FINAL EXAMINATION PAPER tb tb
tbCAPELLA NURS 4030 NURSING RESEARCH EXAM QUESTIONS ANSWERS tb tb tb tb tb tb tb
STUDENT NAME: ________________________________
tb tb DATE: _____________ tb
COURSE: NURS 4030 > EXAM #2 tb tb tb tb tb TIME: _____________ tb
EXAM CODE: CAPELLA NURS 4030 NURSING RESEARCH
tb tb tb tb tb tb tb
EXAM QUESTIONS ANSWERS-101
tb tb
EXAM INSTRUCTIONS:tb
1. Print your full name and date clearly in the header above.
tb tb tb tb tb tb tb tb tb tb tb
2. This exam booklet contains both Test Questions (Part I) and Verified Solutions (Part II).
tb tb tb tb tb tb tb tb tb tb tb tb tb tb
3. Answer all multiple-choice questions clearly. Double-check your work.
tb tb tb tb tb tb tb tb
4. Do not break the seal or open this booklet until instructed to do so by the proctor.
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
Q1. stages of transition to extrauterine life
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[Verified Solution]: major adaptations occur during the first 6-
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8 hours after birth 1st stage= reactivity 2nd stage=decreased responsiveness (baby starts to turn pink) 3rd s
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tage= period of reactivity pt. 2--> meconium passed, feeding, mother-baby bonding
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Q2. respiratory system adaptations
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[Verified Solution]: initiation of breathing occurs clamping the umbilical cord increases fetal perfusion in
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creased CO2 can occur due to fetal hypoxia during labor can increase respiratory drive change in the baby'
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s body temperature upon birth can increase respiratory drive dry and stimulate baby to stimulate respiratio
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ns
Q3. why is it important that we ensure nasal patency in the fetus?
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[Verified Solution]: babies are obligate nose breathers they do not develop the reflex to mouth breathe un
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til week 3 use a bulb syringe to clear the baby's nasal passages
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Q4. signs of fetal respiratory distress
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[Verified Solution]: nasal flaring tachypnea >60 breaths/min or bradypnea <30 breaths/min intercostal or
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subcostal retractions (indicative of upper airway obstruction) apneic episodes greater than 20 seconds (<20
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bis normal); apnea can indicate sepsis O2 saturation of less than 95% grunting respiratory distress is the firs
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t sign of fetal decline
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,Q5. transient tachypnea of the fetus
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[Verified Solution]: fast breathing for a short period of time during transition stage (1st hours of life) mor
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e common in c-
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section babies watchful waiting and supportive care are indicated to ensure the tachypnea is only transient
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and not a sign of fetal respiratory distress
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Q6. newborn respirations
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[Verified Solution]: shallow and irregular count for a full minute
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Q7. cardiovascular adaptations in the fetus
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[Verified Solution]: foramen ovale closes ductus arteriosus constricts in response to increased oxygenatio
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n and circulating prostaglandin E2. ductus arteriosus closes FUNCTIONALLY within 24 hrs and PERMA
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NENTLY within 2- tb tb
3 months umbilical arteries, vein, and ductus venous close increase in fetal oxygenation after birth triggers
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bthe patent ductus arteriosus to close and become a ligament of the heart
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Q8. 1st breath of the fetus
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[Verified Solution]: increases pulmonary vascular resistance decrease thereby increasing blood flow
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Q9. fetal MAP
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[Verified Solution]: MAP = gestational age for the fetus
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Q10. fetal blood volume
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[Verified Solution]: approximately 100 mL per kg of body weight
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Q11. delayed cord clamping
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[Verified Solution]: may be helpful for preterm babies associated with increased blood volume and blood
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pressure
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Q12. signs of fetal cardiovascular problems
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[Verified Solution]: persistent tachycardia <160 BPM w/out change; may indicate anemia, hypovolemia,
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fever, hyperthermia persistent bradycardia <100 BPM; may indicate hypoxemia or a congenital heart defec
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t VS variations unequal or absent pulses or a bounding pulse decreased of elevated BP skin color that is pa
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, le or mottled (anemia,vasoconstriction, asphyxia, intrapartum infection) central cyanosis (if prolonged, this
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bis a late sign of cardiac distress)
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Q13. acrocyanosis
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[Verified Solution]: the bluish discoloration of hands and feet normal finding in the first 24 hours after bi
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rth
Q14. Red blood cells in the newborn
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[Verified Solution]: fetus needs additional RBCs for transport of oxygen in utero higher RBCs, hgb, and
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hct than those in an adult; levels will fall slowly over the first month. iron stores are sufficient to sustain n
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ormal RBC production for approximately 4 months but then decrease, transient anemia can occur
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Q15. newborn leukocytes
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[Verified Solution]: leukocytosis at birth is normal initial high WBC count decreases rapidly
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Q16. platelets in the newborn
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[Verified Solution]: same level as adult (150,000-
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300,000) levels of clotting factors increase slowly, so give vitamin K shot at birth to decrease the risk of h
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emorrhage
Q17. cord blood sample
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[Verified Solution]: can be used to identify the infant's blood type and Rh status
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Q18. thermoregulation
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[Verified Solution]: the maintenance of balance between heat loss and heat production
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Q19. hypothermia in the newborn
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[Verified Solution]: common and potentially serious problem occurring due to excessive heat loss
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Q20. anatomic and physiological characteristics that place a newborn at risk for heat loss
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[Verified Solution]: thin layer of subcutaneous fat larger body surface-to-body weight ratio
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tbCAPELLA NURS 4030 NURSING RESEARCH EXAM QUESTIONS ANSWERS tb tb tb tb tb tb tb
STUDENT NAME: ________________________________
tb tb DATE: _____________ tb
COURSE: NURS 4030 > EXAM #2 tb tb tb tb tb TIME: _____________ tb
EXAM CODE: CAPELLA NURS 4030 NURSING RESEARCH
tb tb tb tb tb tb tb
EXAM QUESTIONS ANSWERS-101
tb tb
EXAM INSTRUCTIONS:tb
1. Print your full name and date clearly in the header above.
tb tb tb tb tb tb tb tb tb tb tb
2. This exam booklet contains both Test Questions (Part I) and Verified Solutions (Part II).
tb tb tb tb tb tb tb tb tb tb tb tb tb tb
3. Answer all multiple-choice questions clearly. Double-check your work.
tb tb tb tb tb tb tb tb
4. Do not break the seal or open this booklet until instructed to do so by the proctor.
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
Q1. stages of transition to extrauterine life
tbtb tb tb tb tb tb
[Verified Solution]: major adaptations occur during the first 6-
tb tbtb tb tb tb tb tb tb
8 hours after birth 1st stage= reactivity 2nd stage=decreased responsiveness (baby starts to turn pink) 3rd s
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
tage= period of reactivity pt. 2--> meconium passed, feeding, mother-baby bonding
tb tb tb tb tb tb tb tb tb tb
Q2. respiratory system adaptations
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[Verified Solution]: initiation of breathing occurs clamping the umbilical cord increases fetal perfusion in
tb tbtb tb tb tb tb tb tb tb tb tb tb tb
creased CO2 can occur due to fetal hypoxia during labor can increase respiratory drive change in the baby'
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
s body temperature upon birth can increase respiratory drive dry and stimulate baby to stimulate respiratio
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
ns
Q3. why is it important that we ensure nasal patency in the fetus?
tbtb tb tb tb tb tb tb tb tb tb tb tb
[Verified Solution]: babies are obligate nose breathers they do not develop the reflex to mouth breathe un
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
til week 3 use a bulb syringe to clear the baby's nasal passages
tb tb tb tb tb tb tb tb tb tb tb tb
Q4. signs of fetal respiratory distress
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[Verified Solution]: nasal flaring tachypnea >60 breaths/min or bradypnea <30 breaths/min intercostal or
tb tbtb tb tb tb tb tb tb tb tb tb tb tb
subcostal retractions (indicative of upper airway obstruction) apneic episodes greater than 20 seconds (<20
tb tb tb tb tb tb tb tb tb tb tb tb tb t
bis normal); apnea can indicate sepsis O2 saturation of less than 95% grunting respiratory distress is the firs
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
t sign of fetal decline
tb tb tb tb
,Q5. transient tachypnea of the fetus
tbtb tb tb tb tb
[Verified Solution]: fast breathing for a short period of time during transition stage (1st hours of life) mor
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
e common in c-
tb tb tb
section babies watchful waiting and supportive care are indicated to ensure the tachypnea is only transient
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
and not a sign of fetal respiratory distress
tb tb tb tb tb tb tb
Q6. newborn respirations
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[Verified Solution]: shallow and irregular count for a full minute
tb tbtb tb tb tb tb tb tb tb
Q7. cardiovascular adaptations in the fetus
tbtb tb tb tb tb
[Verified Solution]: foramen ovale closes ductus arteriosus constricts in response to increased oxygenatio
tb tbtb tb tb tb tb tb tb tb tb tb tb
n and circulating prostaglandin E2. ductus arteriosus closes FUNCTIONALLY within 24 hrs and PERMA
tb tb tb tb tb tb tb tb tb tb tb tb tb
NENTLY within 2- tb tb
3 months umbilical arteries, vein, and ductus venous close increase in fetal oxygenation after birth triggers
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb t
bthe patent ductus arteriosus to close and become a ligament of the heart
tb tb tb tb tb tb tb tb tb tb tb tb
Q8. 1st breath of the fetus
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[Verified Solution]: increases pulmonary vascular resistance decrease thereby increasing blood flow
tb tbtb tb tb tb tb tb tb tb tb
Q9. fetal MAP
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[Verified Solution]: MAP = gestational age for the fetus
tb tbtb tb tb tb tb tb tb
Q10. fetal blood volume
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[Verified Solution]: approximately 100 mL per kg of body weight
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Q11. delayed cord clamping
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[Verified Solution]: may be helpful for preterm babies associated with increased blood volume and blood
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb
pressure
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Q12. signs of fetal cardiovascular problems
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[Verified Solution]: persistent tachycardia <160 BPM w/out change; may indicate anemia, hypovolemia,
tb tbtb tb tb tb tb tb tb tb tb tb tb
fever, hyperthermia persistent bradycardia <100 BPM; may indicate hypoxemia or a congenital heart defec
tb tb tb tb tb tb tb tb tb tb tb tb tb
t VS variations unequal or absent pulses or a bounding pulse decreased of elevated BP skin color that is pa
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
, le or mottled (anemia,vasoconstriction, asphyxia, intrapartum infection) central cyanosis (if prolonged, this
tb tb tb tb tb tb tb tb tb tb tb t
bis a late sign of cardiac distress)
tb tb tb tb tb tb
Q13. acrocyanosis
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[Verified Solution]: the bluish discoloration of hands and feet normal finding in the first 24 hours after bi
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
rth
Q14. Red blood cells in the newborn
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[Verified Solution]: fetus needs additional RBCs for transport of oxygen in utero higher RBCs, hgb, and
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
hct than those in an adult; levels will fall slowly over the first month. iron stores are sufficient to sustain n
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
ormal RBC production for approximately 4 months but then decrease, transient anemia can occur
tb tb tb tb tb tb tb tb tb tb tb tb tb
Q15. newborn leukocytes
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[Verified Solution]: leukocytosis at birth is normal initial high WBC count decreases rapidly
tb tbtb tb tb tb tb tb tb tb tb tb tb
Q16. platelets in the newborn
tbtb tb tb tb
[Verified Solution]: same level as adult (150,000-
tb tbtb tb tb tb tb
300,000) levels of clotting factors increase slowly, so give vitamin K shot at birth to decrease the risk of h
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
emorrhage
Q17. cord blood sample
tbtb tb tb
[Verified Solution]: can be used to identify the infant's blood type and Rh status
tb tbtb tb tb tb tb tb tb tb tb tb tb tb
Q18. thermoregulation
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[Verified Solution]: the maintenance of balance between heat loss and heat production
tb tbtb tb tb tb tb tb tb tb tb tb
Q19. hypothermia in the newborn
tbtb tb tb tb
[Verified Solution]: common and potentially serious problem occurring due to excessive heat loss
tb tbtb tb tb tb tb tb tb tb tb tb tb
Q20. anatomic and physiological characteristics that place a newborn at risk for heat loss
tbtb tb tb tb tb tb tb tb tb tb tb tb tb
[Verified Solution]: thin layer of subcutaneous fat larger body surface-to-body weight ratio
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