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Exam 2 Review Mother Baby with correct answers rated A+ passed

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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

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