Exam 2 NR 327 Complete Course Final Questions and Correct solutions

Exam 2 NR 327 Complete Course Final Questions and Correct solutions Know how to determine the newborn APGAR score based on the assessment information provided. (review table 15.4 on page 425 of your required textbook) - CORRECT ANSWER-0 A (Activity) limp P (pulse) absent G (Grimace/Reflex) no response A (apperance/color) pallor or cyanosis R (Respiration) . No spontaneous Apgar score 2 reveals - CORRECT ANSWER--Greater than 100 hr -spontaneous lust, strong cry -Flexed body posture -responds promptly -pink (white) -cyanosis (black) -pink mucous membranes. Common medication administered to newborns at delivery and how to administer them - CORRECT ANSWER-1) Vitamin K Phytonadione- intramuscular- vastus lateralis muscle. 2) Erythromycin Ophthalmic Ointment- From inner to outer canthus 3)Hepatitis B immunization- the schedule is at birth, 1 month, and 6 months. different site than vit k. What is the treatment for newborn born to mother who is Hep B positive - CORRECT ANSWER-hepatitis B immunoglobulin and the hepatitis B vaccine is given within 12 hr of birth. (dif sites) Know priority interventions for immediate newborn care - CORRECT ANSWER-1) Stabilize infant. cough reflex, then suction mouth then nose. 2) 2 identification 3) warm infant Know normal newborn assessments (review table 20.2 on pages 555-559 of your required textbook) - CORRECT ANSWER-Vitals length (19-21 inches) Head circumference (13-15 in) chest (12-14in) 2 less than head APGAR 3 vessels in cord Know normal newborn vital signs range - CORRECT ANSWER-Temp: 97.7-99.5 F HR: 120-160 RR: 30-60 BP- 65/30 Know care of the newborn umbilical cord stump and parent teaching - CORRECT ANSWER-Make sure it is clamped. 24-48 hours- comes off when they go home. Use only water look for erythema, edema, and drainage with each diaper change. cord falls off 10-14 days Keep diaper folded down. do not submerge in water. Know normal versus abnormal healing of the circumcised penis - CORRECT ANSWERNormal - Yellowish scab or crust - should be healed within 10 days Abnormal -fever, drainage, pus, bad smel