NCMA 219 MIDTERM EXAM QUESTIONS AND CORRECT ANSWERS
4 views 0 purchase
Course
NCMA 219
Institution
NCMA 219
High risk newborn a newborn regardless of gestational age or birth, who has a greater than average chance of morbidity or mortality, usually because of conditions beyond the normal events related to birth and the adjustment to extrauterine life.
Basic nursing actions in high-risk newborns 1. Detec...
NCMA 219 MIDTERM EXAM QUESTIONS
AND CORRECT ANSWERS
High risk newborn ✅a newborn regardless of gestational age or birth, who has a
greater than average chance of morbidity or mortality, usually because of conditions
beyond the normal events related to birth and the adjustment to extrauterine life.
Basic nursing actions in high-risk newborns ✅1. Detect early
2. Keep newborn warm
3. Provide immediate supportive care
4. Report/refer promptly
Always keep newborn dry ✅-to prevent hypothermia
-if the baby experience hypothermia, he/she needs energy to burn to be able to produce
body heat
Glycogen ✅is the stored form of energy not glucagon
Glucagon ✅the hormone produced by the liver that converts glycogen into glucose
Danger signs of newborn distress ✅12 danger signs
Difficult respirations or tachypnea ✅-normal: 30-60
-do not feed the baby because at risk of aspiration, the ability of the newborn baby to
coordinate respiration and swallowing
Lethargy, failure to suck ✅-sleepy, poor ability to suck
-you are not going to feed the baby
Cyanosis ✅-lack of oxygen in the hemoglobin
Excessive mucus/drooling ✅-tracheo esophageal fistula: there is abnormal connection
between 2 organs, esophagus and trachea
-do not feed the baby
Sac or dimpling at the lower back ✅-neural tube effect (spina bifida)
-lumbosacral area
-the spinal cord dislocates from its normal place, which will affect the lower portion of
the body of the baby
Biled stain vomitus ✅-vomit with bile
-below common bile duct
-aganglionic mega colon (hirschsprung disease)- absence of ganglion cells
-ganglion cells: stimulates peristalsis
-
Jaundice ✅sclera white
Icteric yellow
Blood incompatilbility
Meconium staining of skins and nails ✅with fetal distress
No passage of meconium in 1-2 days ✅-checking the rectal temp at the ninth is not the
best way
-imperforate anus: walang butas, to check this, the best way is to passageway of stool
in 1st 24 hrs
-assessment: palpate, check for tenderness
-sign: irritability, so much cry
High pitched shrill cry, bulging anterior fontanelle ✅-increase intracranial pressure
-head injury or hydrocephalus
Low birth weight (lbw) ✅< 2,500 g (5.5lbs)
Very low birth weight (vlbw) ✅500-1000g (2.2lbs)
Appropriate for gestational age (aga) ✅-weight is between the 10th and 90th percentile
-2,500g (5.5 lbs or 2.5kg) and 4000g (about 8.75 lbs or 4kg)
Small for date (sfd) or small for gestational age (sga) ✅-below the 10th percentile
-<2,500g
Intrauterine growth restriction (iugr) ✅-commonly seen on sga
-they fail to grow at the expected rate in the utero
-bumagal growth habang nasa loob
Large for gestational age (lga) ✅-weight is above 90th percentile
-4kg>
According to gestational age
-preterm ✅-born before completion of the 37 weeks gestation
, Full-term ✅-between the beginning of 38 weeks of gestation and the completion of 42
weeks
Post term ✅born after 42 weeks
Late preterm ✅-born between 34 weeks and 36 weeks of gestation
According to mortality
-live birth ✅-the neonate manifests any heartbeat, breaths, displace voluntary
movement regardless of their gestational
Fetal death ✅-death of the fetus after they have reached their 20 weeks of gestational
and before they delivered
Neonatal death ✅-occurs during the first 27 days of life
*early neonatal death- during the first week
*late neonatal death- between 7th to 27th days
Perinatal mortality ✅total number of fetal and early neonatal deaths per 1000 live
births
Postnatal death ✅-occurs at 28 days to 1 year after birth
High risk conditions (head injuries) ✅-biggest part and most common presenting part
-head is one of the most common anatomical parts that is injured at birth
1. Caput succedaneum ✅-edema of the scalp
-cone head like
-cause: pushing when the cervix is not yet fully dilated
-characteristics: bilateral, self resolving in 3-5 days
-cs- crosses suture line
2. Cephal hematoma ✅-presence of blood clot between the periosteum and the frontal
bones of the skull
-cause: pressure from bony pelvis or blades of forceps
-characteristics: unilateral, self resolving in 1-2 weeks
- doesn't cross the suture line
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
