NURSING CARE OF A FAMILY WITH A HIGH-RISK NEWBORN

Question 1

What are the intermediate assessment of a high-risk newborn?

Answer 1

● Initiation and maintenance of
respiration
● Establishment of extrauterine
circulation
● Thermoregulation
● Fluid and electrolyte balance

Question 2

born between 34 and 37 weeks’ gestation

Answer 2

LATE PRETERM

Question 2

live-born infant born prior to 37
weeks’ gestation

Answer 2

PRETERM

Question 2

Explain infant classification and growth percentile

Answer 2

1. LGA - above 90th percentile
2. AGA - bet. 10th and 90th percentile
3. SGA - below the 10th percentile

Question 2

Physical characteristics in ballard scoring

Answer 2

1. Skin
2. Lanugo
3. Plantar creases
4. Areola
5. Ear
6. Eyelid
7. Cartilage

Question 2

Neuromuscular maturity characteristics in ballard scoring

Answer 2

1. Resting posture
2. Square window
3. Arm recoil
4. Popliteal angle
5. Scarf sig
6. Heel to ear

Question 2

State the classification of the newborn by its weight & gestational age

Answer 2

1. LBW (<2500 g)
2. VLBW (1000-1500g)
3. ELBW(500-1000g)

Question 2

It is commonly used to determine gestational age

Answer 2

THE BALLARD SCORE

Question 2

IUGR means

Answer 2

Intrauterine Growth Rate

Question 2

after 42 weeks

Answer 2

POST TERM

Question 2

How far baby’s elbows
can be moved across their chest

Answer 2

SCARF SIGN

Question 2

less than 37 weeks gestation

Answer 2

PREMATURE

Question 2

How far baby’s
knees extend

Answer 2

POPLITEAL ANGLE

Question 3

How baby holds arms and legs at rest

Answer 3

RESTING POSTURE

Question 3

How baby’s arms “spring back” to flexed position

Answer 3

ARM RECOIL

Question 3

completed 37 weeks
gestation till 42 weeks

Answer 3

TERM

Question 3

born prior to 34 weeks and after 24 weeks

Answer 3

EARLY PRETERM

Question 3

caused by infant’s system attempting
to fully oxygenated all body
tissues

Answer 3

POLYCYTHEMIA

Question 3

How close baby’s feet
can be moved to their ears

Answer 3

HEEL TO EAR

Question 3

• destruction of brain
  cells by invasion of indirect bilirubin
• results from high concentration of
  indirect bilirubin from excessive
  breakdown of red blood cells.

Answer 3

KERNICTERUS

Question 3

Why is a post term infant at risk?

Answer 3

Infant is at special risk because a
placenta appears to function
effectively for only 40 weeks losing
its ability to carry nutrients
effectively to the fetus - may die or
develop post term syndrome

Question 3

Deaths in infants younger than 12 months of age that occur suddenly, unexpectedly. and without obvious cause

Answer 3

SUDDEN INFANT DEATH SYNDROME (SIDS)

Question 3

It is a live baby after 42 weeks
AOG.

Answer 3

POST TERM INFANT

Question 3

a pause in respirations longer than 20 seconds with accompanying bradycardia

Answer 3

APNEA

Question 3

Complications that contribute to having preterm infant

Answer 3

1. Anemia
2. Kernicterus
3. Persistent Patent Ductus Arteriosus
4. Periventricular/Intraventricular Hemorrhage

Question 3

is a potentially dangerous
medical event during childbirth that
occurs when a baby inhaled
meconium and amniotic fluid during
childbirth.

Answer 3

MECONIUM ASPIRATION SYNDROME

Question 3

Some infants have been discovered cyanotic and limp in their beds but have survived after mouth-to-mouth resuscitation by parent

Answer 3

APPARENT LIFE-THREATENING EVENT

Question 3

The respiratory rate that remains 80
to 120 bpm beyond 1 hour after
birth due to retained fluid lungs.

This is a condition called____

Answer 3

TRANSIENT TACHYPNEA OF THE NEWBORN (TTN)

Question 3

is abnormal formation of the white matter of the brain

Answer 3

PERIVENTRICULAR LEUKOMALACIA (PVL)

Question 3

Formerly termed hyaline membrane disease. This occurs in babies born early (premature) whose lungs are not
fully developed.

Caused by the baby not having enough surfactant in the lungs

Answer 3

RESPIRATORY DISTRESS SYNDROME (RDS)