HURST CORE MAIN ALL QUESTIONS AND
ANSWERS SURE A+
✔✔what is the treatment for mastitis ? - ✔✔- bed rest
- support bra
- binding and chilled cabbage leaves
- if mom is going to continue to breastfeed, she needs to initiate breastfeeding
frequently or pump
- feed baby frequently
- always offer the affected breast first
✔✔what immediate care should one give a newborn? - ✔✔- maintain body temp
- apgar
- erythromycin
- phytonadione ( vitamin K )
✔✔when is apgar assessed? - ✔✔1-5 minutes
- want at least a score 8-10
- look at HR, resp, muscle tone, reflex irritability
✔✔what kind of cord care do you give a newborn? - ✔✔- dries and falls off in 10-14
days
- cleanse with each diaper change using alcohol or normal saline
- fold diaper below the cord
- no immersion until cord falls off. watch for infection
✔✔Why do babies sometimes experience hypoglycemia after birth? - ✔✔because they
are not getting glucose from the mother
✔✔babies at greatest risk for hypoglycemia include those that are what? - ✔✔- large
gestational age
,✔✔babies that come from diabetic moms come out how? - ✔✔- small for gestational
age
✔✔When does pathologic jaundice occur? - ✔✔1st 24 hours
- usually means Rh/ABO incompatibility
✔✔when does physiological jaundice occur ( hyperbilirubinemia) ? - ✔✔- after 24 hours
- due to both the normal hemolysis of excess RBCs releasing bilirubin, and immaturity
of the liver
✔✔When does Rh sensitization or Rh factor occur? - ✔✔- occur when you have an Rh-
mother with an Rh+ baby
✔✔Rh+ blood from baby comes in contact with mother's Rh ____________ blood -
✔✔negative
✔✔which off spring is not affected by antibodies? - ✔✔- first offspring
✔✔the chances of an Rh- mom forming antibodies to Rh+ blood increases with each
pregnancy? why? - ✔✔because with every pregnancy of an Rh+ baby, there is a risk for
the mom's Rh- blood coming in contact with the babys Rh+ blood
✔✔what happens if an Rh- sensitized mom gets pregnant again? - ✔✔- the antibodies
that the mother has developed will enter the babys blood stream through the placenta.
the babys RBCs begin to breakdown; this is known as hemolysis
- since the baby has an increase in the breakdown of RBCs, it tries to compensat by
releasing lots of immature RBCs
✔✔the name for the Erythrolastosis of immature RBCs in the fetal circulation is called
what? - ✔✔- erythroblastosis fetalis
✔✔indirect coombs - ✔✔Done on mother measures number of antibodies in blood
✔✔direct coombs - ✔✔Done on baby tells you if there are any antibodies stuck in the
RBC's
- done on the cord
✔✔what is the treatment for Rh sensation ? - ✔✔- frequent ultrasounds
✔✔how can one prevent Rh sensitization? - ✔✔- RhoGAM
✔✔when is RoGAM given? - ✔✔- give to mother within 72 hours AFTER BIRTH
- most PCP give RhoGAM twice ----- once at 28 weeks gestation ad again within 72
after birth
, ✔✔how does RhoGAM work? - ✔✔- destorys positive fetal blood cells that get into the
mothers negative blood and RhoGAM must do this before antibodies are formed
✔✔RHO (D) Immune/globulin ( rhogam) rule - ✔✔- once antibodies are formed, the
woman has them for life
✔✔growth is an increase in physical size and development in an increase in capability
or ______________ - ✔✔function
✔✔what does not always follow growth and chronological age? - ✔✔- development
- chronological age and developmental age are two different things
✔✔caphalocaudal development that moves from the __________ downward through
the body and towards the feet - ✔✔head
✔✔proximodistal developement that moves from the __________ of the body outward
to the extremities - ✔✔center
✔✔for a child with a heart defect, would you give them something to do that will get
them excited and increase their heart rate? - ✔✔- no
- no because that increase the workload on the heart, and NEVER want to increase the
workload on the heart of a client with heart disease
✔✔you are taking care of a 5 month old baby. what toy is most appropriate for the
infant?
1. rattle
2. stuffed animal they can grasp
3. puzzle with big pieces
4. nursery rhyme CD - ✔✔- 1. rattle
✔✔when a baby is born, they have an _____________ grasp reflex - ✔✔involuntary
✔✔you are caring for an 11 year old boy in the hospital. what would be an appropriate
activity to him? select all that apply.
1. frequent visits from friends
2. playing video games in the room
3. coin collecting
4. watching tv
5. reading his favorite book - ✔✔2. playing video games in the room
3. coin collecting
4. watching tv
5. reading his favorite book
ANSWERS SURE A+
✔✔what is the treatment for mastitis ? - ✔✔- bed rest
- support bra
- binding and chilled cabbage leaves
- if mom is going to continue to breastfeed, she needs to initiate breastfeeding
frequently or pump
- feed baby frequently
- always offer the affected breast first
✔✔what immediate care should one give a newborn? - ✔✔- maintain body temp
- apgar
- erythromycin
- phytonadione ( vitamin K )
✔✔when is apgar assessed? - ✔✔1-5 minutes
- want at least a score 8-10
- look at HR, resp, muscle tone, reflex irritability
✔✔what kind of cord care do you give a newborn? - ✔✔- dries and falls off in 10-14
days
- cleanse with each diaper change using alcohol or normal saline
- fold diaper below the cord
- no immersion until cord falls off. watch for infection
✔✔Why do babies sometimes experience hypoglycemia after birth? - ✔✔because they
are not getting glucose from the mother
✔✔babies at greatest risk for hypoglycemia include those that are what? - ✔✔- large
gestational age
,✔✔babies that come from diabetic moms come out how? - ✔✔- small for gestational
age
✔✔When does pathologic jaundice occur? - ✔✔1st 24 hours
- usually means Rh/ABO incompatibility
✔✔when does physiological jaundice occur ( hyperbilirubinemia) ? - ✔✔- after 24 hours
- due to both the normal hemolysis of excess RBCs releasing bilirubin, and immaturity
of the liver
✔✔When does Rh sensitization or Rh factor occur? - ✔✔- occur when you have an Rh-
mother with an Rh+ baby
✔✔Rh+ blood from baby comes in contact with mother's Rh ____________ blood -
✔✔negative
✔✔which off spring is not affected by antibodies? - ✔✔- first offspring
✔✔the chances of an Rh- mom forming antibodies to Rh+ blood increases with each
pregnancy? why? - ✔✔because with every pregnancy of an Rh+ baby, there is a risk for
the mom's Rh- blood coming in contact with the babys Rh+ blood
✔✔what happens if an Rh- sensitized mom gets pregnant again? - ✔✔- the antibodies
that the mother has developed will enter the babys blood stream through the placenta.
the babys RBCs begin to breakdown; this is known as hemolysis
- since the baby has an increase in the breakdown of RBCs, it tries to compensat by
releasing lots of immature RBCs
✔✔the name for the Erythrolastosis of immature RBCs in the fetal circulation is called
what? - ✔✔- erythroblastosis fetalis
✔✔indirect coombs - ✔✔Done on mother measures number of antibodies in blood
✔✔direct coombs - ✔✔Done on baby tells you if there are any antibodies stuck in the
RBC's
- done on the cord
✔✔what is the treatment for Rh sensation ? - ✔✔- frequent ultrasounds
✔✔how can one prevent Rh sensitization? - ✔✔- RhoGAM
✔✔when is RoGAM given? - ✔✔- give to mother within 72 hours AFTER BIRTH
- most PCP give RhoGAM twice ----- once at 28 weeks gestation ad again within 72
after birth
, ✔✔how does RhoGAM work? - ✔✔- destorys positive fetal blood cells that get into the
mothers negative blood and RhoGAM must do this before antibodies are formed
✔✔RHO (D) Immune/globulin ( rhogam) rule - ✔✔- once antibodies are formed, the
woman has them for life
✔✔growth is an increase in physical size and development in an increase in capability
or ______________ - ✔✔function
✔✔what does not always follow growth and chronological age? - ✔✔- development
- chronological age and developmental age are two different things
✔✔caphalocaudal development that moves from the __________ downward through
the body and towards the feet - ✔✔head
✔✔proximodistal developement that moves from the __________ of the body outward
to the extremities - ✔✔center
✔✔for a child with a heart defect, would you give them something to do that will get
them excited and increase their heart rate? - ✔✔- no
- no because that increase the workload on the heart, and NEVER want to increase the
workload on the heart of a client with heart disease
✔✔you are taking care of a 5 month old baby. what toy is most appropriate for the
infant?
1. rattle
2. stuffed animal they can grasp
3. puzzle with big pieces
4. nursery rhyme CD - ✔✔- 1. rattle
✔✔when a baby is born, they have an _____________ grasp reflex - ✔✔involuntary
✔✔you are caring for an 11 year old boy in the hospital. what would be an appropriate
activity to him? select all that apply.
1. frequent visits from friends
2. playing video games in the room
3. coin collecting
4. watching tv
5. reading his favorite book - ✔✔2. playing video games in the room
3. coin collecting
4. watching tv
5. reading his favorite book
