NR 327 EXAM 2
ALREADY RATED A+
_____ are indicators that the newborn is receiving enough during feedings. Correct Answer -Not losing more than 10% body weight -# of dirty diapers and diaper weight (at least 3 wet diapers and 3 stools a day by the third day)
Primary ways nurses protect newborns are by _____ Correct Answer (1) ensuring that infants always go to the correct parents (2) taking precautions to prevent infant abductions (3) preventing infections or recognizing early signs (4) preventing infant falls.
Appropriate interventions for proper umbilical cord care. Correct Answer Clean the cord with plain water, if necessary, and keep it dry. Fold the diaper below it so it is not wet by urine.
_____ is hypertension (systolic blood pressure ≥140 mm Hg or diastolic ≥90 mm Hg) occurring after 20 weeks of pregnancy in women with previously normal blood pressure usually accompanied by proteinuria. Correct Answer Preeclampsia
_____ is characterized as the following: 1 / 4
Systolic blood pressure of 160 mm Hg or greater or a diastolic blood pressure of 110 mm Hg or greater on at least 2 occasions at least 4 to 6 hours apart while the patient is on bed rest Correct Answer Severe Preeclampsia
Mothers with preeclampsia should do the following: Correct
Answer -reduced activity (sedentary activity most of the day) -home blood pressure monitoring (same time & arm) -f/u visits to the provider every 3 to 4 days.-ample protein/calorie diet
_____ requires inpatient hospitalization. Current recommendations for management depend on disease severity and include progression toward delivery, even if the gestation is less than 34 weeks. Correct Answer Severe preeclampsia
When treating preterm babies, what are the main nursing considerations to adhere to Correct Answer -Minimizing stimulus (dimming lights, decreasing visitors, decreasing noise) -Cluster care
Nursing considerations for treatment of a patient with _____ is :
-Have patient urinate/void bladder -Fundal massage Correct Answer Deviated fundus 2 / 4
_____ is defined as depression that takes place after childbirth and persists longer than 2 weeks, typically presents within the first
- months postpartum, and has the potential to last up to a year.
Correct Answer Postpartum depression
_____ is a mild, transient condition which resolves within 2 weeks Correct Answer Postpartum blues
Increased clotting factors predispose the postpartum woman to thrombus formation. _____ helps prevent thrombophlebitis.Correct Answer Early, frequent ambulation
When treating a patient with active bleeding at 40wks or greater, _____ should be the immediate interventions. Correct Answer - Never do a vag exam on actively bleeding patient.-Prepare for delivery asap
The most common sign of _____ are fetal and maternal tachycardia, paired with weak maternal peripheral pulses. Correct Answer Hypovolemia
Smoking, thrombocytopenia, HTN, prior PMHx of embolus are all contraindications for what medications. Correct Answer Oral contraceptives 3 / 4
Medications most commonly given to the newborn. Correct Answer HEP B vaccine, erythromycin eye ointment, Vitamin K
What is considered normal bilirubin at 0-1 day Correct Answer
1.4-8.7
What is considered normal bilirubin at 1-2 days Correct Answer
3.4-11.5
What is considered normal bilirubin at 3-5 days Correct Answer
1.5-12
What is considered normal bilirubin at 5 days to adulthood Correct Answer 0.3
What is considered normal glucose from newborn to 1 day Correct Answer 40-60
What is considered normal glucose from newborn to greater than
- day Correct Answer 50-90
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