NUR 148 Test 3 - Answer -Lasts 30-60 mins -baby alert and active...

NUR 148 Test 3

• "First period of reactivity" or "Golden Hour"

Answer -Lasts 30-60 mins -baby alert and active -HR irregular and high as 180bpm -RR as high as 80/min -Fine crackles in lungs -hypoactive bowel sounds (NOT absent) -breastfeeding initiated

• "Period of decreased responsiveness"

Answer -lasts from 60-100 mins (hours 2-4 of life) -bowel sounds more audible -HR and RR return to baseline -activity decreases -acrocyanosis improving

• "Second period of reactivity"

Answer -awake again and alert -lasts 4-6 hours (hours4-8 of life) -HR and RR increase -skin color change->overall pinkness -pass 1st stool -interest in feeding 1 / 3

110-160 bpm

• is normal for the first hours to days after birth while cardiac and

respiratory systems are adjucting to extra uterine life.

Answer acrocyanosis

• Term neonates lungs hold about how much fluid per kg prior to birth?

Answer 20cc or mL

• What does clamping the cord initiate?

Answer breathing (crying)

• Factors that initiate newborn first breaths?

Answer -chemical

-mechanical (passage through birth canal) -thermal (cold air) -sensory (senses)

• Normal breath sounds in newborn?

Answer -abdominal breathing

-shallow and irregular->30-60 bpm -nasal flaring -retractions -tachypnea

• Normal respiratory rate for newborn?

Answer 2 / 3

30-60/min

• Targeted pre-ductal SpO2 after birth...

Answer -1 min 60-65%

-2 min 65-70 -3 min 70-75% -4 min 75-80%

-5 min 80-85 % -10 min 85-95%

• Normal apical pulse for newborn?

Answer 110-160 bpm

• PDA fetal circulation...

Answer left ventricle (unoxygenated blood)->pulmonary artery->PDA (mixes unoxygenated blood between p. artery and aorta)->aorta

• This septal defect in atria mixes oxygenated and unoxygenated blood?

Answer - PFO

• Foramen ovale shunts blood around the .

Answer lungs

• Benefits of delayed cord clamping and cutting....

Answer

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