QUIZ 1: CHAPTER 26: NURSING CARE OF A FAMILY WITH A HIGH-RISK NEWBORN

Question 1

Newborn Assessment of Transition to Extrauterine Life #1
Immediate assessment:

Answer 1

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

Question 2

To be assessed after immediate concerns:

Answer 2

Nutrition
Waste elimination
Infection
Progression of infant-parent/caregiver relationship
Infant development

Question 3

Assessment of Gestational Age

Answer 3

An accurate assessment incorporates size and maturity

Question 4

Assessment methods include:

Answer 4

Mother’s menstrual history
Prenatal ultrasonography
Evaluation of obstetric parameter
Postnatal maturation

Question 5

is commonly used to determine gestational age.
Assesses neuromuscular and physical maturity

Answer 5

Ballard score

Question 6

• How baby holds arms and legs at rest

Answer 6

Resting posture

Question 7

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

Answer 7

Arm recoil

Question 8

• How far baby’s knees extend

Answer 8

Popliteal angle

Question 9

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

Answer 9

Scarf sign

Question 10

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

Answer 10

Heel to ear

Question 11

• less translucent, dry, peeling

Answer 11

Skin

Question 12

• fine, non pigmented, hair all over 27-28 weeks, disappears gradually

Answer 12

Lanugo

Question 13

• presence or absence of creases

Answer 13

Plantar creases

Question 14

• prominent labia majora, descend, rugation

Answer 14

Genitalia

Question 15

: < 2500 gm

Answer 15

LBW (low birth weight)

Question 16

: 1000 - 1500 gm

Answer 16

VLBW (very low birth weight)

Question 17

: 500 - 1000 gm

Answer 17

ELBW (Extremely very low birth weight)

Question 18

AGA - _% of all births
SGA - _% of all births
LGA - _% of all births

Answer 18

80
10
10

Question 19

Birth weight if below the 10th percentile on an intrauterine growth chart

Answer 19

SMALL FOR GESTATIONAL AGE (SGA)

Question 20

(IUGR)

Answer 20

intrauterine growth restriction

Question 21

infants whose birth weight is above the 90th percentile an the intrauterine growth chart for their gestational age

Answer 21

Large-for-gestational-age (LGA) infants

Question 22

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

Answer 22

Polycythemia

Question 23

• esp for infants born to diabetic mothers, the increased blood glucose level in utero causes the fetus to produce elevated levels of insulin.

Answer 23

Hypoglycemia

Question 24

An infant born before end af 37 WOG, weight of ‹ 2500 gm at birth
Observe closely for respiratory distress syndrome, hypoglycemia, and intracranial hemorrhage

Answer 24

PRETERM INFANT

Question 25

-low reticulocyte count because bone marrow production not increase until approximately 32 weeks, blood transfusions, vita E and iron supplements

Answer 25

Anemia

Question 26

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

Answer 26

Kernicterus

Question 27

• preterm infants lack surfactant lungs are noncompliant, difficult to move blood from pulmonary artery into the lungs

Answer 27

Persistent Patent Ductus Arteriosus

Question 28

• preterm infants have fragile capillaries and immature cerebral vascular development

Answer 28

Periventricular/intraventricular Hemorrhage

Question 29

It is a live baby after 42 weeks AOG.
Post term infant may be LGA, AGA, SGA or dysmature depending on placental function
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 ar develop post term syndrome

Answer 29

POST TERM INFANT

Question 30

There are three stages of fetal dysmaturity syndrome
Stage 1-

Answer 30

Chronic placental insufficiency
Dry, cracked, peeling, loose, and wrinkled skin
Malnourished appearance
Open-eyed and alert baby

Question 31

There are three stages of fetal dysmaturity syndrome
Stage 2-

Answer 31

Acute placental insufficiency:
All features of stage 1
Meconium staining
Perinatal depression

Question 32

Stage 3-

Answer 32

Subacute placental insufficiency
Findings of stage 1 and 2 except paint ili
Green staining of skin, nails, card, and placental membrane
A higher risk of fetal intrapartum or neonatal death

Question 33

The respiratory rate that remains 80 to 120 bpm beyond 1 hour after birth due to retained fluid lungs.
The newborn is having mild retractions, cyanosis, difficulty feeding, and CXR, UTZ will reveal some fluid to their lungs.
The risk factors for this condition are mothers who gave CS birth, extensive fluid administration of mother during labor, and preterm infants.

Answer 33

TRANSIENT TACHYPNEA OF THE NEWBORN

Question 34

An infant whose resting respirations are longer than 20s accompanying bradycardia.

Answer 34

APNEA

Question 35

occurs in babies born early (premature) whose lungs are not fully developed.
The earlier the infant is bar, the more likely it is for them to have RDS and need extra oxygen and help breathing

Answer 35

RESPIRATORY DISTRESS SYNDROME

Question 36

can be given into the baby’s lungs to replace what they do not have. This is given directly down the breathing tube that was placed In the windpipe

Answer 36

Surfactant

Question 37

• Sometimes antibiotics are given if an infection is suspected. Calming medicines may be given to help ease pain during treatment

Answer 37

Medicines

Question 38

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

Answer 38

MECONIUM ASPIRATION SYNDROME

Question 39

has caused much grief and anxiety among families for centuries.

Answer 39

Sudden infant death syndrome (SIDS)

Question 40

is also commonly called as “crib death”

Answer 40

SIDS