NURS 1200 Test 2 Material _ Development II questions with
correct answers
fetal circulation, foramen ovale Correct Answer.-closes as neonate and is
then called fossa ovalis
there is decreased PGE (prostaglandin E) as part of Correct Answer.-the
transition from fetal circulation to neonatal circulation
Characteristics Predisposing Newborn to Heat Loss Correct Answer.-Thin
skin; blood vessels close to the surface
Lack of shivering ability; limited stores of metabolic substrates (glucose,
glycogen, fat)
Limited use of voluntary muscle activity
Large body surface area relative to body weight ( 3x more than adult)
Lack of subcutaneous fat; little ability to conserve heat by changing
posture
Flexed position reduces the amount of skin surface exposed.
Infants cannot communicate that they are too cold or too warm
To minimize the effects of cold stress and maintain a NTE (neutral
thermal environment), the following interventions are helpful: Correct
Answer.-Prewarming blankets and hats to reduce heat loss through
conduction
Keeping the infant transporter (warmed isolette) fully charged and
heated at all times
,Drying the newborn completely after birth to prevent heat loss from
evaporation
Encouraging skin-to-skin contact with the mother if the newborn is
stable
Promoting early breast-feeding to provide fuels for non-shivering
thermogenesis
Using heated and humidified oxygen
Always using radiant warmers and double-wall isolettes to prevent heat
loss from radiation
Deferring bathing until the newborn is medically stable, and using a
radiant heat source while bathing
meconium Correct Answer.-first stool of the newborn; passed within 1st
24 hours (it is important to document this and the first pee)
transitional stool Correct Answer.-loose greenish yellow stool with mucus;
passed 3rd-6th day of life
breast milk stool Correct Answer.-bright yellow, soft, seedy, and pasty
*3-6 stools per day, and decreases with age
formula stool Correct Answer.-yellow-brown, more solid, 1-4 stools per
day; has a feces odor (stinks)
,metabolic acidosis Correct Answer.-Abnormal condition of high hydrogen
ion concentration in the extracellular fluid caused by either a primary
increase in hydrogen ions or a decrease in bicarbonate.
molding (picture) Correct Answer.-
caput succedaneum (picture) Correct Answer.-
cephalohematoma Correct Answer.-
molding (defined) Correct Answer.-Shaping of the fetal head during
movement through the birth canal.
caput succedaneum (defined) Correct Answer.-collection of fluid -or-
swelling of the scalp in a newborn. It is most often brought on by
pressure from the uterus or vaginal wall during a head-first (vertex)
delivery
where is head circumference measured Correct Answer.-at the brow line
babies with cephalohematoma are Correct Answer.-at increased risk for
jaundice
Selected Screening for Newborns include: Correct Answer.-Hearing
screen (all babies...if pass, good - if fail, refer for another audio
screening later on)
, PKU (Phenylketonuria - at 48 hours)
Congenital hypothyroidism
Galactosemia
Sickle cell anemia
Nursing Management: Early Newborn Period: Nursing Interventions
include: Correct Answer.-Bathing and hygiene
Elimination and diaper area care
Cord care
Circumcision care
Safety (Safe to sleep, Back to sleep, Prevention of abduction, Car safety)
Infection prevention
Bonding
A newborn is placed under a radiant heat warmer. The nurse knows that
thermoregulation presents a problem for newborns because __________.
A. their renal function is not fully developed, and heat is lost in the urine
B. their small body surface area favors more rapid heat loss than does an
adult's body surface area
C. they have a relatively thin layer of subcutaneous fat that provides
poor insulation
D. their normal flexed posture favors heat loss through perspiration
Correct Answer.-C. they have a relatively thin layer of subcutaneous fat
that provides poor insulation
correct answers
fetal circulation, foramen ovale Correct Answer.-closes as neonate and is
then called fossa ovalis
there is decreased PGE (prostaglandin E) as part of Correct Answer.-the
transition from fetal circulation to neonatal circulation
Characteristics Predisposing Newborn to Heat Loss Correct Answer.-Thin
skin; blood vessels close to the surface
Lack of shivering ability; limited stores of metabolic substrates (glucose,
glycogen, fat)
Limited use of voluntary muscle activity
Large body surface area relative to body weight ( 3x more than adult)
Lack of subcutaneous fat; little ability to conserve heat by changing
posture
Flexed position reduces the amount of skin surface exposed.
Infants cannot communicate that they are too cold or too warm
To minimize the effects of cold stress and maintain a NTE (neutral
thermal environment), the following interventions are helpful: Correct
Answer.-Prewarming blankets and hats to reduce heat loss through
conduction
Keeping the infant transporter (warmed isolette) fully charged and
heated at all times
,Drying the newborn completely after birth to prevent heat loss from
evaporation
Encouraging skin-to-skin contact with the mother if the newborn is
stable
Promoting early breast-feeding to provide fuels for non-shivering
thermogenesis
Using heated and humidified oxygen
Always using radiant warmers and double-wall isolettes to prevent heat
loss from radiation
Deferring bathing until the newborn is medically stable, and using a
radiant heat source while bathing
meconium Correct Answer.-first stool of the newborn; passed within 1st
24 hours (it is important to document this and the first pee)
transitional stool Correct Answer.-loose greenish yellow stool with mucus;
passed 3rd-6th day of life
breast milk stool Correct Answer.-bright yellow, soft, seedy, and pasty
*3-6 stools per day, and decreases with age
formula stool Correct Answer.-yellow-brown, more solid, 1-4 stools per
day; has a feces odor (stinks)
,metabolic acidosis Correct Answer.-Abnormal condition of high hydrogen
ion concentration in the extracellular fluid caused by either a primary
increase in hydrogen ions or a decrease in bicarbonate.
molding (picture) Correct Answer.-
caput succedaneum (picture) Correct Answer.-
cephalohematoma Correct Answer.-
molding (defined) Correct Answer.-Shaping of the fetal head during
movement through the birth canal.
caput succedaneum (defined) Correct Answer.-collection of fluid -or-
swelling of the scalp in a newborn. It is most often brought on by
pressure from the uterus or vaginal wall during a head-first (vertex)
delivery
where is head circumference measured Correct Answer.-at the brow line
babies with cephalohematoma are Correct Answer.-at increased risk for
jaundice
Selected Screening for Newborns include: Correct Answer.-Hearing
screen (all babies...if pass, good - if fail, refer for another audio
screening later on)
, PKU (Phenylketonuria - at 48 hours)
Congenital hypothyroidism
Galactosemia
Sickle cell anemia
Nursing Management: Early Newborn Period: Nursing Interventions
include: Correct Answer.-Bathing and hygiene
Elimination and diaper area care
Cord care
Circumcision care
Safety (Safe to sleep, Back to sleep, Prevention of abduction, Car safety)
Infection prevention
Bonding
A newborn is placed under a radiant heat warmer. The nurse knows that
thermoregulation presents a problem for newborns because __________.
A. their renal function is not fully developed, and heat is lost in the urine
B. their small body surface area favors more rapid heat loss than does an
adult's body surface area
C. they have a relatively thin layer of subcutaneous fat that provides
poor insulation
D. their normal flexed posture favors heat loss through perspiration
Correct Answer.-C. they have a relatively thin layer of subcutaneous fat
that provides poor insulation
