OB EXAM 2 N4270 MIZZOU STUDY GUIDE WITH COMPLETE SOLUTIONS

OB EXAM 2 N4270 MIZZOU STUDY GUIDE WITH COMPLETE SOLUTIONS Additional maternal risks of a forceps-assisted delivery include: - Answer️️ -Urinary incontinence Trauma to the birth canal Hematomas Cervical lacerations Pelvic floor injuries Increased perineal pain Postpartum infections Increased bleeding Which body part should be identified as moving fetal blood from the right atrium to the left atrium? -Foramen ovale -Ductus venosus -Umbilical vein -Ductus arteriosus - Answer️️ -Foramen ovale ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 2 Fetal blood is directed from the right atrium across the foramen ovale into the left atrium, the left ventricle, and the ascending aorta. The ductus arteriosus is a tubular connection between the pulmonary artery and descending aorta. The ductus venosus directs blood flow from the umbilical vein. The umbilical vein carries placental blood to the fetus. The flow of blood through the foramen ovale results in better oxygenated fetal blood directed to the myocardium and fetal brain. A sleeping newborn has a heart rate of 74 beats/min. Which action should the nurse take? -Continue with vital sign assessment. -Auscultate the infant's heart for a murmur. -Begin resuscitation. -Pick up the baby and gently rock it. - Answer️️ -Continue with vital sign assessment. Since the heart rate may drop to a low of 70 to 90 beats/min in a full-term newborn during deep sleep, the assessment should continue. Resuscitation ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 3 is not necessary. The sleeping baby should not be disturbed. The infant does not have a heart murmur. A neonate is moved off a cold examination table and onto the patient's chest. Which type of heat loss should the nurse explain this action addresses? Conduction Convection Radiation Evaporation - Answer️️ -Conduction The parents of a 4-day-year-old infant question why the baby has lost 5% of its birth weight. Which should the nurse explain as the reason for this weight loss? A shift of extracellular fluid to intercellular spaces An infant's high rate of metabolism Fluid retention Water loss - Answer️️ -Water loss ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 4 Following birth, a newborn's caloric intake is often insufficient for weight gain until the newborn is 5 to 10 days old. During this time there may be a weight loss of 5% to 10% in term newborns, which is caused by a shift of intracellular water to extracellular space and insensible water loss. The infant's metabolism is not the cause of the weight loss. Fluid retention would cause a weight gain. The nurse is assessing a newborn infant. Which finding should indicate the newborn is ready to tolerate feedings? Audible cry while being held Abdominal distension upon palpation Active bowel sounds upon auscultation Ability to suck on a pacifier - Answer️️ -Active bowel sounds upon auscultation Active bowel sounds upon auscultation is an indication that the newborn can tolerate feedings. The ability to suck on a pacifier and an audible cry may indicate hunger but does not mean that the newborn will tolerate feedings. Abdominal distention upon palpation may indicate an issue with digestion. ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 5 A newborn has not voided in the first 48 hours following delivery. Which action should the nurse take first? Begin an intravenous infusion of normal saline. Insert an indwelling catheter. Administer pain medication. Palpate the lower abdomen. - Answer️️ -Palpate the lower abdomen. A newborn who has not voided in the 48 hours after delivery should be assessed for adequacy of fluid intake, bladder distention, restlessness, and symptoms of pain. As part of this assessment, the abdomen should be palpated. Interventions are not implemented until the healthcare provider is notified of the assessment findings. The nurse is teaching an infant care course to new parents. Which technique should the nurse teach to help soothe the infant? Singing Playing Offering a bottle ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 6 Cuddling - Answer️️ -Cuddling A patient with severe hypertension has just delivered. For which health problem should the nurse assess the newborn? Volume deficit Thrombocytopenia Murmur Anemia - Answer️️ -Thrombocytopenia When are bowel sounds present in a newborn? - Answer️️ -Bowel sounds are present within the first 30 to 60 minutes after birth. What percent is voided by a newborn in the first 24 and 48 hours? - Answer️️ -90%, 99% Average resting heart rate in a newborn: - Answer️️ -In the first week of life: 110 to 160 beats/min in a healthy full-term newborn, but may vary significantly during deep sleep or active awake states. How many kcal/day does the newborn require? - Answer️️ -To gain weight at the intrauterine rate, the term newborn requires 120 kcal/kg/day. The nurse is teaching a patient about physiologic jaundice in the newborn. ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 7 Which statement should indicate the teaching was effective? -"I should keep my baby's temperature below 36.5°C (97.7°F) to increase the breakdown of bilirubin." -"I must monitor the frequency and color of my baby's stool to check for bilirubin excretion." -"I should not breastfeed, as this increases the production of bilirubin." -"I must restrict my baby's fluid intake, as too much fluid can inhibit bilirubin excretion." - Answer️️ -"I must monitor the frequency an