NUR 355 Exam 2 Questions with Verified
Correct Answers
a physcial injury that is sustained during labor and birth
birth trauma
what is the cause of retinal and subconjunctival hemorrhages
capillary rupture from increased pressure during birth
how long does it take for retinal or subconjunctival hemorrhages too resolve
7-10 days
what do you need to reassure parents of infants with retinal and subconjunctival
hemorrhanges
reassure the parents that these are harmless
where can bruising, ecchymoses and petechiae occur
buttocks if breeched
genitalia if breeched
face if face presented
entire head if a tight nuchal cord
pinpoint hemorrhages over the upper trunk/face
petechiae
if petechiae disappears in 2-3 days after birth and there is no new lesions, it is
benign
,if petechiae persists for more than 2 days or new lesions appear after birth, what may it
indicate
thrombocytopenic purpura
accidental scalpel cuts during a c-section are known as
lacerations
where are common c-section laceration sites
buttock, scalp, thighs
linear marks across both sides of the face in the shape of blades is common after
forceps delivery
if a baby is born assisted by vaccum, what is common
brusing at the cupping site
what are the 2 types of skull fractures that may happen during birth
linear or depressed
what are some causes of skull fractures during birth
difficult labor
pressure on the bony pelvis
forcept assistance
in babies who sustain a skull fracture during birth, what do you need to watch for
increased ICP
what is the treatment for linear skull fractures that occur during birth
,no treatment unless blood vessels are involved
which fracture is most common during birth
clavicle
what is a risk factor for broken clavicle during labor
shoulder dystocia
what will you see in a newborn with a broken clavicle
limited arm movement
crepitus over the bone
absent moro reflex
what bones can be affected by long bone fractures
humerus
femur
what is the cause of long bone fractures
difficult birth
what is the treatment for a labor caused long bone fracture
immobilization with slings or splints
a systemic bacterial, viral, or fungal infection during the first 28 days of life is known as
neonatral sepsis
how is early neonatal sepsis (within 72 hrs of birth) commonly acquired
contact with maternal GI/GU contents
, what are the most common organisms that cause early neonatal sepsis
group b streptococcus
E. coli
the progression of early neonatal sepsis is
rapid
late neonatal sepsis (7-30 days after birth) is acquired via
hospital or community
what are the most common organisms that cause late neonatal sepsis
staphylococci
Klebsiella
group b streptococcus
enterobacter
e. coli
candida
maternal risk factors for neonatal sepsis
prolonged rupture of membranes ( >18 hours)
maternal fever during labor
preterm birth
multiple cervical exams
neonate risk factors for neonatal sepsis
Correct Answers
a physcial injury that is sustained during labor and birth
birth trauma
what is the cause of retinal and subconjunctival hemorrhages
capillary rupture from increased pressure during birth
how long does it take for retinal or subconjunctival hemorrhages too resolve
7-10 days
what do you need to reassure parents of infants with retinal and subconjunctival
hemorrhanges
reassure the parents that these are harmless
where can bruising, ecchymoses and petechiae occur
buttocks if breeched
genitalia if breeched
face if face presented
entire head if a tight nuchal cord
pinpoint hemorrhages over the upper trunk/face
petechiae
if petechiae disappears in 2-3 days after birth and there is no new lesions, it is
benign
,if petechiae persists for more than 2 days or new lesions appear after birth, what may it
indicate
thrombocytopenic purpura
accidental scalpel cuts during a c-section are known as
lacerations
where are common c-section laceration sites
buttock, scalp, thighs
linear marks across both sides of the face in the shape of blades is common after
forceps delivery
if a baby is born assisted by vaccum, what is common
brusing at the cupping site
what are the 2 types of skull fractures that may happen during birth
linear or depressed
what are some causes of skull fractures during birth
difficult labor
pressure on the bony pelvis
forcept assistance
in babies who sustain a skull fracture during birth, what do you need to watch for
increased ICP
what is the treatment for linear skull fractures that occur during birth
,no treatment unless blood vessels are involved
which fracture is most common during birth
clavicle
what is a risk factor for broken clavicle during labor
shoulder dystocia
what will you see in a newborn with a broken clavicle
limited arm movement
crepitus over the bone
absent moro reflex
what bones can be affected by long bone fractures
humerus
femur
what is the cause of long bone fractures
difficult birth
what is the treatment for a labor caused long bone fracture
immobilization with slings or splints
a systemic bacterial, viral, or fungal infection during the first 28 days of life is known as
neonatral sepsis
how is early neonatal sepsis (within 72 hrs of birth) commonly acquired
contact with maternal GI/GU contents
, what are the most common organisms that cause early neonatal sepsis
group b streptococcus
E. coli
the progression of early neonatal sepsis is
rapid
late neonatal sepsis (7-30 days after birth) is acquired via
hospital or community
what are the most common organisms that cause late neonatal sepsis
staphylococci
Klebsiella
group b streptococcus
enterobacter
e. coli
candida
maternal risk factors for neonatal sepsis
prolonged rupture of membranes ( >18 hours)
maternal fever during labor
preterm birth
multiple cervical exams
neonate risk factors for neonatal sepsis
