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Nur 3490 Exam 2 - Set 2 Questions and Answers.

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Normal RR for pediatrics child - Answer RR: 30-60 per min Nursing considerations when feeding a child with tachypnea - Answer Normal RR: 30-60 per min Considerations: -Transient tachypnea of the newborn (TTN) is a term for a mild respiratory problem of babies that begins after birth and lasts about three days. -Other terms for TTN are "wet lungs" or type II respiratory distress syndrome. --Transient means temporary --Tachypnea means fast breathing rate Transient tachypnea of the newborn treatment - Answer Treatment may include: -Supplemental oxygen given by mask on the baby's face or by placing the baby under an oxygen hood -Blood tests (to measure blood oxygen levels) -Continuous positive airway pressure (CPAP) - a mechanical breathing machine that pushes a continuous flow of air or oxygen to the airways to help keep tiny air passages in the lungs open. ---Tube feedings may also be necessary if the baby's breathing rate is too high, because of the risk of aspiration of the food. ---Once TTN goes away, the baby usually recovers quickly and has no increased risk for additional respiratory problems. Transitory tachypnea of the newborn (TTN) is thought to occur as a result of: - Answer . Delayed absorption of fetal lung fluid. A nurse is caring for a newborn with transient tachypnea of the newborn (TTN). Which of the following responses made by the newborn's mother demonstrates that she understands the newborn's condition? Select all that apply. - Answer "Having a caesarean section increased the risk of transient tachypnea of the newborn." -Due to the extra squeezing's during the C-section, the babies are most at risk for TTN "The healthcare provider will need chest X-rays to monitor respiratory distress." -Amniotic fluids are trapped in the lungs causing TTN -Delayed absorption of fetal lung fluid into the body Benefits of breast milk - Answer -species specific for human newborns/infants

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Nur 3490 Exam 2 - Set 2 Questions and
Answers.
Normal RR for pediatrics child - Answer RR: 30-60 per min



Nursing considerations when feeding a child with tachypnea - Answer Normal RR: 30-60 per
min

Considerations:

-Transient tachypnea of the newborn (TTN) is a term for a mild respiratory problem of babies
that begins after birth and lasts about three days.

-Other terms for TTN are "wet lungs" or type II respiratory distress syndrome.

--Transient means temporary

--Tachypnea means fast breathing rate



Transient tachypnea of the newborn treatment - Answer Treatment may include:

-Supplemental oxygen given by mask on the baby's face or by placing the baby under an oxygen
hood

-Blood tests (to measure blood oxygen levels)

-Continuous positive airway pressure (CPAP) - a mechanical breathing machine that pushes a
continuous flow of air or oxygen to the airways to help keep tiny air passages in the lungs open.

---Tube feedings may also be necessary if the baby's breathing rate is too high, because of the
risk of aspiration of the food.

---Once TTN goes away, the baby usually recovers quickly and has no increased risk for
additional respiratory problems.



Transitory tachypnea of the newborn (TTN) is thought to occur as a result of: - Answer .
Delayed absorption of fetal lung fluid.



A nurse is caring for a newborn with transient tachypnea of the newborn (TTN). Which of the
following responses made by the newborn's mother demonstrates that she understands the
newborn's condition? Select all that apply. - Answer "Having a caesarean section increased the
risk of transient tachypnea of the newborn."

-Due to the extra squeezing's during the C-section, the babies are most at risk for TTN

"The healthcare provider will need chest X-rays to monitor respiratory distress."

-Amniotic fluids are trapped in the lungs causing TTN

-Delayed absorption of fetal lung fluid into the body



Benefits of breast milk - Answer -species specific for human newborns/infants

, -protects against infection (antibodies passed over from the mother)

-easily digested

-skin to skin

-bonding



Colostrum - Answer thin, milky fluid secreted by the breast during pregnancy and during the
first days after birth before lactation begins



A 37 week gravid client states that she noticed a "white liquid" leaking from her breast during a
recent shower. Which of the following nursing responses is appropriate at this time? - Answer
Reassure the mother that this is normal in the 3rd semester

-It is normal for colostrum to be expressed late in pregnancy



According to the recommendations of the American Academy of Pediatrics on infant nutrition: -
Answer Infants should be given only human milk for the first 6 months of life.



Meningitis - Answer Inflammation of brain and spinal cord membranes, typically caused by an
infection.

Meningitis is usually caused by a viral infection but can also be bacterial or fungal.

Vaccines can prevent some forms of meningitis.



Septic meningitis - Answer Caused by bacteria ONLY, associated with high mortality and
severity -> etiology is AGE dependent

-Medications: Steroids, Antibiotics, Penicillin



Aseptic meningitis - Answer Caused by viral infection

-Usually requires only supportive care such as:

--O2 administration

--Hospitalizations to monitor closely

--Medications: Steroids, Antibiotics, Penicillin



Newborn meningitis S/S - Answer poor muscle tone

weak cry

poor feeding

bulging fontanels (late sign)



3mo - 2 years menigitis S/S - Answer Seizures

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