Mother Baby Test 3 Flashcards
What does APGAR stand for?
Appearance, Pulse, Grimace, Activity, Respiratory Effort
Give the APGAR score for the following appearances;
A. blue/pale
B. body pink/extremities blue
C. pink
A. 0
B. 1
C. 2
Give the APGAR score for the following pulses;
A. Pulse of 95
B. Pulse of 102
C. No Pulse
A. 1
B. 2
C. 0
Give the APGAR score for the following activity;
A. Flexed limbs
B. Limp
C. Active ROM
A. 1
B. 0
C. 2
Give the APGAR score for the following respiration efforts;
A. Strong cry
B. Absent
C. Slow/irregular
A. 2
B. 0
C. 1
What are risk factors for SIDS?
premature, low birth rate, stomach or side sleeping, exposure to tobacco smoke
What are some umbilical cord considerations?
-Fold diaper down until it falls off
-Keep dry
- Don’t pull the cord off, let it fall off on its own
-Do not use oils or lotions on the cord
In what order would you clean baby?
A. Trunk
B. Legs and Arms
C. Head/Hair
D. Face and Eyes
E. Perineum
D, A, B, E, C
Which baby should the nurse monitor for pathologic jaundice?
A. Baby born via c-section
B. A baby born at 41 weeks gestation
C. A baby with type B blood born to a mother with type O blood
D. A baby who received phototherapy 72 hours after birth
C
A nurse is caring for newborn and uses a TcB, What is the advantage of this device to check the bilirubin levels?
A. It gives a precise measurement of total serum levels
B. It’s noninvasive and gives quick screening results
C. It eliminates the need for further bilirubin testing
D. It’s more accurate than a serum bilirubin test
B
Why do babies receive vitamin K?
It helps with normal blood clotting
What are signs and symptoms of NAS?
high pitched cry, jittery, difficulty feeding, irritability, convulsions, tachypnea, vomiting and diarrhea, vigorous suck reflex
Mom consistently took cocaine during pregnancy. Her newborn is now 26 hour old. Which of the options below would be the nurse’s priority action when assessing the infant?
A. Ask mom when last feed was and document length of feed
B. Assess Finnegan Scoring System
C. Change dirty diaper
D. Continue to monitor reflexes
B
An infant is in distress due to neonatal abstinence syndrome. Which of the options below are symptoms the infant may present with? Select all
A. Irritability
B. Tremors
C. Convulsions
D. Tachypnea
E. Bradypnea
F. Fluid overload
A, B, C, D
The most severe type of spina bifida that affects baby’s spine. What is it?
Myelomeningocele
What test can be used to screen for myelomeningocele?
The Quad Test
What are the possible assessment findings in a baby with myelomingocele?
visible sac on lower back with spinal fluid and cord, partial or complete paralysis of the legs, lack of bowel and bladder control, poor sucking and feeding, decreased reflexes below the area, hydrocephalus possible
What would the priority problem be with a baby that has myelomingocele?
thermoregulation
A newborn born with a myelomeningocele. Which position should the nurse use to keep baby safe?
A. On the back with a pillow under head
B. On side with a warm blanket on the sack
C. On the stomach (prone) with hips slightly flexed
D. Sitting upright in a car seat to support the spine
C
The head circumference should be ___ cm larger than the chest.
2-3
A 2-week-old preterm infant (born at 34 weeks gestation) is admitted to the NICU with suspected patent ductus arteriosus (PDA). The nurse notes a continuous “machinery-like” murmur at the left upper sternal border, bounding pulses, and a widened pulse pressure. The infant is tachypneic with a respiratory rate of 60 breaths per minute and has poor weight gain.
Which nursing intervention is the priority for this infant?
A. Administer ibuprofen as prescribed to promote ductal closure.
B. Position the infant in a high Fowler’s position to ease respiratory effort.
C. Monitor fluid intake and output to prevent fluid overload.
D. Initiate supplemental oxygen therapy to maintain SpO2 above 95%.
C
PDA causes a left-to-right shunt, increasing pulmonary blood flow and risking fluid overload, which can exacerbate heart failure. Monitoring fluid balance is critical to prevent complications like pulmonary edema. While ibuprofen (A) may be used, it is a medical intervention, not a nursing priority. Positioning (B) may help but is less urgent than fluid management. Oxygen therapy (D) is not indicated unless hypoxia is present.
