Nursing Care For High Risk Neonates

Question 1

An infant who stays in utero past 42 weeks is at special risk, what are associated problems that may be encountered

Answer 1

asphyxia meconium aspiration, poor nutritional status, increased RBC production, difficult delivery, birth defects seizures as a result of the hypoxic state

Question 2

clinical manifestations for small for gestational age

Answer 2

decreased anthropomorphic measurements, poor skin turgor, widely separated skull sutures, dull and lusterless hair, sunken abdomen, dry and yellow cord.

Question 3

Clinical manifestations for large for gestational age

Answer 3

immature reflex and low scores on gestational exams, extensive bruising or birth injury, prominent caput succedaneum, cephalematoma, or molding, tachycardia, cyanosis, polycythemia, hyperbilirubinemia

Question 4

common causes of hyperthermia

Answer 4

disturbance in heat regulating center, (intercranial hemorrhage, intercranial edema), incubator temperature is set too high, dehydrating fever

Question 5

how low does a neonate’s glucose level drop to when the cord is cut

Answer 5

50 mg/dl

Question 6

what is the leading cause of fetal malnutrition and low birth weight

Answer 6

maternal malnutrition

Question 7

this is associated with the acquisition of microorganism for the mother during pregnancy or labor, newborns with _______ infection present within 24-72 hours

Answer 7

Early-onset sepsis

Question 8

these manifestations such as lethargy, oliguria, hypotonia and 50%-70% of infants display seizures, usually in the 24 hours of birth, reflect which grade of Hypoxic Ischemic Encephalopathy?

Answer 8

Grade 2

Question 9

A result of the total serum bilirubin being >7 mg/dl is a sign of?

Answer 9

Hyperbilirubinemia

Question 10

this condition, also known as bilirubin encephalopathy, is when the unconjugated serum bilirubin level exceeds more than 20 mg/dl

Answer 10

Kernicterus

Question 11

it is a benign disease of near-term or term infants who display respiratory distress shortly after delivery

Answer 11

Transient tachypnea of the newborn

Question 12

management of Transient tachypnea of the newborn includes?

Answer 12

Oxygenation, fluid restriction, feeding when tachypnea improves

Question 13

during assessment for IMCI, all sick children of what age, are examined for very severe disease and local bacteria infection?

Answer 13

from birth up to 2 months

Question 14

if there is no serious condition, the mother should be correctly advised on the appropriate actions to be taken for care of the child at home, what kind of classification is thi?

Answer 14

Green Classification

Question 15

if wheezing with either fast breathing or chest indrawing, give a trial of rapid acting inhaled bronchodilator for up to 2-3 times, how many minutes apart?

Answer 15

15-20

Question 16

according to the ICMI classifications for DOB(difficulty of breathing), what is the appropriate action for intervention under pink classification

Answer 16

Give first dose of an appropriate antibiotic

refer URGENTLY to hospital

Question 17

what to look for the general condition if a child is taken in for diarrhea

Answer 17

Lethargic or unconscious
Restless and irritable

Question 18

according to the ICMI classifications for diarrhea what is the sign under yellow classification

Answer 18

No dehydration

Question 19

After giving the first dose of Artemether-lumefantrine when giving the second dose shall be given when and where

Answer 19

at home, after 8 hours

Question 20

when treating eye infections, how many times must the eyes be cleaned?

Answer 20

4

Question 21

when a child is brought in for an ear problem, you would be most likely be looking for?

Answer 21

pus draining from the ear/ tender swelling behind the ear

Question 22

on the case of yellow classification for anemia under ICMI, what must be given to the child if they are 1 year or older?

Answer 22

Mebendazole

Question 23

when determining the child’s MUAC(mid upper arm circumference), if the child’s measurement is 115-125mm, what does this count as?

Answer 23

moderate malnutrition

Question 24

the recommended amount of ready-to-use therapeutic food for malnourished per day if the child is 8.5-9.4 kg is?

Answer 24

3.5 packets per day

Question 25

when asking for severe diseases and local bacterial infection, always as if?

Answer 25

the infant is having difficulty feeding
has the infant had convulsions.

Question 26

aside from checking the skin and eye of the child for jaundice, what else should be adressed?

Answer 26

the palms and soles

Question 27

under the yellow classification of interventions for feeding problems, if the baby is breastfeeding 8 times under 24 hours, should it be increased or decreased?

Answer 27

Increased

Question 28

for infant diarrhea when going over the general condition of the infant, should you observe if the infant is restless and irritable? yes or no?

Answer 28

Yes