22.7.1: Review Questions
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Review Questions
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The Apgar assessment and score tells the team how the newborn is doing neurologically and physically after the birth.
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The Apgar assessment and score predicts the newborn’s overall morbidity and mortality moving forward after birth.
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The Apgar assessment and score tells the team how the newborn is transitioning to the extrauterine world after birth.
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The Apgar assessment and score tells the team how the newborn handled the birth overall.
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Grimace is an assessment of a newborn’s response to taking their first breath.
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Grimace is an assessment of the flexion of hips and legs in the newborn.
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Grimace is an assessment of the response to seeing their birthing person’s face.
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Grimace is an assessment of the response to stimulation from the nurse.
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firm
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abnormal
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normal
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flaccid
A nurse has just been asked to be the baby nurse for a coworker who is working with a birthing woman at 35 weeks, 3 days. The patient has preeclampsia, has had a very hard labor with multiple decelerations on her fetal heart monitor, and her amniotic fluid had meconium when her water was broken earlier in the day. In anticipation of this birth, what resources will the nurse need to gather? Select all that apply.
- another baby nurse to help
- Neonatal Intensive Care team
- radiant warmer for the newborn
- intubation kit
- tracheotomy kit
A full-term newborn has been delivered by a physician after a lengthy labor and delivery. The newborn has poor tone, minimal respiratory effort, and central cyanosis. The cord is cut, and the patient is placed in an infant warmer. What data does the nurse need to notice that are clinically significant? Select all that apply.
- Assess ABCs in newborn.
- Apgar score is determined.
- Temperature is measured.
- Vaccination is ready for administration.
- Length is measured.
- Head circumference is measured.
- Single IM injection of vitamin K is ready for administration.
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failure to clear lung fluid by the usual mechanism
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failure of the patent ductus arteriosus to close
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insufficient surfactant production
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aspiration of meconium during vaginal or cesarean birth that interferes with surfactant activity
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period of decreased reactivity
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first period of reactivity
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second period of reactivity
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after the end of the second period of reactivity
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ductus venosus
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foramen ovale
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ductus arteriosus
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foramen venosus
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ductus venosus
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foramen ovale
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ductus arteriosus
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foramen venosus
What assessment findings indicate abnormal transition in a neonate? Select all that apply.
- prolonged apneic episodes
- marked pallor
- excessive oral secretions
- crackles upon auscultation
- blue hands and feet
- poor capillary refill (longer than 3 seconds)
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ensure skin-to-skin contact until temperature is 37° C (98.6° F)
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give the baby a warm bath and then return to the birthing parent for skin-to-skin contact.
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place the baby under the radiant warmer until skin temperature is 37.5° C (99.5° F)
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check the baby’s rectal temperature
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radiation
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convection
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conduction
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evaporation
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convection
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conduction
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evaporation
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radiation
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Stimulate the neonate to take some deep breaths.
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Ask the birthing person to wrap the baby in their blankets and cuddle them closer.
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Take the neonate to the radiant warmer and check their temperature.
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Call the NICU staff and activate the staff assist light in the birthing room.
What steps are included in the QSEN steps for rewarming a neonate at risk for cold stress? Select all that apply.
- placing the neonate under the radiant warmer
- putting a pulse oximeter on the neonate
- assessing a blood glucose level
- calling the NICU team for assessment
- making certain the neonate is dressed appropriately to ensure warmth in the birthing room
- assessing respiratory status often
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A neonate has decreased subcutaneous fat and a large body surface-to-weight ratio.
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The blood vessels in the neonate are farther from the skin than those of an adult.
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Newborns are unable to rely on brown adipose tissue for heat production.
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The newborn prefers to be in constant motion, increasing the surface area exposed to the environment.