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NSG 3500 - EXAM 4 WITH QUESTIONS
AND ANSWERS 100% VERIFIED
How do we assess for bowel obstruction in the newborn? - correct
answer_ - if we do not hear bowel sounds in a small and distinct section
of the intestines
- the abdomen may appear distended because of stool remaining in the
bowel
What should we do if we hear bowel sounds when assessing breath
sounds? - correct answer_ 1. make them NPO
2. call provider
3. put NG tube in per order
*do it in this order
What are risk factors for birth injuries like brachial plexus and clavicle
fracture? - correct answer_ - LGA infant
- fetal macrosomia
- difficult delivery
- shoulder dystocia
- delivery using instruments
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What should we do first when baby is in respiratory distress? - correct
answer_ Protect the airway and administer oxygen (even before calling
a code!) and constantly monitor circulation via pulse ox and cardiac
system
What always come first on assessment? - correct answer_ ABCs! Airway
and oxygen
If baby is exhibiting cold, pale, or bluish skin, poor feeding, lethargy,
resp distress, and/or bradycardia. What should we do next? - correct
answer_ Take baby's temp and BS; least invasive first, always
(If temp is <96.6, baby is hypothermic)
What do we do to enhance growth and development in the neonate? -
correct answer_ - low stimulation to increase rest for the newborn and
to imitate an intrauterine environment
- care is done in clusters (the nurse tries to schedule procedures
needed on baby during the assessment period, ~every 1-3hrs)
What are S/S of hypoglycemia in the neonate? - correct answer_ - BS
<30mg/dL
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- jittery
- lethargy
- poor feeding
- cyanosis
- apnea
- tachypnea
- high pitch or weak cry
- seizures and long-term neurological issues
What do we educate parents on when it comes to phototherapy? -
correct answer_ - encourage parents to meet babys emotional needs by
holding, feeding, touching, and interacting with baby
- S/S of jaundice
- adequate hydration
- hospitalization may be required
How do we therapeutically manage RDS? - correct answer_ - promote
oxygenation
- constant pulse ox (above 92% is goal)
- endotracheal intubation or CPAP (less damaging)
- oxygen hoods
NSG 3500 - EXAM 4 WITH QUESTIONS
AND ANSWERS 100% VERIFIED
How do we assess for bowel obstruction in the newborn? - correct
answer_ - if we do not hear bowel sounds in a small and distinct section
of the intestines
- the abdomen may appear distended because of stool remaining in the
bowel
What should we do if we hear bowel sounds when assessing breath
sounds? - correct answer_ 1. make them NPO
2. call provider
3. put NG tube in per order
*do it in this order
What are risk factors for birth injuries like brachial plexus and clavicle
fracture? - correct answer_ - LGA infant
- fetal macrosomia
- difficult delivery
- shoulder dystocia
- delivery using instruments
,2|Page
What should we do first when baby is in respiratory distress? - correct
answer_ Protect the airway and administer oxygen (even before calling
a code!) and constantly monitor circulation via pulse ox and cardiac
system
What always come first on assessment? - correct answer_ ABCs! Airway
and oxygen
If baby is exhibiting cold, pale, or bluish skin, poor feeding, lethargy,
resp distress, and/or bradycardia. What should we do next? - correct
answer_ Take baby's temp and BS; least invasive first, always
(If temp is <96.6, baby is hypothermic)
What do we do to enhance growth and development in the neonate? -
correct answer_ - low stimulation to increase rest for the newborn and
to imitate an intrauterine environment
- care is done in clusters (the nurse tries to schedule procedures
needed on baby during the assessment period, ~every 1-3hrs)
What are S/S of hypoglycemia in the neonate? - correct answer_ - BS
<30mg/dL
, 3|Page
- jittery
- lethargy
- poor feeding
- cyanosis
- apnea
- tachypnea
- high pitch or weak cry
- seizures and long-term neurological issues
What do we educate parents on when it comes to phototherapy? -
correct answer_ - encourage parents to meet babys emotional needs by
holding, feeding, touching, and interacting with baby
- S/S of jaundice
- adequate hydration
- hospitalization may be required
How do we therapeutically manage RDS? - correct answer_ - promote
oxygenation
- constant pulse ox (above 92% is goal)
- endotracheal intubation or CPAP (less damaging)
- oxygen hoods
