BSNC 5000 OB MOD 4 EXAM
QUESTIONS WITH ALL CORRECT
ANSWERS
most common health concerns for late preterm, term, and post term neonates - Answer-
Pre term risks:
-resp distress
-TTN
-hypolgycemia
Late preterm risks:
-resp distress
-hypolycemia
-feeding issues
-hyperbilirubinemia
Post term risks:
-meconium aspiration
when does RDS occur - Answer-immediatley after birth
S/S of TTN - Answer--RR> 60 @1-2hr mark
-Nasal flaring
-grunting
-retractions and WOB
-crackles / dec breath sounds
when do we see TTN? - Answer-in CS birth or GDM moms (they deliver prematurely
usually)
factors that put late pre term newborn at risk for hypoglycemia - Answer--general
thermoreg issues = greater temp instability
-they have difficulty feeding
which babies are at an inc risk for hypothermia - Answer-SGA
LBW
Assistive birth (forceps, vaccuum, etc)
-any type of resusitation
, What are some common head assessments for newborns? - Answer-
Cephalohematoma, caput, fontanelles
Cartilage of ears, and height in comparison to line of eyes
Why is it important to check for blockages in a newborn's nose? - Answer-Blockages
can lead to respiratory distress like choanal atresia
What cardiovascular assessment should be done for newborns with murmurs? -
Answer-Blood pressure and other tests to rule out cardiovascular issues
What abdominal assessments are important for newborns? - Answer-Scaphoid
abdomen, distention, umbilical cord, meconium staining
Why are newborns born breech more at risk for hip dysplasia? - Answer-Breech birth
increases the risk of hip dysplasia in newborns
RDS and treatment considered for late preterm - Answer--establish oxygenation +
ventilation
-antenatal corticosteroids (<34 wks)
-supportive care
-surfactant replacement therapy
nutrtitional needs for infants - Answer-approx 6 feeds in first 24 hrs
factors that put TERM newborn at risk for hypothermia - Answer--can't shiver
-RR is higher
-higher metabolic demands
-skin is thinner
-higher surface area
-blood vessels = closer to the surface
-thin layer subQ fat
potential consequences of hypothermia and hyperthermia - Answer-Hypothermia:
-vasoconstriction jeopordizes pulmonary perfusion
-hyperbilirubinemia
-hypoglycemia
Hyperthermia:
-dehydration
-wt loss
-poor feeding
-resp distress
-seizure
-brain damage
QUESTIONS WITH ALL CORRECT
ANSWERS
most common health concerns for late preterm, term, and post term neonates - Answer-
Pre term risks:
-resp distress
-TTN
-hypolgycemia
Late preterm risks:
-resp distress
-hypolycemia
-feeding issues
-hyperbilirubinemia
Post term risks:
-meconium aspiration
when does RDS occur - Answer-immediatley after birth
S/S of TTN - Answer--RR> 60 @1-2hr mark
-Nasal flaring
-grunting
-retractions and WOB
-crackles / dec breath sounds
when do we see TTN? - Answer-in CS birth or GDM moms (they deliver prematurely
usually)
factors that put late pre term newborn at risk for hypoglycemia - Answer--general
thermoreg issues = greater temp instability
-they have difficulty feeding
which babies are at an inc risk for hypothermia - Answer-SGA
LBW
Assistive birth (forceps, vaccuum, etc)
-any type of resusitation
, What are some common head assessments for newborns? - Answer-
Cephalohematoma, caput, fontanelles
Cartilage of ears, and height in comparison to line of eyes
Why is it important to check for blockages in a newborn's nose? - Answer-Blockages
can lead to respiratory distress like choanal atresia
What cardiovascular assessment should be done for newborns with murmurs? -
Answer-Blood pressure and other tests to rule out cardiovascular issues
What abdominal assessments are important for newborns? - Answer-Scaphoid
abdomen, distention, umbilical cord, meconium staining
Why are newborns born breech more at risk for hip dysplasia? - Answer-Breech birth
increases the risk of hip dysplasia in newborns
RDS and treatment considered for late preterm - Answer--establish oxygenation +
ventilation
-antenatal corticosteroids (<34 wks)
-supportive care
-surfactant replacement therapy
nutrtitional needs for infants - Answer-approx 6 feeds in first 24 hrs
factors that put TERM newborn at risk for hypothermia - Answer--can't shiver
-RR is higher
-higher metabolic demands
-skin is thinner
-higher surface area
-blood vessels = closer to the surface
-thin layer subQ fat
potential consequences of hypothermia and hyperthermia - Answer-Hypothermia:
-vasoconstriction jeopordizes pulmonary perfusion
-hyperbilirubinemia
-hypoglycemia
Hyperthermia:
-dehydration
-wt loss
-poor feeding
-resp distress
-seizure
-brain damage
