Exam 2 - Maternity Newborn 211 Latest Update 2024/2025
VBAC - Answer--vaginal birth after cesarean section
Who is a candidate for VBAC - Answer--1-2 previous low transverse c-sections
No other uterine scars
Only clients who had non-recurring events:
Breech position
Abnormal FHR pattern
Dysfunctional labor
Contraindications for VBAC - Answer--Large for gestational age newborn
Malpresentation (breech)
Cephalopelvic disproportion (big head baby, mom little pelvis)
Previous "classical" incision c-section
Dysfunctional Labor - Answer--Atypical uterine contraction patterns
Weak, inefficient or absent contractions
Excessively frequent, uncoordinated and strong/intense contractions with inadequate uterine relaxation
Failure to efface and dilate cervix
AVA - Answer--2 arteries, 1 vein in umbilical cord
,Newborn respiratory rate - Answer--30-60/min
short periods of apnea <15 seconds during REM sleep
Newborn heart rate/pulse - Answer--100-160/min with brief fluctuations
Nursing care for newborn abstinence syndrome - Answer--Assess using syndrome-specific scoring
system
Monitor ability to feed and digest
Frequent, small feedings
Monitor for signs of dehydration and electrolyte imbalance
Provide non-nutritive sucking/pacifier
Swaddle with legs flexed
Reduce environmental stimuli
Signs of dehydration in infant - Answer--Weight loss
Dry mucous membranes
Absent skin turgor
Depressed fontanel
Urine output <1 mL/kg/hr
Urine-specific gravity >1.015
Apgar timing - Answer--1 minute and 5 minutes
If score is less than 7 at 5 minutes-> score again every 5 until 7 is reached or 20 minutes of life
, Supplements for newborn - Answer--400 IU Vitamin D daily
Vitamin B12 if breastfeeding parent is vegetarian or vegan
Anterior fontanel - Answer--5cm on average and diamond shaped
Posterior fontanel - Answer--Smaller than 5cm and triangle shaped
Normal fontanel findings - Answer--Should be soft and flat
Can bulge during crying, coughing or vomiting
Sutures should be palpable, separated and can be overlapping (molding) from head compression during
labor
Postpartum blood pressure - Answer--Check every 15 min for first 2 hours
Might be slightly elevated due to extra blood volume
Orthostatic hypotension is common
Postpartum pulse - Answer--Check every 15 min for first 2 hours
Bradycardia for 6-10 days
Postpartum Respirations - Answer--Within normal limits with clear lung sounds
Postpartum temperature - Answer--Check right after birth, every 4 hours for first 8 hours, Q8 after that
Elevated up to 100.4 for first 24 hours
What is cleft lip and palate - Answer--failure of fusion of maxillary and frontonasal processes
VBAC - Answer--vaginal birth after cesarean section
Who is a candidate for VBAC - Answer--1-2 previous low transverse c-sections
No other uterine scars
Only clients who had non-recurring events:
Breech position
Abnormal FHR pattern
Dysfunctional labor
Contraindications for VBAC - Answer--Large for gestational age newborn
Malpresentation (breech)
Cephalopelvic disproportion (big head baby, mom little pelvis)
Previous "classical" incision c-section
Dysfunctional Labor - Answer--Atypical uterine contraction patterns
Weak, inefficient or absent contractions
Excessively frequent, uncoordinated and strong/intense contractions with inadequate uterine relaxation
Failure to efface and dilate cervix
AVA - Answer--2 arteries, 1 vein in umbilical cord
,Newborn respiratory rate - Answer--30-60/min
short periods of apnea <15 seconds during REM sleep
Newborn heart rate/pulse - Answer--100-160/min with brief fluctuations
Nursing care for newborn abstinence syndrome - Answer--Assess using syndrome-specific scoring
system
Monitor ability to feed and digest
Frequent, small feedings
Monitor for signs of dehydration and electrolyte imbalance
Provide non-nutritive sucking/pacifier
Swaddle with legs flexed
Reduce environmental stimuli
Signs of dehydration in infant - Answer--Weight loss
Dry mucous membranes
Absent skin turgor
Depressed fontanel
Urine output <1 mL/kg/hr
Urine-specific gravity >1.015
Apgar timing - Answer--1 minute and 5 minutes
If score is less than 7 at 5 minutes-> score again every 5 until 7 is reached or 20 minutes of life
, Supplements for newborn - Answer--400 IU Vitamin D daily
Vitamin B12 if breastfeeding parent is vegetarian or vegan
Anterior fontanel - Answer--5cm on average and diamond shaped
Posterior fontanel - Answer--Smaller than 5cm and triangle shaped
Normal fontanel findings - Answer--Should be soft and flat
Can bulge during crying, coughing or vomiting
Sutures should be palpable, separated and can be overlapping (molding) from head compression during
labor
Postpartum blood pressure - Answer--Check every 15 min for first 2 hours
Might be slightly elevated due to extra blood volume
Orthostatic hypotension is common
Postpartum pulse - Answer--Check every 15 min for first 2 hours
Bradycardia for 6-10 days
Postpartum Respirations - Answer--Within normal limits with clear lung sounds
Postpartum temperature - Answer--Check right after birth, every 4 hours for first 8 hours, Q8 after that
Elevated up to 100.4 for first 24 hours
What is cleft lip and palate - Answer--failure of fusion of maxillary and frontonasal processes
