NR 465 Exam 2 questions with accurate answers
4 things that are needed for baby to make their first breaths (breathe
spontaneously) Ans✓✓✓ mechanical, chemical, thermal and sensory
changes
Abdominal placental implantation Ans✓✓✓ Abnormal adherence of
the placenta
Ratio 1:12000 births
another cause for hemorrhage due to the location of the placenta
sometimes it choose the wrong place to implant.
reason is unknown, but thought that zygote implantation is in a zone of
defective endometrium
abnormal placentation Ans✓✓✓ precreta
increta
accerta
ABO incompatibility Ans✓✓✓ Babies born to women with O blood
should be closely monitored for jaundice.
-Coombs
-Indirect coombs
,Jaundice may occur within the first 24 hours.
abruptio placentae Ans✓✓✓ Premature separation of the placenta (part
or all) from its implantation site, typically occurring after the 20th week
of pregnancy
after care of a circumcision Ans✓✓✓ Comfort measures
keep wound clean and dry (warm water)
ck urination w/in 12 hrs after procedure
monitor for bleeding
s/s of infection will not occur immediately after procedure
Alcohol in Pregnancy Ans✓✓✓ Most common substance used during
pregnancy is alcohol
Chronic use of alcohol can compromise maternal health by causing
malnutrition
May cause dependence resulting in delirium or seizures
May cause fetal alcohol syndrome in the fetus
Alcohol should be avoided completely during pregnancy
,Should be limited with breastfeeding
Excessive alcohol with BF may intoxicate the infant and inhibit maternal
let down
Amniotic Fluid Embolism (AFE)/ anaphalyctoic shock Ans✓✓✓ Rare
but fatal
-During labor, delivery, or ↑ 24 hrs pp
Amniotic fluid containing particles of debris
--Vernix, hair, skin cells, or meconium enters maternal circulation
--Obstructs pulmonary vessels
--Causes respiratory distress and circulatory collapse
Antepartum Care with DM Ans✓✓✓ Diet, glucose testing
Exercise
-want accelerations 15x15 after 30 weeks
Fetal Surveillance: NST, doppler flow studies
-- detect fetal compromise
--Prevent death
--Prevent unnecessary preterm birth
APGAR Score Ans✓✓✓ Respiratory effort-Between 30-60
Tone-Flexed, Flaccid, Hypotonic
, Heartrate-110-160
Color-Pink, Pale, Cyanotic
Reflex Irritability- None, Grimace, Vigorous Cry
Apnea Ans✓✓✓ no breathing for period of greater than 15 seconds
should be evaluated
Baby with fetal alcohol syndrome Ans✓✓✓
Birth through the first 2 hours Ans✓✓✓ Assessment and nursing
diagnoses
-APGAR score
-Initial physical assessment
--Weight
--Length
--Head Circumference
--"Eyes and Thighs"
--Head to Toe Assessment
--Be aware of periods of reactivity
brachial plexus Ans✓✓✓
4 things that are needed for baby to make their first breaths (breathe
spontaneously) Ans✓✓✓ mechanical, chemical, thermal and sensory
changes
Abdominal placental implantation Ans✓✓✓ Abnormal adherence of
the placenta
Ratio 1:12000 births
another cause for hemorrhage due to the location of the placenta
sometimes it choose the wrong place to implant.
reason is unknown, but thought that zygote implantation is in a zone of
defective endometrium
abnormal placentation Ans✓✓✓ precreta
increta
accerta
ABO incompatibility Ans✓✓✓ Babies born to women with O blood
should be closely monitored for jaundice.
-Coombs
-Indirect coombs
,Jaundice may occur within the first 24 hours.
abruptio placentae Ans✓✓✓ Premature separation of the placenta (part
or all) from its implantation site, typically occurring after the 20th week
of pregnancy
after care of a circumcision Ans✓✓✓ Comfort measures
keep wound clean and dry (warm water)
ck urination w/in 12 hrs after procedure
monitor for bleeding
s/s of infection will not occur immediately after procedure
Alcohol in Pregnancy Ans✓✓✓ Most common substance used during
pregnancy is alcohol
Chronic use of alcohol can compromise maternal health by causing
malnutrition
May cause dependence resulting in delirium or seizures
May cause fetal alcohol syndrome in the fetus
Alcohol should be avoided completely during pregnancy
,Should be limited with breastfeeding
Excessive alcohol with BF may intoxicate the infant and inhibit maternal
let down
Amniotic Fluid Embolism (AFE)/ anaphalyctoic shock Ans✓✓✓ Rare
but fatal
-During labor, delivery, or ↑ 24 hrs pp
Amniotic fluid containing particles of debris
--Vernix, hair, skin cells, or meconium enters maternal circulation
--Obstructs pulmonary vessels
--Causes respiratory distress and circulatory collapse
Antepartum Care with DM Ans✓✓✓ Diet, glucose testing
Exercise
-want accelerations 15x15 after 30 weeks
Fetal Surveillance: NST, doppler flow studies
-- detect fetal compromise
--Prevent death
--Prevent unnecessary preterm birth
APGAR Score Ans✓✓✓ Respiratory effort-Between 30-60
Tone-Flexed, Flaccid, Hypotonic
, Heartrate-110-160
Color-Pink, Pale, Cyanotic
Reflex Irritability- None, Grimace, Vigorous Cry
Apnea Ans✓✓✓ no breathing for period of greater than 15 seconds
should be evaluated
Baby with fetal alcohol syndrome Ans✓✓✓
Birth through the first 2 hours Ans✓✓✓ Assessment and nursing
diagnoses
-APGAR score
-Initial physical assessment
--Weight
--Length
--Head Circumference
--"Eyes and Thighs"
--Head to Toe Assessment
--Be aware of periods of reactivity
brachial plexus Ans✓✓✓
