NU 404: Unit 8 Exam Questions With Complete Solutions
40-60 Correct Answers normal respirations in the newborn per
min
ABO incompatibility Correct Answers -more common than Rh
incompatibility but cause less severe problems in affected infant
-occurs if fetal blood type is A, B, or AB & maternal type is O;
natural occurring anti-A and anti-B antibodies are transferred
across placenta to fetus
-first born infants may be affected bc mothers with type O blood
already have anti-A and anti-B antibodies in their blood
Acidosis; cardiopulmonary arrest Correct Answers -apnea
-as hypoxia increases, further complications develop
-a dec temp leads to cold stress, which leads to _
-when the neonate can no longer compensate, __ ___ occurs
Acute bilirubin encephalopathy Correct Answers -Rh immune
globulin
-Coombs' test
-kernicterus
-phototherapy
-exchange transfusion
Airway maintenance Correct Answers -suctioning
-suction for 5 secs or less per tube insertion
-if wall suction is used, pressure should be <80 mmHg
,Alcohol (ethanol) Correct Answers -able to permeate the
placenta and enter fetal circulatory system, thereby causing
developmental abnormalities
-impairs placental blood flow to fetus by constricting blood
vessels: inducing hypoxia and fetal malnutrition
-FAS was formally defined in 1970 as containing a combo of the
malformations
-causative agent of FAS which is seen in approx. 9-10/1000 live
births, depending upon culture and socioeconomic status
-FAS does seem to be dose dependent in that greater amounts of
_ consumed inc chances of having a FAS child
Ambiguous genitalia Correct Answers -a sign that the neonate
has inter-sex problems (abn ext. genitalia)
-mgt: inform parents of protocol, hormonal tx, reconstructive
surgery (male in infancy & female within 1 year)
Apnea Correct Answers -component of intraventricular
hemorrhage is __
-etiology: infection, thermal instability, drugs, esophageal reflux
-risk factors: prematurity, metabolic disorders, intracranial abn,
impaired O2
-interventions: intubate and give pos pressure vent (PPV),
administer exogenous surfactant (birth or shortly after), CPAP,
O2 therapy, administer antibiotics as ordered
-diagnostic studies: chest x-ray, VS, O2 sat with pulse ox
-lab tests: CBC, ABGs, electrolytes
-potential complications: intracranial hemorrhage (ICH)
bradypnea, tachypnea, abnormal breath sounds, resp distress
, Apnea Correct Answers breathing pauses greater than 20
seconds
Appearance of SGA infant Correct Answers -thin, wasted,
loose dry scaling skin with little subcutaneous tissue
-umbilical cord may be thin
-behavior: active and alert
-may not void for 24 hrs or longer if fluids aren't provided early
Asphyxia Correct Answers -complications of SGA infant
-dec O2 with or without CO2
-etiology: lack of umbilical circulation, lack of placental
exchange, and inadequate perfusion of maternal side of placenta
-results: CNS damage, renal damage, metabolic damage, or
erythropoietic system damage (convulsions & death)
Assessment Correct Answers -ABG's
-maintain neutral thermal environment
-r/o pneumonia by performing sepsis work up
Birth trauma (or birth injury) Correct Answers -refers to
physical injury sustained by a neonate during labor and birth
-factors that predispose infants to birth injuries: maternal risk
factors (age younger than 16 or older than 35, primigravida, and
uterine dysfunction)
-acquired problems of the neonate: soft tissue injuries, caput
succedaneum, cephalohematoma, skeletal injuries
-absent moro reflex on that side
BMR Correct Answers the LBW infant may be unable to inc
their _ due to:
40-60 Correct Answers normal respirations in the newborn per
min
ABO incompatibility Correct Answers -more common than Rh
incompatibility but cause less severe problems in affected infant
-occurs if fetal blood type is A, B, or AB & maternal type is O;
natural occurring anti-A and anti-B antibodies are transferred
across placenta to fetus
-first born infants may be affected bc mothers with type O blood
already have anti-A and anti-B antibodies in their blood
Acidosis; cardiopulmonary arrest Correct Answers -apnea
-as hypoxia increases, further complications develop
-a dec temp leads to cold stress, which leads to _
-when the neonate can no longer compensate, __ ___ occurs
Acute bilirubin encephalopathy Correct Answers -Rh immune
globulin
-Coombs' test
-kernicterus
-phototherapy
-exchange transfusion
Airway maintenance Correct Answers -suctioning
-suction for 5 secs or less per tube insertion
-if wall suction is used, pressure should be <80 mmHg
,Alcohol (ethanol) Correct Answers -able to permeate the
placenta and enter fetal circulatory system, thereby causing
developmental abnormalities
-impairs placental blood flow to fetus by constricting blood
vessels: inducing hypoxia and fetal malnutrition
-FAS was formally defined in 1970 as containing a combo of the
malformations
-causative agent of FAS which is seen in approx. 9-10/1000 live
births, depending upon culture and socioeconomic status
-FAS does seem to be dose dependent in that greater amounts of
_ consumed inc chances of having a FAS child
Ambiguous genitalia Correct Answers -a sign that the neonate
has inter-sex problems (abn ext. genitalia)
-mgt: inform parents of protocol, hormonal tx, reconstructive
surgery (male in infancy & female within 1 year)
Apnea Correct Answers -component of intraventricular
hemorrhage is __
-etiology: infection, thermal instability, drugs, esophageal reflux
-risk factors: prematurity, metabolic disorders, intracranial abn,
impaired O2
-interventions: intubate and give pos pressure vent (PPV),
administer exogenous surfactant (birth or shortly after), CPAP,
O2 therapy, administer antibiotics as ordered
-diagnostic studies: chest x-ray, VS, O2 sat with pulse ox
-lab tests: CBC, ABGs, electrolytes
-potential complications: intracranial hemorrhage (ICH)
bradypnea, tachypnea, abnormal breath sounds, resp distress
, Apnea Correct Answers breathing pauses greater than 20
seconds
Appearance of SGA infant Correct Answers -thin, wasted,
loose dry scaling skin with little subcutaneous tissue
-umbilical cord may be thin
-behavior: active and alert
-may not void for 24 hrs or longer if fluids aren't provided early
Asphyxia Correct Answers -complications of SGA infant
-dec O2 with or without CO2
-etiology: lack of umbilical circulation, lack of placental
exchange, and inadequate perfusion of maternal side of placenta
-results: CNS damage, renal damage, metabolic damage, or
erythropoietic system damage (convulsions & death)
Assessment Correct Answers -ABG's
-maintain neutral thermal environment
-r/o pneumonia by performing sepsis work up
Birth trauma (or birth injury) Correct Answers -refers to
physical injury sustained by a neonate during labor and birth
-factors that predispose infants to birth injuries: maternal risk
factors (age younger than 16 or older than 35, primigravida, and
uterine dysfunction)
-acquired problems of the neonate: soft tissue injuries, caput
succedaneum, cephalohematoma, skeletal injuries
-absent moro reflex on that side
BMR Correct Answers the LBW infant may be unable to inc
their _ due to:
