242 - Exam 1
Involution - correct answer ✔rapid reduction in size of the uterus and the
return to a non pregnant state, should be close to prepregnant size 6 weeks
after birth
During your newborn assessment what are things that indicate a problem? -
correct answer ✔- nasal flaring, chest retractions
- grunting on exhalation, labored breathing
- generalized cyanosis, flaccid body posture
- abnormal breath sounds, abnormal resp. rate
- abnormal heart rates, abnormal newborn size
How does babies cardiovascular system adapt after birth? - correct answer
✔it changes from placental to pulmonary gas exchange, from fluid to air,
changes in fetal structures occur
What is a SGA baby? - correct answer ✔- small for gestational age
- weight <10%
- babies can be preterm, term or post term
Fundus - correct answer ✔rounded upper portion of the uterus, should feel
firm, if not firm referred to as boggy (excessive uterine bleeding), should no
longer be able to palpate after 2 weeks post birth
What can cause SGA babies? - correct answer ✔- mom's age
- abuse history
- poor diet
,- drug use
When do we measure APGAR? - correct answer ✔1 minute after birth and 5
minutes after birth
first one is usually lower than 5 minutes
<7 indicates an issue
Normal Hemoglobin for baby? - correct answer ✔17-20 g/dL
Uterine Atony - correct answer ✔relaxation of uterine muscle tone
What can we do for SGA babies? - correct answer ✔- maintain temperature
- monitor blood sugar
- do this by feeding baby and keeping it warm
What do we assess on the newborn right after birth? - correct answer ✔-
length and weight
- vital signs
- gestational assessment
-physical maturity, neuromuscular maturity
Normal Hematocrit for baby? - correct answer ✔52%-63%
Normal platelet level for baby? - correct answer ✔100,000-300,000
Subinvolution - correct answer ✔slowed descent of the uterus during the
postpartum healing process
, What nursing interventions do we do when baby is born? - correct answer ✔-
keep baby's airway patent: suctioning out fluid
- ensuring baby is properly identified
- administering prescribed medications
- Vitamin K, eye prophylaxis (erythromycin)
- keeping baby warm but not overheating baby: drying them off, warm
blankets, warmer
What is a LGA baby? - correct answer ✔- large for gestational age
- weight >90%
- can be preterm, post term, or term
After Pains - correct answer ✔cramp like pains caused by intermittent
contractions of the uterus that occur after childbirth
What are we most concerned about with LGA babies? - correct answer
✔birth injuries, hypoglycemia
What do we assess in the early newborn period? - correct answer ✔-
prenatal history
- newborn physical exam: measurements of baby (length, weight, head circ.,
chest circ. head should be bigger)
- vitals
- skin condition and color
- baby's head: size and fontanels
- work from head down: face, neck, chest, abdomen, genitalia, extremities and
back, neurological status (alertness, posture, muscle tone, reflexes)
Involution - correct answer ✔rapid reduction in size of the uterus and the
return to a non pregnant state, should be close to prepregnant size 6 weeks
after birth
During your newborn assessment what are things that indicate a problem? -
correct answer ✔- nasal flaring, chest retractions
- grunting on exhalation, labored breathing
- generalized cyanosis, flaccid body posture
- abnormal breath sounds, abnormal resp. rate
- abnormal heart rates, abnormal newborn size
How does babies cardiovascular system adapt after birth? - correct answer
✔it changes from placental to pulmonary gas exchange, from fluid to air,
changes in fetal structures occur
What is a SGA baby? - correct answer ✔- small for gestational age
- weight <10%
- babies can be preterm, term or post term
Fundus - correct answer ✔rounded upper portion of the uterus, should feel
firm, if not firm referred to as boggy (excessive uterine bleeding), should no
longer be able to palpate after 2 weeks post birth
What can cause SGA babies? - correct answer ✔- mom's age
- abuse history
- poor diet
,- drug use
When do we measure APGAR? - correct answer ✔1 minute after birth and 5
minutes after birth
first one is usually lower than 5 minutes
<7 indicates an issue
Normal Hemoglobin for baby? - correct answer ✔17-20 g/dL
Uterine Atony - correct answer ✔relaxation of uterine muscle tone
What can we do for SGA babies? - correct answer ✔- maintain temperature
- monitor blood sugar
- do this by feeding baby and keeping it warm
What do we assess on the newborn right after birth? - correct answer ✔-
length and weight
- vital signs
- gestational assessment
-physical maturity, neuromuscular maturity
Normal Hematocrit for baby? - correct answer ✔52%-63%
Normal platelet level for baby? - correct answer ✔100,000-300,000
Subinvolution - correct answer ✔slowed descent of the uterus during the
postpartum healing process
, What nursing interventions do we do when baby is born? - correct answer ✔-
keep baby's airway patent: suctioning out fluid
- ensuring baby is properly identified
- administering prescribed medications
- Vitamin K, eye prophylaxis (erythromycin)
- keeping baby warm but not overheating baby: drying them off, warm
blankets, warmer
What is a LGA baby? - correct answer ✔- large for gestational age
- weight >90%
- can be preterm, post term, or term
After Pains - correct answer ✔cramp like pains caused by intermittent
contractions of the uterus that occur after childbirth
What are we most concerned about with LGA babies? - correct answer
✔birth injuries, hypoglycemia
What do we assess in the early newborn period? - correct answer ✔-
prenatal history
- newborn physical exam: measurements of baby (length, weight, head circ.,
chest circ. head should be bigger)
- vitals
- skin condition and color
- baby's head: size and fontanels
- work from head down: face, neck, chest, abdomen, genitalia, extremities and
back, neurological status (alertness, posture, muscle tone, reflexes)
