PPN 301 - WEEK 7 - NEWBORN CARE, AND ASSESSMENTS EXAM QUESTIONS WITH CORRECT
ANSWERS |LATEST UPDATE 100% SOLVED| GRADED A+
nursing care - skin care - Care must be taken to avoid damage to the delicate structure (skin
is immature)
- Use skin products (e.g., alcohol, chlorhexidine, povidone-iodine) with caution
- Rinsed with water afterward to prevent severe irritation and chemical burns in VLBW and
ELBW infants.
- Minimal use of adhesive tape, backing the tape with cotton, and delay removal adhesive until
adherence is reduced
nursing care - infection Strict hand hygiene is the single most important measure to prevent
infections
developmentally supportive care - integrated approach w/ 5 core princioples:
- activities of daily living (massaging, feeding, skincare)
-protected sleep (nesting, kangaroo mother care, cluster care)
- healing envionrment (dim lgihts during day, ligting of chair, don't drag, facilitate smooth
transition)
,- family centered care (involvement of families in caregiving activities; education + empowering;
emotioanl support during critical time)
- management of pain + stress (non-nutrive sucking, swaddling, containment during
procedures)
large for gestational age (LGA) newborn weight above 90th percentile
What can LGA cause? - Higher incidence of birth injuries
- Asphyxia
-Congenital anomalies such as heart defects.
causes of LGA - maternal diabetes (most common)
- maternal obesity
- excessive weight gain during pregnancy
- genetic abnormalities or syndromes
why are infants of diabetic mothers at higher risk of hypoglycemia? - high maternal blood
glucose stimulates production of insulin
- hypertrophy & hyperplasia of islet cells
- transient hyperinsulinism
- sudden remove of newborn glucose supply + continued insulin production = depletes glucose
, - state of hyperinsulinism & hypoglycemia within 0.5-4hr
- Quick drops in blood glucose levels leads to neurological damage or death
- Not doing sugar check in 2 hours, but 30 minutes in check.
main concern in infants of diabetic mothers after birth quick drop in blood glucose levels
can lead to neurologic damage/death
clinical manifestations in infants of diabetic mothers - macrosomia/LGA
- plump, full faced
- abundant vernix caseosa
- plethora (ruddy complexion)
- listless, lethargic
- possible meconium stained
- hypotonia
other complications in infants of diabetic mothers - Hypoglycemia, hypocalcemia,
hypomagnesemia, polycythemia, hyperbilirubinemia, cardiomyopathy
- Respiratory Distress Syndrome
- CNS anomalies: anencephaly, spina bifida, holoprosencephaly (abnormal development of
forebrain)
- Cardiac anomalies: ventricular septal defects & coarctation (narrowing) of aorta
- Sacral agenesis and caudal regression (abnormal/no development of lower spine)
ANSWERS |LATEST UPDATE 100% SOLVED| GRADED A+
nursing care - skin care - Care must be taken to avoid damage to the delicate structure (skin
is immature)
- Use skin products (e.g., alcohol, chlorhexidine, povidone-iodine) with caution
- Rinsed with water afterward to prevent severe irritation and chemical burns in VLBW and
ELBW infants.
- Minimal use of adhesive tape, backing the tape with cotton, and delay removal adhesive until
adherence is reduced
nursing care - infection Strict hand hygiene is the single most important measure to prevent
infections
developmentally supportive care - integrated approach w/ 5 core princioples:
- activities of daily living (massaging, feeding, skincare)
-protected sleep (nesting, kangaroo mother care, cluster care)
- healing envionrment (dim lgihts during day, ligting of chair, don't drag, facilitate smooth
transition)
,- family centered care (involvement of families in caregiving activities; education + empowering;
emotioanl support during critical time)
- management of pain + stress (non-nutrive sucking, swaddling, containment during
procedures)
large for gestational age (LGA) newborn weight above 90th percentile
What can LGA cause? - Higher incidence of birth injuries
- Asphyxia
-Congenital anomalies such as heart defects.
causes of LGA - maternal diabetes (most common)
- maternal obesity
- excessive weight gain during pregnancy
- genetic abnormalities or syndromes
why are infants of diabetic mothers at higher risk of hypoglycemia? - high maternal blood
glucose stimulates production of insulin
- hypertrophy & hyperplasia of islet cells
- transient hyperinsulinism
- sudden remove of newborn glucose supply + continued insulin production = depletes glucose
, - state of hyperinsulinism & hypoglycemia within 0.5-4hr
- Quick drops in blood glucose levels leads to neurological damage or death
- Not doing sugar check in 2 hours, but 30 minutes in check.
main concern in infants of diabetic mothers after birth quick drop in blood glucose levels
can lead to neurologic damage/death
clinical manifestations in infants of diabetic mothers - macrosomia/LGA
- plump, full faced
- abundant vernix caseosa
- plethora (ruddy complexion)
- listless, lethargic
- possible meconium stained
- hypotonia
other complications in infants of diabetic mothers - Hypoglycemia, hypocalcemia,
hypomagnesemia, polycythemia, hyperbilirubinemia, cardiomyopathy
- Respiratory Distress Syndrome
- CNS anomalies: anencephaly, spina bifida, holoprosencephaly (abnormal development of
forebrain)
- Cardiac anomalies: ventricular septal defects & coarctation (narrowing) of aorta
- Sacral agenesis and caudal regression (abnormal/no development of lower spine)
