With Complete Solutions
- promot early to help prevent heat loss Correct Answer breast-
feeding to provide fuels for non shivering thermogenesis
-an increase in the blood pressure causes reduction in the
pulmonary pressures and reduces the need for the Correct
Answer ductus arteriousus to shunt blood, and it promotes the
closure of the shunt.
increase of the pressure in the left atrium of the heart, decreases
the pressure in the right atrium
-don't placement skin temp. probe over Correct Answer a bony
area or one with brown (doesn't give accurate)
place over temp. probe is place over liver in supine or side-lying
-Drying newborn completely after birth Correct Answer to
prevent evaporation
-Leukorrhea -begins Correct Answer 1st trimester-stays (8-
12wk)
-vaginal discharge increases
-Keep the area clean and dry
-Avoid wearing pantyhose or nylon clothes
-Cotton underwear
-Wearing a nightgown rather than pajamas
-Avoid douching and tampon use
,-use radiation warmers/double-wall isolette to Correct Answer
prevent heat loss form radiation
• Cardiovascular system changes
o Hemoglobin values in pregnancy that indicate anemia Correct
Answer -normal HgB and HcT values decrease - physiologic
anemia of pregnancy
- hemoglobin level of 11 g/dL or less in the first trimester, 10.5
g/dL or less in the second trimester, and 11 g/dL or less in the
third trimester.
Many centers define anemia in a patient who is pregnant as an
Hb value lower than 10. 5 g/dL, as opposed to the reference
range of 14 g/dL in a patient who is not pregnant
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• Cardiovascular system changes
pregnancy (hemodilution)
o WBC and RBC in pregnancy Correct Answer Increase in
number of RBCs (30%); plasma volume > RBC leading to
hemodilution (physiologic anemia)
Increase in iron demands, fibrin & plasma fibrinogen levels, and
some clotting factors, leading to a hypercoagulable state
White blood cell count is increased in pregnancy with the lower
limit of the reference range being typically 6,000/cumm.
Leucocytosis, occurring during pregnancy is due to the
physiologic stress induced by the pregnant state
,• Heel stick technique for PKU Correct Answer Don gloves
Prepare automated heel-lancing device
Clean area with antiseptic solution
Position heel between thumb & forefinger with the fingers
underneath the calf & ankle
Thumb over the ball of foot
Place a minimal pressure to place the foot in dorsiflexion
Place the lancing device on the site and activate it
Use mild pressure with thumb and fingers
Wipe away first drop of blood
Collect the sample
• Main causes of maternal mortality Correct Answer -
Developing countries
-living in rural areas
-poorer communities
-young adolescents
• Umbilical cord circulation and functions Correct Answer
Formed from the amnion
Lifeline from the mother to the growing embryo
, Contains one large vein and two small arteries
Wharton's jelly surrounds the vein and arteries to prevent
compression
At term, the average umbilical cord is 22 inches long and about
1 inch wide
1-LH (luteinizing hormone)-rises and stimulates the Correct
Answer follicle to produce estrogen
1st trimester of pregnancy Correct Answer weeks 1 through 13
2-As estrogen is produced by the follicle, estrogen levels rise,
Correct Answer inhibiting the output of LH- luteinizing
Hormone
2nd trimester of pregnancy Correct Answer weeks 14 through
26
3-Ovulation occurs after an LH surge damages the estrogen-
producing cells, resulting in Correct Answer a decline in
estrogen
3rd trimester of pregnancy Correct Answer weeks 27 through
40
4-The LH surge results in establishment of the Correct Answer
corpus lute, which produces estrogen and progesterone