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NRSG 376 Exam 3 Questions With Complete Solutions
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NRSG 376 Exam 3 Questions With Complete Solutions
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NRSG 376 Exam 3 Questions WithComplete Solutions
3 purposes of the immune system Correct Answers
surveillance, defense, homeostasis
3 stages of milk production Correct Answers 1) occurs late in
pregnancy, includes increased size and weight of breasts,
maturation of the alveoli, proliferation of the secretory alveoli
ductal system
2) occurs during postpartum period, starts with colostrum (sticky
white-yellow nutrient rich), transitions to mature milk after 30-
40 hours. This allows time for the secretory immunoglobulin
(IgA) in colostrum to coat neonate's GI and respiratory tracts.
3) Establishment and maintenance of milk supply- governed by
supply and demand.
4) weaning: significant reduction in milk volume
4 Ts associated with hemorrhage Correct Answers Tone:
uterine atony= failure of uterine myometrium to contract and
retract following birth #1 cause
Trauma: rapid labor, operative delivery, episiotomy
Tissue: retained placental tissue
Thrombin: problems with maternal coagulation (HELP
syndrome, DIC, sepsis, aruption placentae)
4 types of heat loss Correct Answers 1) evaporation= water is
converted to vapor (dry baby, remove wet linens)
2) conduction= loss of heat to cooler surface via direct contact
(radiant warmer, avoid cold instruments, skin to skin)
,3) convection= cooler air currents, drafts (don't place by
window)
4) radiation= transfer between objects that aren't in direct
contact (keep cold objects away)
5 caregiver attributes Correct Answers -knowing (understand)
-being with (presence)
-doing for (care for)
-enabling (facilitate transitions)
-maintaining belief (cope, face future with meaning)
After birth, what does elevated BP indicated? low BP? Correct
Answers elevated BP= anxiety, preeclampsia, essential
hypertension, renal disease
low BP= hemorrhage
After birth, when might maternal decreased RR occur? Correct
Answers extremely high spinal block or epidural
C-section
APGAR scoring. Correct Answers A= appearance (color all
pink, pink and blue, blue [pale])
P= pulse (>100, < 100, absent)
G= grimace (cough, grimace, no response)
A= activity (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)
Are afterpains normal? Correct Answers Yes, occurs during
intermittent uterine contraction during process of involution.
-Can worsen with breastfeeding, uterine overdistention, multips.
, cafe-au-lait spots Correct Answers 1-2 = nothing
6 or more can indicate disorder
Cardiac output remains high after labor. How long does this
last? Correct Answers Remains high for first 48 hours
Decreases to pre-pg after 2-4 weeks
Classifications of perineal lacerations Correct Answers 1st
degree= skin only
2nd degree= perineal muscles
3rd degree= anal sphincter muscles
4th degree= rectal wall
conditions that can produce SGA Correct Answers genetic
factors, chromosomal factors, maternal fibroids, maternal
asthma, maternal hypertension, drug use, maternal heart disease,
maternal diabetes, maternal lupus, twin to twin transfusion,
abnormal uterine anatomy, TORCH infections
congenital nevus Correct Answers
Contraindications to breastfeeding Correct Answers -infants
with galactosemia (cannot process simple sugars)
-mothers with active TB, HIV, herpes
-Medications (lithium and methotrexate)
-exposed to radioactive isotopes
crossed extension reflex Correct Answers
Discuss bilirbuin in relation to the newborn Correct Answers -
bilirubin is a byproduct of hemolysis
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