RNC - Low Risk Neonatal Nursing exam questions with complete solution

RNC - Low Risk Neonatal Nursing exam questions with complete solution Normal skin assessment - Correct Answer Acrocyanosis with decreased peripheral pulses, facial bruising and/or petechiae Normal head assessment - Correct Answer Large in relation to body size, cranial molding, caput succedaneum Normal newborn lung assessment - Correct Answer RR 40-60/min, coarse rales, prolonged expiration phase Normal newborn heart assessment - Correct Answer HR 120-160, may peak up to 180 bpm when stimulated, loud S2, split S2, soft systolic murmur (L — R shunt from PDA) Normal newborn GI tract assessment - Correct Answer Bowel sounds will likely appear within 15 minutes of birth, meconium passage within 24 hrs of birth Normal newborn kidneys - Correct Answer Urine passage within 24 hrs of birth Normal newborn limb assessment - Correct Answer Positional oddities from intrauterine positioning (e.g., legs up in frank breech position) Newborn S/S of Hypoglycemia - Correct Answer Apnea, Pallor, Jittery, Irritability, Weak high-pitched cry, Hypothermia, Labile temps, Lethargy, Poor feeding, Vomiting, Cyanosis, Seizures Causes of Hypoglycemia - Correct Answer (Other than delayed feeding): IUGR or prematurity, Inborn errors of metabolism or glycogen storage disease, Hypothermia or polycythemia, Adrenal hemorrhage, CHF, Hyperinsulinism HELLP Syndrome - Correct Answer May be associated with PIH; symptoms: hemolysis, elevated liver enzymes, low platelet count; the client is at risk for hemorrhage, pulmonary edema, and hepatic rupture Gestational Hypertension - Correct Answer Transient elevation of blood pressure occurring for the first time after mid-pregnancy without proteinuria or other signs of preeclampsia (postpartum period: ends by 12 weeks: Gest HTN. beyond 12 weeks: Chronic HTN). GBS (group B strep) - Correct Answer Group B streptococcus (GBS) is a type of bacterial infection that can be found in a pregnant woman's vagina or rectum. This bacteria is normally found in the vagina and/or rectum of about 25% of all healthy, adult women. Women who test positive for GBS are said to be colonized