NRSG 3302 Exam 2 Module 8
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1. You're at the bedside of the Chan family as the NICU nurse in the delivery
room, assisting with caring for their infant son Ki, who was born at 41 weeks
and five days minutes ago. His skin and umbilical cord have a greenish hue.
As you continue to assess him, you note nasal flaring and chest retractions.
His Apgar scores are 4 at one minute, and 6 at five minutes. You call the
neonatologist to the bedside, who prepares to intubate Ki and begin surfactant
therapy.: Meconium Aspiration Syndrome
Ki has several indicators that he is developing meconium aspiration syndrome. Meconium staining, low Apgar scores,
and signs of respiratory distress all indicate this syndrome. His post-term delivery is a risk factor as well. The provider
will intubate him, begin surfactant therapy, and order sedatives and antibiotics. Cooling therapy may also be started if
Ki shows signs that he had an hypoxic event.
Next
2. In the NICU you're caring for baby Jasmine, who was born at 26 weeks 4 days
approximately 7 weeks ago. She's been doing well so far, but her first weeks
of life were difficult and required significant interventions, including several
weeks of mechanical ventilation, sepsis, intraventricular hemorrhage, and a
blood transfusion. Her mom has type two diabetes, and baby Jasmine had a
low birth weight at delivery.: Retinopathy of prematurity
Jasmine is at risk of developing retinopathy of prematurity due to her low birth weight and extreme prematurity.
Combined with her other complications and her mother's diabetes, she'll need to be monitored closely for retinal
changes.
Next
3. Bronchopulmonary dysplasia: chronic lung disease that affects neonates who have been treated with
prolonged periods of mechanical ventilation and oxygen for problems such as RDS.
Long term outcomes include: prolonged hospitalization, long-term oxygen therapy that may be required after dis-
charge, cerebral palsy, ROP, and hearing loss
4. Risk factors for BPD: - LGA
- RDS
- Oxygen toxicity
, NRSG 3302 Exam 2 Module 8
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- Intubation
- Infection
- Excessive fluid intake
- Nutritional deficiency
5. Treatment for BPD: support and time: time for the normal repair process within the lungs to improve
functioning and time for the infant to grow and thrive
6. Neonatal abstinence syndrome: Baby Molly was born 52 hours ago at 37 weeks 4 days. An hour
into your shift, her parents push the emergency button to report something wrong while they tried to feed her. Upon
entering the room, you notice she has tremors, a high pitched cry, and is diaphoretic. Her parents say she was acting
frantic while trying to eat and wouldn't stop crying. As you begin to assess her, she has a seizure.
7. Baby Miguel was born at 38 weeks 6 days, around 7 hours ago. His mother's
pregnancy was normal, but her delivery was difficult. Miguel had meconium
staining at delivery, and his Apgar scores were 5 at one minute, and 7 at five
minutes. You were also told in report that his temperature at delivery was
35.8°C, and the provider has ordered a complete blood count, blood cultures,
and dopamine. He's currently on a mechanical ventilator and receiving nitric
oxide therapy. While doing your assessment at the beginning of your shift, his
vital signs are as follows: blood pressure 48/35 mmHg, pulse 148, respirations
28, temperature 36.6°C, and blood oxygenation 81%.: Persistent pulmonary hypertension
of a newborn
Miguel has all the indications of persistent pulmonary hypertension of the newborn. His meconium staining, low Apgar
scores, and hypothermia are all indications of this complication. The provider will order a full laboratory work up to rule
out infection, as well as vasopressors to decrease the right to left shunting taking place in his heart.
Next
8. In the NICU, you're providing care for baby Jordan, who was delivered at 28
weeks 5 days about 8 days ago. On assessment, you notice he seems lethargic
and his abdomen is distended with visible bowel loops. His vital signs are blood
pressure 52/35 mm Hg, pulse 98, respirations 86, temperature 95.7°F (35.4°C),
and blood oxygenation 89%.: Necrotizing entercolitis
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1. You're at the bedside of the Chan family as the NICU nurse in the delivery
room, assisting with caring for their infant son Ki, who was born at 41 weeks
and five days minutes ago. His skin and umbilical cord have a greenish hue.
As you continue to assess him, you note nasal flaring and chest retractions.
His Apgar scores are 4 at one minute, and 6 at five minutes. You call the
neonatologist to the bedside, who prepares to intubate Ki and begin surfactant
therapy.: Meconium Aspiration Syndrome
Ki has several indicators that he is developing meconium aspiration syndrome. Meconium staining, low Apgar scores,
and signs of respiratory distress all indicate this syndrome. His post-term delivery is a risk factor as well. The provider
will intubate him, begin surfactant therapy, and order sedatives and antibiotics. Cooling therapy may also be started if
Ki shows signs that he had an hypoxic event.
Next
2. In the NICU you're caring for baby Jasmine, who was born at 26 weeks 4 days
approximately 7 weeks ago. She's been doing well so far, but her first weeks
of life were difficult and required significant interventions, including several
weeks of mechanical ventilation, sepsis, intraventricular hemorrhage, and a
blood transfusion. Her mom has type two diabetes, and baby Jasmine had a
low birth weight at delivery.: Retinopathy of prematurity
Jasmine is at risk of developing retinopathy of prematurity due to her low birth weight and extreme prematurity.
Combined with her other complications and her mother's diabetes, she'll need to be monitored closely for retinal
changes.
Next
3. Bronchopulmonary dysplasia: chronic lung disease that affects neonates who have been treated with
prolonged periods of mechanical ventilation and oxygen for problems such as RDS.
Long term outcomes include: prolonged hospitalization, long-term oxygen therapy that may be required after dis-
charge, cerebral palsy, ROP, and hearing loss
4. Risk factors for BPD: - LGA
- RDS
- Oxygen toxicity
, NRSG 3302 Exam 2 Module 8
Study online at https://quizlet.com/_i35rpu
- Intubation
- Infection
- Excessive fluid intake
- Nutritional deficiency
5. Treatment for BPD: support and time: time for the normal repair process within the lungs to improve
functioning and time for the infant to grow and thrive
6. Neonatal abstinence syndrome: Baby Molly was born 52 hours ago at 37 weeks 4 days. An hour
into your shift, her parents push the emergency button to report something wrong while they tried to feed her. Upon
entering the room, you notice she has tremors, a high pitched cry, and is diaphoretic. Her parents say she was acting
frantic while trying to eat and wouldn't stop crying. As you begin to assess her, she has a seizure.
7. Baby Miguel was born at 38 weeks 6 days, around 7 hours ago. His mother's
pregnancy was normal, but her delivery was difficult. Miguel had meconium
staining at delivery, and his Apgar scores were 5 at one minute, and 7 at five
minutes. You were also told in report that his temperature at delivery was
35.8°C, and the provider has ordered a complete blood count, blood cultures,
and dopamine. He's currently on a mechanical ventilator and receiving nitric
oxide therapy. While doing your assessment at the beginning of your shift, his
vital signs are as follows: blood pressure 48/35 mmHg, pulse 148, respirations
28, temperature 36.6°C, and blood oxygenation 81%.: Persistent pulmonary hypertension
of a newborn
Miguel has all the indications of persistent pulmonary hypertension of the newborn. His meconium staining, low Apgar
scores, and hypothermia are all indications of this complication. The provider will order a full laboratory work up to rule
out infection, as well as vasopressors to decrease the right to left shunting taking place in his heart.
Next
8. In the NICU, you're providing care for baby Jordan, who was delivered at 28
weeks 5 days about 8 days ago. On assessment, you notice he seems lethargic
and his abdomen is distended with visible bowel loops. His vital signs are blood
pressure 52/35 mm Hg, pulse 98, respirations 86, temperature 95.7°F (35.4°C),
and blood oxygenation 89%.: Necrotizing entercolitis
