NUR 207 Exam 2 Perinatal |! |! |! |! |!
Loss, SIDS, and Prematurity |! |! |! |!
newest exam with verified |! |! |! |!
answers
What are some of the biological and environmental causes of perinatal loss?
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(p. 1899) - Correct answer ✔Biological - Infection, abnormalities in the fetus,
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problems with the placenta, or accidents Involving the umbilical cord.
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Environmental - Domestic abuse, motor vehicle crashes, or other accidents, |! |! |! |! |! |! |! |! |! |!
such as a fall
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What are some of the risk factor for perinatal loss? (p. 1900) - Correct answer
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✔Age, health conditions (diabetes, obesity, thyroid disorders, etc.), and
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previous instances of perinatal loss.
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When planning caring for parents who are experiencing intrauterine fetal
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death also known as a stillbirth, what all does the nurse consider? (p. 1903) -
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Correct answer ✔· Placing parents in a private room away from other
|! |! |! |! |! |! |! |! |! |! |! |!
mothers.
· Answer questions concerning test results, fetal appearance, grieving, etc.
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· Determine parents' wishes regarding birthing process preferences.
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· Determine if and when the parents may want to see the child.
|! |! |! |! |! |! |! |! |! |! |! |!
· Allow time for the grieving process.
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,· Ask parents if they would like to take home a keepsake.
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· Refer parents to a grief counselor or other support groups.
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How can a nurse help decrease the incidence of SIDS? (p. 1102 - 1104) -
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Correct answer ✔· Infants should always be placed on their back for sleeping
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until age 1. |! |!
· Breastfeeding has been shown to reduce chance of SIDS.
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· Infants should sleep in the same room as parents, but not in bed for at least
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
6 months, but preferably for the first year.
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· No soft objects in the baby's sleep area (no pillows, quilts, soft toys, etc.)
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· Offer a pacifier at naptime and bedtime.
|! |! |! |! |! |! |!
· Avoid exposure to smoke, alcohol, and illicit drugs during pregnancy and
|! |! |! |! |! |! |! |! |! |! |! |!
after birth. |!
· Dress infants appropriately for their environment. Avoid overheating.
|! |! |! |! |! |! |! |!
· Patient teaching of course.
|! |! |! |!
It is important to remember that SIDS can occur even if a family has followed
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
all of the precautions. When a loss occurs what is the nurse's role? (p. 1103-
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
1104) - Correct answer ✔· Support the grieving family through the
|! |! |! |! |! |! |! |! |! |! |!
investigative period. |!
· Help parents reduce their feelings of guilt.
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· Provide referrals to support groups.
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· Help the parents cope with their loss.
|! |! |! |! |! |! |!
, What are the most common complications associated with prematurity?
|! |! |! |! |! |! |! |! |!
(respiratory) - Correct answer ✔Apnea and respiratory distress syndrome are
|! |! |! |! |! |! |! |! |! |!
common. Inadequate surfactant production, underdeveloped pulmonary
|! |! |! |! |! |!
blood vessels inhibit alveoli constriction in response to decreased oxygen, and
|! |! |! |! |! |! |! |! |! |!
patent ductus arteriosus (increases blood flow into lungs causing pulmonary
|! |! |! |! |! |! |! |! |! |! |!
congestion, increased respiratory effort, carbon dioxide retention, and
|! |! |! |! |! |! |! |!
bounding femoral pulses). |! |!
What are the most common complications associated with prematurity?
|! |! |! |! |! |! |! |! |!
(thermoregulation) - Correct answer ✔Heat loss due to higher ratio of body |! |! |! |! |! |! |! |! |! |! |! |!
surface to body weight, thinner and more permeable skin, less subcutaneous
|! |! |! |! |! |! |! |! |! |! |!
fat, decreased ability to vasoconstrict superficial blood vessels, and reduced
|! |! |! |! |! |! |! |! |! |!
ability for flexion of the extremities.
|! |! |! |! |!
What are the most common complications associated with prematurity? (GI)
|! |! |! |! |! |! |! |! |! |!
- Correct answer ✔Aspiration is a concern due to poorly developed gag reflex,
|! |! |! |! |! |! |! |! |! |! |! |!
difficulty in meeting caloric needs due to small stomach capacity, difficulty
|! |! |! |! |! |! |! |! |! |! |! |!
absorbing or breaking down foods, fatigue from sucking, and necrotizing
|! |! |! |! |! |! |! |! |! |!
enterocolitis due to poor blood flow and intestinal tissue perfusion.
|! |! |! |! |! |! |! |! |!
What are the most common complications associated with prematurity?
|! |! |! |! |! |! |! |! |!
(Renal, immune) - Correct answer ✔· - Lower GFR and ability to clear fluids.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Lower metabolic buffering capacity - Bicarbonate secreted first, acids slower
|! |! |! |! |! |! |! |! |! |!
(at risk for metabolic acidosis).
|! |! |! |!
· Immune System Immaturity - More susceptible to infections.
|! |! |! |! |! |! |! |!
· Jaundice
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Loss, SIDS, and Prematurity |! |! |! |!
newest exam with verified |! |! |! |!
answers
What are some of the biological and environmental causes of perinatal loss?
|! |! |! |! |! |! |! |! |! |! |! |!
(p. 1899) - Correct answer ✔Biological - Infection, abnormalities in the fetus,
|! |! |! |! |! |! |! |! |! |! |! |!
problems with the placenta, or accidents Involving the umbilical cord.
|! |! |! |! |! |! |! |! |!
Environmental - Domestic abuse, motor vehicle crashes, or other accidents, |! |! |! |! |! |! |! |! |! |!
such as a fall
|! |! |!
What are some of the risk factor for perinatal loss? (p. 1900) - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔Age, health conditions (diabetes, obesity, thyroid disorders, etc.), and
|! |! |! |! |! |! |! |! |!
previous instances of perinatal loss.
|! |! |! |!
When planning caring for parents who are experiencing intrauterine fetal
|! |! |! |! |! |! |! |! |! |!
death also known as a stillbirth, what all does the nurse consider? (p. 1903) -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔· Placing parents in a private room away from other
|! |! |! |! |! |! |! |! |! |! |! |!
mothers.
· Answer questions concerning test results, fetal appearance, grieving, etc.
|! |! |! |! |! |! |! |! |!
· Determine parents' wishes regarding birthing process preferences.
|! |! |! |! |! |! |!
· Determine if and when the parents may want to see the child.
|! |! |! |! |! |! |! |! |! |! |! |!
· Allow time for the grieving process.
|! |! |! |! |! |!
,· Ask parents if they would like to take home a keepsake.
|! |! |! |! |! |! |! |! |! |! |!
· Refer parents to a grief counselor or other support groups.
|! |! |! |! |! |! |! |! |! |!
How can a nurse help decrease the incidence of SIDS? (p. 1102 - 1104) -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔· Infants should always be placed on their back for sleeping
|! |! |! |! |! |! |! |! |! |! |! |! |!
until age 1. |! |!
· Breastfeeding has been shown to reduce chance of SIDS.
|! |! |! |! |! |! |! |! |!
· Infants should sleep in the same room as parents, but not in bed for at least
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
6 months, but preferably for the first year.
|! |! |! |! |! |! |!
· No soft objects in the baby's sleep area (no pillows, quilts, soft toys, etc.)
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
· Offer a pacifier at naptime and bedtime.
|! |! |! |! |! |! |!
· Avoid exposure to smoke, alcohol, and illicit drugs during pregnancy and
|! |! |! |! |! |! |! |! |! |! |! |!
after birth. |!
· Dress infants appropriately for their environment. Avoid overheating.
|! |! |! |! |! |! |! |!
· Patient teaching of course.
|! |! |! |!
It is important to remember that SIDS can occur even if a family has followed
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
all of the precautions. When a loss occurs what is the nurse's role? (p. 1103-
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
1104) - Correct answer ✔· Support the grieving family through the
|! |! |! |! |! |! |! |! |! |! |!
investigative period. |!
· Help parents reduce their feelings of guilt.
|! |! |! |! |! |! |!
· Provide referrals to support groups.
|! |! |! |! |!
· Help the parents cope with their loss.
|! |! |! |! |! |! |!
, What are the most common complications associated with prematurity?
|! |! |! |! |! |! |! |! |!
(respiratory) - Correct answer ✔Apnea and respiratory distress syndrome are
|! |! |! |! |! |! |! |! |! |!
common. Inadequate surfactant production, underdeveloped pulmonary
|! |! |! |! |! |!
blood vessels inhibit alveoli constriction in response to decreased oxygen, and
|! |! |! |! |! |! |! |! |! |!
patent ductus arteriosus (increases blood flow into lungs causing pulmonary
|! |! |! |! |! |! |! |! |! |! |!
congestion, increased respiratory effort, carbon dioxide retention, and
|! |! |! |! |! |! |! |!
bounding femoral pulses). |! |!
What are the most common complications associated with prematurity?
|! |! |! |! |! |! |! |! |!
(thermoregulation) - Correct answer ✔Heat loss due to higher ratio of body |! |! |! |! |! |! |! |! |! |! |! |!
surface to body weight, thinner and more permeable skin, less subcutaneous
|! |! |! |! |! |! |! |! |! |! |!
fat, decreased ability to vasoconstrict superficial blood vessels, and reduced
|! |! |! |! |! |! |! |! |! |!
ability for flexion of the extremities.
|! |! |! |! |!
What are the most common complications associated with prematurity? (GI)
|! |! |! |! |! |! |! |! |! |!
- Correct answer ✔Aspiration is a concern due to poorly developed gag reflex,
|! |! |! |! |! |! |! |! |! |! |! |!
difficulty in meeting caloric needs due to small stomach capacity, difficulty
|! |! |! |! |! |! |! |! |! |! |! |!
absorbing or breaking down foods, fatigue from sucking, and necrotizing
|! |! |! |! |! |! |! |! |! |!
enterocolitis due to poor blood flow and intestinal tissue perfusion.
|! |! |! |! |! |! |! |! |!
What are the most common complications associated with prematurity?
|! |! |! |! |! |! |! |! |!
(Renal, immune) - Correct answer ✔· - Lower GFR and ability to clear fluids.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Lower metabolic buffering capacity - Bicarbonate secreted first, acids slower
|! |! |! |! |! |! |! |! |! |!
(at risk for metabolic acidosis).
|! |! |! |!
· Immune System Immaturity - More susceptible to infections.
|! |! |! |! |! |! |! |!
· Jaundice
|!
