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NURS 316 Exam 2Questions and answers

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NURS 316 Exam 2Questions and answers Nursing interventions for newborn thermoregulation - Dry newborn Skin to skin swaddled in warm blankets Convection - Heat loss by air or water moving across the skin surface Evaporation - Body heat turns sweat into vapor. Active work contributes to heat loss Radiation - Bare skin is exposed to an environment containing objects of cooler temperature

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NURS 316 Exam 2Questions and
answers
Nursing interventions for newborn thermoregulation - ✅✅Dry newborn
Skin to skin swaddled in warm blankets


Convection - ✅✅Heat loss by air or water moving across the skin surface


Evaporation - ✅✅Body heat turns sweat into vapor. Active work contributes to
heat loss


Radiation - ✅✅Bare skin is exposed to an environment containing objects of
cooler temperature


Conduction - ✅✅Direct contact with an object


First breath for newborns - ✅✅Lungs transition from fluid filled to air filled
after birth


First breath inflates lungs, increasing pulmonary blood flow


Surfactant in fetal lungs purpose - ✅✅Helps alveoli expand


Prevents alveolar collapse, ensuring effective gas exchange


Expected newborn respiratory rate - ✅✅30-60 breaths/min

,Cardiovascular changes in newborn - ✅✅Changes when cord is clamped and
1st breath


Decrease in pulmonary vascular resistance


Closing of 3 shunts


Ductus arteriosus - ✅✅Bypasses fetal lungs


Foramen ovale - ✅✅Allows blood to cross atria, bypassing lungs


Ductus venosus - ✅✅Directs blood from umbilical vein to inferior vena cava,
bypassing liver


Normal heart rate for newborn - ✅✅110-160 beats/min


Where is blood produced in utero? - ✅✅Liver


HbF, fetal hemoglobin - ✅✅Lower arterial oxygen pressures in newborns
compared to adults


Renal production in utero/newborn - ✅✅In utero, managed by placenta


Urine production at 16 weeks gestation

, Urine, renal blood flow and GFR increase at birth


Acrocyanosis - ✅✅Normal bluish discoloration of hands and feet


Lanugo - ✅✅Fine, soft hair presents on various body parts


Typically sheds within first few weeks


Vernix - ✅✅Protective waxy coating, shield from amniotic fluid, delayed
bathing


Fontanels - ✅✅Gaps between a baby's skull: anterior and posterior fontanels


Allows for brain expansion and facilitate birth process


Newborn has approximately ___ bones - ✅✅270


Sleep-wake cycle for newborns - ✅✅16-18 hrs per day of sleep


2.5-4 hrs awake at a time


When do sleep changes occur in newborns? - ✅✅2-3 months
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