NUR 335 Exam 4 Questions With
Correct Answers
What is the APGAR scale? What score requires resuscitation?
|| || || || || || || ||
- Appearance, Pulse, Grimace, Activity, Respiration;
|| || || || ||
- measure for evaluating newborn baby taken at 1 minute and 5
|| || || || || || || || || || || ||
minutes (each category scored from 0-2)
|| || || || ||
- Score less than 6 indicates need for resuscitation
|| || || || || || || ||
What are the reflexes that newborns should have?
|| || || || || || ||
Rooting
Sucking
Fencing/tonic
Moro/startle
Palmer
Plantar
Babinski
Stepping/dancing
,What are the three things that initial respirations in the neonate?
|| || || || || || || || || ||
Chemical stimuli: mild hypoxia
|| || ||
Mechanical stimuli: compression of chest during labor
|| || || || || ||
Sensory stimuli: thermal, tactile, auditory, and light stimuli (leads to
|| || || || || || || || || ||
crying which requires inspiration)
|| || ||
What are the 2 factors that negatively impact the transition to
|| || || || || || || || || || ||
breathing independently for a neonate?
|| || || ||
- Decreased lung surfactant as a result of immature lungs (often in
|| || || || || || || || || || || ||
premature infants) ||
- Severe or persistent hypoxemia and acidosis (hypoxia can result in
|| || || || || || || || || || ||
hypotonia which can increase the difficulty of respirations)
|| || || || || || ||
What are the signs of respiratory distress in a neonate?
|| || || || || || || || ||
Central cyanosis (around mouth and nose)
|| || || || ||
Tachypnea or apnea for more than 10 seconds
|| || || || || || ||
Grunting
Nostril flaring
||
Chest retractions
||
,Hypotonia
What are the three heart shunts that close as a neonate transitions
|| || || || || || || || || || || ||
to relying on it's own circulatory system?
|| || || || || ||
Ductus venosus: allows the oxygenated blood from the umbilical
|| || || || || || || || ||
cord to bypass the liver and go directly to the inferior vena cava
|| || || || || || || || || || || ||
Foramen ovale: opening between the right and left atria
|| || || || || || || ||
Ductus arteriosus: connects the pulmonary artery and the aorta
|| || || || || || || ||
What is the neonatal response to cold?
|| || || || || ||
Increased metabolic rate and increased O2 consumption
|| || || || || ||
Increased muscle activity and flexion
|| || || ||
Increased peripheral vasoconstriction
|| ||
Metabolism of brown adipose tissue || || || ||
** all of these can result in hypoglycemia
|| || || || || || ||
, What is the function of brown adipose tissue?
|| || || || || || ||
heat production
||
What is cold stress?
|| || ||
heat loss through convection, conduction, evaporation and radiation
|| || || || || || || ||
that results in a temperature decrease, which requires the body to
|| || || || || || || || || || ||
consume more energy || ||
What are the risk factors of developing cold stress?
|| || || || || || || ||
Being born prematurely
|| ||
SGA
Hypoglycemia
Prolonged resuscitation ||
Sepsis
Problems with the infant's neuro, endocrine, or cardiorespiratory
|| || || || || || || ||
systems
What are the four types of energy loss and examples in neonates?
|| || || || || || || || || || ||
Correct Answers
What is the APGAR scale? What score requires resuscitation?
|| || || || || || || ||
- Appearance, Pulse, Grimace, Activity, Respiration;
|| || || || ||
- measure for evaluating newborn baby taken at 1 minute and 5
|| || || || || || || || || || || ||
minutes (each category scored from 0-2)
|| || || || ||
- Score less than 6 indicates need for resuscitation
|| || || || || || || ||
What are the reflexes that newborns should have?
|| || || || || || ||
Rooting
Sucking
Fencing/tonic
Moro/startle
Palmer
Plantar
Babinski
Stepping/dancing
,What are the three things that initial respirations in the neonate?
|| || || || || || || || || ||
Chemical stimuli: mild hypoxia
|| || ||
Mechanical stimuli: compression of chest during labor
|| || || || || ||
Sensory stimuli: thermal, tactile, auditory, and light stimuli (leads to
|| || || || || || || || || ||
crying which requires inspiration)
|| || ||
What are the 2 factors that negatively impact the transition to
|| || || || || || || || || || ||
breathing independently for a neonate?
|| || || ||
- Decreased lung surfactant as a result of immature lungs (often in
|| || || || || || || || || || || ||
premature infants) ||
- Severe or persistent hypoxemia and acidosis (hypoxia can result in
|| || || || || || || || || || ||
hypotonia which can increase the difficulty of respirations)
|| || || || || || ||
What are the signs of respiratory distress in a neonate?
|| || || || || || || || ||
Central cyanosis (around mouth and nose)
|| || || || ||
Tachypnea or apnea for more than 10 seconds
|| || || || || || ||
Grunting
Nostril flaring
||
Chest retractions
||
,Hypotonia
What are the three heart shunts that close as a neonate transitions
|| || || || || || || || || || || ||
to relying on it's own circulatory system?
|| || || || || ||
Ductus venosus: allows the oxygenated blood from the umbilical
|| || || || || || || || ||
cord to bypass the liver and go directly to the inferior vena cava
|| || || || || || || || || || || ||
Foramen ovale: opening between the right and left atria
|| || || || || || || ||
Ductus arteriosus: connects the pulmonary artery and the aorta
|| || || || || || || ||
What is the neonatal response to cold?
|| || || || || ||
Increased metabolic rate and increased O2 consumption
|| || || || || ||
Increased muscle activity and flexion
|| || || ||
Increased peripheral vasoconstriction
|| ||
Metabolism of brown adipose tissue || || || ||
** all of these can result in hypoglycemia
|| || || || || || ||
, What is the function of brown adipose tissue?
|| || || || || || ||
heat production
||
What is cold stress?
|| || ||
heat loss through convection, conduction, evaporation and radiation
|| || || || || || || ||
that results in a temperature decrease, which requires the body to
|| || || || || || || || || || ||
consume more energy || ||
What are the risk factors of developing cold stress?
|| || || || || || || ||
Being born prematurely
|| ||
SGA
Hypoglycemia
Prolonged resuscitation ||
Sepsis
Problems with the infant's neuro, endocrine, or cardiorespiratory
|| || || || || || || ||
systems
What are the four types of energy loss and examples in neonates?
|| || || || || || || || || || ||
