Exam 2 Review Mother Baby with
correct answers rated A+ passed
nursing care after amniocentesis - ANS ✔✔monitor for bleeding
monitor baby
monitor contractions and heart tones
monitor mom's vital signs
monitor for fetal movement
educate that she should feel baby move
educate when she should come back (leaking, bleeding, decreased fetal movement)
What is a biophysical profile? - ANS ✔✔NST and will look at fetal breathing movements, gross
fetal movements, fetal tone and amniotic fluid.
1 week reassurance that baby will be okay
acute indicator of hypoxia - ANS ✔✔fetal heart rate activity (decels and sometimes variables)
chronic indicator of hypoxia - ANS ✔✔low amniotic fluid
NST - ANS ✔✔no contractions and baby is not stressed: monitoring for 20 minutes without
stress
reactive reassuring - ANS ✔✔at least 2 accelerations in a 20 min period and at least 15 beats
per min above baseline and lasting 15 sec reassuring baby is oxygenated
,CST - ANS ✔✔stimulating contractions with pitocin to try and force stress to see if baby can
tolerate labor
how is CST interpreted - ANS ✔✔we ant 2-3 contractions and if we have repetitive lates with
every contraction, it is a positive test
positive CST is - ANS ✔✔BAD
S/S of infection in a newborn - ANS ✔✔low temp
elevated white count
glucose instability
respiratory distress
lethargic and not feeding
neonatal circulation - ANS ✔✔1. pulmonary vessels dilate
2. ductus venosus, foraman ovale, and ductus arteriosus constrict
3. oxygenation is needed (1st breath)
interventions for hypothermia - ANS ✔✔check if cold
double wrap
put hat on
skin on skin
make sure they are dry
Reevaluate in 30 min and if they are still the same put under warmer
babies get cold very easy and lose heat from the - ANS ✔✔head
, hyperthermia - ANS ✔✔use servo mode with probe that regulates core temp
hypothermia - ANS ✔✔check if cold
double wrap
skin to skin
make sure dry
Physiologic jaundice - ANS ✔✔peaks 2-4 days of life
risk factors for physiologic jaundice - ANS ✔✔trauma
increased breakdown of RBC
vacuum assist
poor feeders
treatment for jaundice - ANS ✔✔feed so baby can pee and poop
priority concern for baby under bili lights - ANS ✔✔eye protection
pathologic jaundice - ANS ✔✔24 hours of life
occurs usually because of a RH incompatibility
Signs of hypoglycemia - ANS ✔✔jitteriness
lethargic
respiratory depression
glucose instability
correct answers rated A+ passed
nursing care after amniocentesis - ANS ✔✔monitor for bleeding
monitor baby
monitor contractions and heart tones
monitor mom's vital signs
monitor for fetal movement
educate that she should feel baby move
educate when she should come back (leaking, bleeding, decreased fetal movement)
What is a biophysical profile? - ANS ✔✔NST and will look at fetal breathing movements, gross
fetal movements, fetal tone and amniotic fluid.
1 week reassurance that baby will be okay
acute indicator of hypoxia - ANS ✔✔fetal heart rate activity (decels and sometimes variables)
chronic indicator of hypoxia - ANS ✔✔low amniotic fluid
NST - ANS ✔✔no contractions and baby is not stressed: monitoring for 20 minutes without
stress
reactive reassuring - ANS ✔✔at least 2 accelerations in a 20 min period and at least 15 beats
per min above baseline and lasting 15 sec reassuring baby is oxygenated
,CST - ANS ✔✔stimulating contractions with pitocin to try and force stress to see if baby can
tolerate labor
how is CST interpreted - ANS ✔✔we ant 2-3 contractions and if we have repetitive lates with
every contraction, it is a positive test
positive CST is - ANS ✔✔BAD
S/S of infection in a newborn - ANS ✔✔low temp
elevated white count
glucose instability
respiratory distress
lethargic and not feeding
neonatal circulation - ANS ✔✔1. pulmonary vessels dilate
2. ductus venosus, foraman ovale, and ductus arteriosus constrict
3. oxygenation is needed (1st breath)
interventions for hypothermia - ANS ✔✔check if cold
double wrap
put hat on
skin on skin
make sure they are dry
Reevaluate in 30 min and if they are still the same put under warmer
babies get cold very easy and lose heat from the - ANS ✔✔head
, hyperthermia - ANS ✔✔use servo mode with probe that regulates core temp
hypothermia - ANS ✔✔check if cold
double wrap
skin to skin
make sure dry
Physiologic jaundice - ANS ✔✔peaks 2-4 days of life
risk factors for physiologic jaundice - ANS ✔✔trauma
increased breakdown of RBC
vacuum assist
poor feeders
treatment for jaundice - ANS ✔✔feed so baby can pee and poop
priority concern for baby under bili lights - ANS ✔✔eye protection
pathologic jaundice - ANS ✔✔24 hours of life
occurs usually because of a RH incompatibility
Signs of hypoglycemia - ANS ✔✔jitteriness
lethargic
respiratory depression
glucose instability