NRS 3026 Maternal Health Exam 1 Questions With
Complete Answers
Meconium - ANSWER the first stool of a newborn, greenish-black and with a tarry
consistency
Circumcision care - ANSWER -petroleum jelly in 1st 24hrs
- loose diaper
- no soap, commercial wipes until 5-6days later
- don't remove yellow exudate
circumcision methods - ANSWER -Mogen and Gomco clamp procedures (surgically
removed), wound is covered with sterile petroleum gauze.
-Plastibell procedure, after 5-7 days it drops of leaving a clean, well-healed excision.
-Most often have the Mogen or Gomco clamp used (minimal blood loss).
Erythromycin ointment - ANSWER ✓Trade Name: Ilotycin
✓Classification: Anti-infective
✓Dosage/Route/Frequency for population being served: PO (Neonates):
Ethylsuccinate— 20-50 mg/kg/day divided q 6-12 hr.
✓Action: Inhibits folic acid synthesis by preventing PABA use, which is necessary for
bacterial growth
✓Side Effects: •CNS-headache •CV-hypertension, tachycardia, dysrythmias
•EENT-burning, stinging •GI-bitter taste
✓Nursing Implications: •Monitor opthalmic exams and intraocular pressure readings
•Monitor blood counts; renal/heptic function tests and serum electrolytes during
long-term treatment •Assess for infection (vital signs; appearance of wound, sputum,
urine, and stool; WBC) at beginning of and during therapy
,Vitamin K and newborns - ANSWER born with low amounts in the body
- lackof intestinal bacteria
- may develop deficiency soon after birth
at risk of serious bleeding
Given within 1 hour of birth
Parents have a right to refuse any medications on behalf of newborn
Fontanelles - ANSWER Areas where the neonate's or infant's skull has not fused
together; usually disappear at approximately 18 months of age.
Molding - ANSWER Shaping of the fetal head by overlapping of the cranial bones to
facilitate movement through the birth canal during labor.
Cephalohematoma - ANSWER Swelling caused by bleeding between the osteum and
periosteum of the skull. This swelling does not cross suture lines.
Normally resolves on own
Caput succedaneum - ANSWER edematous swelling and ecchymosis of the presenting
part of the head caused by birth trauma
Subgaleal hemorrhage - ANSWER -Bleeding into the subgaleal compartment due to
ripping away of scalp from connective tissue
-Caused from force that compresses and drag head through pelvic cavity
May result in: hypovolemic shock, disseminated intravascular coagulation and death
Acrocyanosis - ANSWER Temporary cyanotic condition, usually in newborns resulting in
a bluish color around the lips, hands and fingernails, feet and toenails. May last for a few
hours and disappear with warming.
Considered normal
, Jaundice - ANSWER yellowing of the skin and the whites of the eyes caused by an
accumulation of bile pigment (bilirubin) in the blood
Physiologic Jaundice - ANSWER 60% resolves without treatment
pathological jaundice - ANSWER 0.2mg/dL increase per hour requires treatment
breastfeeding jaundice - ANSWER occurs during first week, idue to suboptimal milk
intake --> INC. TRANSIT TIME--> INC ENTEROHEPATIC CIRCULATION-->increased
unconjugated bilirubin, weight loss, dehydration, dec. stool
*EXACERBATION OF PHYSIOLOGIC JAUNDICE
Baby needs to poop
phototherapy for high billirubin - ANSWER ■ Maintain an eye mask over the newborn's
eyes for protection of corneas and retinas.
■ Keep the newborn undressed with the exception of a male newborn. A surgical mask
should be placed (like a bikini) over the genitalia to prevent possible testicular damage
from heat and light waves. Be sure to remove the metal strip from the mask to prevent
burning.
■ Avoid applying lotions or ointments to the skin because they absorb heat and can
cause burns.
■ Remove the newborn from phototherapy every 4 hr, and unmask the newborn's eyes,
checking
for inflammation or injury.
■ Reposition the newborn every 2 hr to expose all of the body surfaces to the
phototherapy lights and prevent pressure sores.
■ Check the lamp energy with a photometer per facility protocol.
■ Turn off the phototherapy lights before drawing blood for testing.
Ovulation - ANSWER The process of releasing a mature ovum into the fallopian tube
each month
Complete Answers
Meconium - ANSWER the first stool of a newborn, greenish-black and with a tarry
consistency
Circumcision care - ANSWER -petroleum jelly in 1st 24hrs
- loose diaper
- no soap, commercial wipes until 5-6days later
- don't remove yellow exudate
circumcision methods - ANSWER -Mogen and Gomco clamp procedures (surgically
removed), wound is covered with sterile petroleum gauze.
-Plastibell procedure, after 5-7 days it drops of leaving a clean, well-healed excision.
-Most often have the Mogen or Gomco clamp used (minimal blood loss).
Erythromycin ointment - ANSWER ✓Trade Name: Ilotycin
✓Classification: Anti-infective
✓Dosage/Route/Frequency for population being served: PO (Neonates):
Ethylsuccinate— 20-50 mg/kg/day divided q 6-12 hr.
✓Action: Inhibits folic acid synthesis by preventing PABA use, which is necessary for
bacterial growth
✓Side Effects: •CNS-headache •CV-hypertension, tachycardia, dysrythmias
•EENT-burning, stinging •GI-bitter taste
✓Nursing Implications: •Monitor opthalmic exams and intraocular pressure readings
•Monitor blood counts; renal/heptic function tests and serum electrolytes during
long-term treatment •Assess for infection (vital signs; appearance of wound, sputum,
urine, and stool; WBC) at beginning of and during therapy
,Vitamin K and newborns - ANSWER born with low amounts in the body
- lackof intestinal bacteria
- may develop deficiency soon after birth
at risk of serious bleeding
Given within 1 hour of birth
Parents have a right to refuse any medications on behalf of newborn
Fontanelles - ANSWER Areas where the neonate's or infant's skull has not fused
together; usually disappear at approximately 18 months of age.
Molding - ANSWER Shaping of the fetal head by overlapping of the cranial bones to
facilitate movement through the birth canal during labor.
Cephalohematoma - ANSWER Swelling caused by bleeding between the osteum and
periosteum of the skull. This swelling does not cross suture lines.
Normally resolves on own
Caput succedaneum - ANSWER edematous swelling and ecchymosis of the presenting
part of the head caused by birth trauma
Subgaleal hemorrhage - ANSWER -Bleeding into the subgaleal compartment due to
ripping away of scalp from connective tissue
-Caused from force that compresses and drag head through pelvic cavity
May result in: hypovolemic shock, disseminated intravascular coagulation and death
Acrocyanosis - ANSWER Temporary cyanotic condition, usually in newborns resulting in
a bluish color around the lips, hands and fingernails, feet and toenails. May last for a few
hours and disappear with warming.
Considered normal
, Jaundice - ANSWER yellowing of the skin and the whites of the eyes caused by an
accumulation of bile pigment (bilirubin) in the blood
Physiologic Jaundice - ANSWER 60% resolves without treatment
pathological jaundice - ANSWER 0.2mg/dL increase per hour requires treatment
breastfeeding jaundice - ANSWER occurs during first week, idue to suboptimal milk
intake --> INC. TRANSIT TIME--> INC ENTEROHEPATIC CIRCULATION-->increased
unconjugated bilirubin, weight loss, dehydration, dec. stool
*EXACERBATION OF PHYSIOLOGIC JAUNDICE
Baby needs to poop
phototherapy for high billirubin - ANSWER ■ Maintain an eye mask over the newborn's
eyes for protection of corneas and retinas.
■ Keep the newborn undressed with the exception of a male newborn. A surgical mask
should be placed (like a bikini) over the genitalia to prevent possible testicular damage
from heat and light waves. Be sure to remove the metal strip from the mask to prevent
burning.
■ Avoid applying lotions or ointments to the skin because they absorb heat and can
cause burns.
■ Remove the newborn from phototherapy every 4 hr, and unmask the newborn's eyes,
checking
for inflammation or injury.
■ Reposition the newborn every 2 hr to expose all of the body surfaces to the
phototherapy lights and prevent pressure sores.
■ Check the lamp energy with a photometer per facility protocol.
■ Turn off the phototherapy lights before drawing blood for testing.
Ovulation - ANSWER The process of releasing a mature ovum into the fallopian tube
each month
