NU 404 Unit 5 Questions and Answers| New Update with 100% Correct Answers
What is acrocyanosis? peripheral cyanosis; bluish discoloration of hands and feet in most
newborns at birth that is a normal finding for the first 24 hr
- may last for 7-10 days
The Ballard scale is.... a gestational age assessment.
- abbreviated scale determines gestational age.
- Dubowitz score.
Core values professional values
In regards to maternal history, we need to know if mom has had... any communicable
diseases or been around someone with a communicable disease in the past 14 days
Involution is reduction in size of the uterus after birth and its return to its non-pregnant
conditions
The uterus decreases _______ a day 1-2 cm (1 finger breath)
Subinvolution is failure of a part (e.g. the uterus) to reduce to its normal size and condition
after enlargement from functional activity.
Subinvolution is r/t fibromas, infection, or retained placenta fragments
The first assessment of the newborn is performed when? immediately after birth and at
discharge
The FHR could be elevated if... mom is dehydrated.
,A c-section puts baby at greater risk for... retained secretions.
- vaginal births aid in clearing baby's lungs bc it compresses baby's chest. (intrathoracic
pressure)
Do babies have discharges? no.
If mom's RPR is active, will the baby go home? no.
- check for syphilis in all newborns
- make sure RPR in non reactive
Describe Apgar scoring. rapid numeric assessment of the newborn's transition to
extrauterine life based on 5 signs that indicate the physical state of the neonate
What are the 5 signs in the Apgar scoring? 1: heart rate, based on auscultation or palpation
of the umbilical cord.
2: resp. effort, based on observed movement of the chest wall.
3: muscle tone, based on degree of flexion and movements of extremities
4: reflex irritability, based on response to suctioning of the nares/gentle slaps on soles of feet
5: generalized skin color, described as pallor, cyanotic, or pink.
When do we do Apgar scoring? 1 min, 5 min, 10 min.
- even if infant scores perfectly, he/she will still be reassessed.
What does a 0-3 Apgar score indicate? distress
What does a 4-6 Apgar score indicate? moderate difficulty
, What does a 7-10 Apgar score indicate? infant should have no difficulty adjusting to
extrauterine life
If a baby is not moving or crying, we give a gentle rub on the .... sternum
When using the bulb syringe, we suction the... mouth first, then nose while baby is on moms
perineum
What does wharton's jelly do? keeps umbilical cord from getting tangled
Where do we cut umbilical cord? right in front of cord clamp
- check to make sure vessels (3) are there: 2 arteries, 1 vein.
The first temp we take is rectal; axillary temps after that. (remove vernix under arm, it alters
reading)
After a bath, we should get another temp; be sure it has not dropped
- if baby gets too cold they will have cold stress
How often do we take VS every 30 min until stable
The postpartum period is the interval between birth and the return of the reproductive
organs to their normal non-pregnant state
- aka the puerperium, or 4th trimester of pregnancy
Postpartum nursing assessment involves rest, ambulation, nutrition, B&B (bladder and
bowel) function, lactation, health promotion
What is acrocyanosis? peripheral cyanosis; bluish discoloration of hands and feet in most
newborns at birth that is a normal finding for the first 24 hr
- may last for 7-10 days
The Ballard scale is.... a gestational age assessment.
- abbreviated scale determines gestational age.
- Dubowitz score.
Core values professional values
In regards to maternal history, we need to know if mom has had... any communicable
diseases or been around someone with a communicable disease in the past 14 days
Involution is reduction in size of the uterus after birth and its return to its non-pregnant
conditions
The uterus decreases _______ a day 1-2 cm (1 finger breath)
Subinvolution is failure of a part (e.g. the uterus) to reduce to its normal size and condition
after enlargement from functional activity.
Subinvolution is r/t fibromas, infection, or retained placenta fragments
The first assessment of the newborn is performed when? immediately after birth and at
discharge
The FHR could be elevated if... mom is dehydrated.
,A c-section puts baby at greater risk for... retained secretions.
- vaginal births aid in clearing baby's lungs bc it compresses baby's chest. (intrathoracic
pressure)
Do babies have discharges? no.
If mom's RPR is active, will the baby go home? no.
- check for syphilis in all newborns
- make sure RPR in non reactive
Describe Apgar scoring. rapid numeric assessment of the newborn's transition to
extrauterine life based on 5 signs that indicate the physical state of the neonate
What are the 5 signs in the Apgar scoring? 1: heart rate, based on auscultation or palpation
of the umbilical cord.
2: resp. effort, based on observed movement of the chest wall.
3: muscle tone, based on degree of flexion and movements of extremities
4: reflex irritability, based on response to suctioning of the nares/gentle slaps on soles of feet
5: generalized skin color, described as pallor, cyanotic, or pink.
When do we do Apgar scoring? 1 min, 5 min, 10 min.
- even if infant scores perfectly, he/she will still be reassessed.
What does a 0-3 Apgar score indicate? distress
What does a 4-6 Apgar score indicate? moderate difficulty
, What does a 7-10 Apgar score indicate? infant should have no difficulty adjusting to
extrauterine life
If a baby is not moving or crying, we give a gentle rub on the .... sternum
When using the bulb syringe, we suction the... mouth first, then nose while baby is on moms
perineum
What does wharton's jelly do? keeps umbilical cord from getting tangled
Where do we cut umbilical cord? right in front of cord clamp
- check to make sure vessels (3) are there: 2 arteries, 1 vein.
The first temp we take is rectal; axillary temps after that. (remove vernix under arm, it alters
reading)
After a bath, we should get another temp; be sure it has not dropped
- if baby gets too cold they will have cold stress
How often do we take VS every 30 min until stable
The postpartum period is the interval between birth and the return of the reproductive
organs to their normal non-pregnant state
- aka the puerperium, or 4th trimester of pregnancy
Postpartum nursing assessment involves rest, ambulation, nutrition, B&B (bladder and
bowel) function, lactation, health promotion
