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NGN-NCLEX 2024 > Newborn / Antepartum Rationales > Flashcards

Newborn / Antepartum Rationales Flashcards

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1
Q

_____ _____ is due to an incompatibility between maternal & fetal blood.

A

erythroblastosis fetalis

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2
Q

______ is an ultrasound-guided test used in the detection of fetal abnormalities. A thin needle is inserted into the amniotic sac to remove a sample of amniotic fluid.

A

Amniocentesis

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3
Q

Amniocentesis is utilized to detect fetal ____ ____ defects as well as ______ abnormalities.

A

fetal neural tube defects as well as chromosomal abnormalities

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4
Q

Can you determine the gender of a fetus from an amniocentesis?

A

yes

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5
Q

Metabolic _____ would develop due to cold stress b/c of the lack of glucose would cause fat to be the fuel source.

A

Metabolic Acidosis

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6
Q

Small for gestational age (SGA) is used when the infants are smaller than normal for the number of ____ ____ _____.

A

weeks of pregnancy

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7
Q

A low birth weight is defined as an infant with a weight that is less than ______ grams.

A

2500 grams

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8
Q

Tachycardia is an early finding for newborns with ___ ____.

A

cold stress

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9
Q

A VLBW is defined as an infant with a weight less than _____ grams at the time of birth.

A

1500 grams

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10
Q

Manifestations of hypoglycemia in an infant include ____ ____ ____ and a ____ _____ _____.

A

poor muscle tone and a weak, jittery cry.

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11
Q

The average temp at birth is ____ to ____ celsius.

A

36.5 to 37.5 (97.7 to 99.5)

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12
Q

A high-pitched cry is an ____ finding in a newborn.

A

irregular

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13
Q
A
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14
Q

An expected HR in a newborn is _____ to ____.

A

120 to 160

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15
Q

An expected HR in a crying newborn is _____.

A

180 bpm

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16
Q

_____ is the intense emotional bonding & attachment that occurs between a parent shortly after birth.

A

engrossment

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17
Q

engrossment is characterized as direct ____ ____, showing _____, and intense _____ on the newborn.

A

direct eye contact, showing affection, and intense focus.

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18
Q

____ - ___ (also known as claiming) is a standard psychosocial process where the mother links the newborn’s facial features to other family members.

A

Binding-in

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19
Q

_____ refers to the rhythmic synchronization of behaviors, such as the infant’s movements & sounds, with those of the caregiver.

A

Entrainment

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20
Q

SIDS occurs higher in ____ & ____.

A

males & twins

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21
Q

The peak incidence is between ___ & ___ months.

A

2 & 4 months

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22
Q

Name 2 mitigating factors of SIDS

A
  1. a cool sleeping environment
  2. room-sharing
  3. supine sleeping
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23
Q

With ectopic pregnancy you will see ____ pain, ____ bleeding and a positive ____ ____.

A

pelvic pain, vaginal bleeding, and a positive pregnancy test.

24
Q

After a circumcision should you remove the scab?

A

no

25
Q

Assymetrical gluteal folds are not an ____ ____. It suggests ____ of the hip.

A

expected finding / dysplasia

26
Q

A normal head circumference of a newborn is ____ to ____ cm.

A

32 to 38 cm

27
Q

The chest of a newborn should be ___ to ___ cm smaller than the head.

A

2 to 3 cm

28
Q

_____ is a genetic disorder that results in central nervous system damage.

A

PKU

29
Q

What are some common assessments in PKU. (3)

A
  1. musty odor
  2. urine smell
  3. hypo pigmentation of the hair
30
Q

What are common withdrawal symptoms? (3)

A
  1. Tachypneic (88)
  2. Diaphoresis
  3. Hyperactive reflexes
31
Q

if indicated you should suction the ____ first.

A

mouth

32
Q

A ____ ___ is often observed in a wide range of chromosomal defects.

A

simian line (simian crease)

33
Q
A
34
Q

Failure to pass meconium within 48 hours of life should raise suspicions for? (4)

A
  1. Cystic fibrosis
  2. Hirschprung’s disease
  3. Anorectal malformations
  4. Meconium plug syndrome
35
Q
A
36
Q

Clients with severe preeclampsia have ____ pain.

A

epigastric pain

37
Q

In pregnancy there is an _____ in heart size, _____ metabolic rate, ____ esophageal size.

A
  1. increase in heart size
  2. increased metabolic rate
  3. decreased esophageal size
38
Q

_____ is an infection that may be bacterial, fungal, or viral.

A

chorioamnionitis

39
Q

Manifestations of chorioamnionitis are maternal fever, maternal & fetal _____, uterine tenderness etc…

A

tachycardia

40
Q

distended abdomen, hypoactive bowel sounds, increased gastric residual are all consistent with _______.

A

NEC

41
Q

A third ____ ____ sound is expected during pregnancy because of increased BV.

A

S3 heart sound

42
Q

Is HEP C transmitted in breast milk?

A

no

43
Q

_____ is a pattern of reddish or purplish discoloration on the skin caused by changes in blood flow.

A

Mottling

44
Q

Newborn jaundice is often caused by the baby’s liver being ______.

A

immature

45
Q

Which seat in the back should the baby’s car seat be in?

A

The middle back seat

46
Q

A birth weight between ____ and ___ Ib is normal.

A

5.5 and 8.2

47
Q

Infants with (NAS) should be swaddled in a ______ position.

A

flexed

48
Q

Decreased CO in infants usually results in ____.

A

tachycardia

49
Q

Breastfeeding should be ____ - ____ minutes.

A

15-20

50
Q

The quad screen test is done the ____ trimester of pregnancy.

A

2nd trimester

51
Q

The quad screen measures if the fetus has ____ ____ , _____ ___ , and _____ _____.

A

Down syndrome, trisomy 18, and spina bifida.

52
Q

_______ heat loss is transferred by direct contact from one object to another.

A

conduction heat loss

53
Q

______ heat loss happens when the heat is transferred from an object/body to the surrounding air.

A

Convective

54
Q

Drying an infant with a towel would help prevent _____ heat loss.

A

evaporative heat loss

55
Q

Placing a newborn on a padded, covered surface would prevent _____ heat loss.

A

conductive heat loss

56
Q

Ultrasounds typically require a _____ _____.

A

full bladder

57
Q

Women infected with rubella are more likely to have an infant suffer from ____ ____ and _____.

A

growth restriction and hydrocephaly

NGN-NCLEX 2024 (63 decks)

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