regurgitation.
Infants of *diabetic* mothers are at risk for *respiratory distress syndrome* as a result of
delayed synthesis of surfactant caused by a high serum level of insulin. - (correct
answer)---
Diabetes:
1st trimester--insulin needs decrease. (commonly as a result of N/V) - (correct answer)
Insulin Dependent Mother:
Insulin target ranges:
1. 70 to 100 mg/dL before meals & bedtime snacks.
2. 100 to 120 mg/dL 1 hour after meals. - (correct answer)...
Insulin needs *fall* significantly for the *first 24hrs* postpartum because the client has
usually been on NPO status for a period of time during labor and the labor process has
used maternal glycogen stores. - (correct answer)...
Milia on the infant's face:
---Avoid squeezing them and don't try to wash them off. - (correct answer)Although milia
are common, they do not disappear for several weeks after birth. Milia are not
birthmarks; the tiny plugged sebaceous glands are the result of maternal hormonal
influence. Attempts to remove milia will irritate the infant's skin, and such attempts are
not needed because the milia will disappear during the first month of life.
, *Vernix* is found on a newborn at about *38* weeks' gestation and *disappears* after
*40* weeks' gestation. - (correct answer)....
Anticoagulant medications:
(that can be given to a pregnant woman)
--*Enoxaparin* (Lovenox)
--*Heparin* (Hep-Lock) - (correct answer)...
Lacerations are easier to repair than an episiotomy. - (correct answer)---
*First* degree episiotomy: - (correct answer)--Involves only the *epidermis*
*Second* degree episiotomy: - (correct answer)Involves the dermis, muscle and fascia.
*Third* degree tear : - (correct answer)extends into the *anal sphincter*.
*Fourth* degree episiotomy: - (correct answer)--extends up the *rectal mucosa*.
Severe preeclampsia :
1. H/A
2. Visual Disturbances
3. Abd. Pain - (correct answer)---
Biophysical Profile:
Each of the five components -
---body movements,---------- muscle tone,
