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NURP 531 Exam 4 With Complete Solution
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NURP 531 Exam 4 WithComplete Solution
Neonatal Death - Answer Occurs within 1st 28 days
45% of deaths world wide
Leading cause of neonatal mortality - Answer prematurity and low birth weight
Increased risk in African-Americans
If born <32 weeks gestation then increased risk of mortality and long term disability
Categories of Genetic disorders - Answer Monogenic - caused by a single gene mutation
Multifactorial - Combination of gene variations that may be environmentally influenced
Chromosomal - Excess of deficiency of genes located on chromosomes or by structured
changes within the chromosomes.
Autosomal Recessive Disorders - Answer CF
Sickle Cell
Tay-Sacs
Beta-thallasemia
X-Linked recessive disorders - Answer SCID
Hemophilia A & B
Gestational DM can cause what effect on neonates? - Answer Increase risk of congenital
malformations
Risk of:
Macrosomia
Cesarean birth
Shoulder dystocia
Birth trauma
Hypoglycemia in the infant
,Jaundice
IUGR
Pre-eclampsia
Polyhydraminos
Congenital Hypothyroidism - Answer Required screening
Can cause developmental disability
increased risk in females, Hispanics, and Asians
Hypertension during pregnancy is - Answer The leading cause of maternal mortality
Drugs to avoid during pregnancy - Answer Lithium
ACE inhibitors
Anticonvulsants
Mega-doses of vitamin A
SSRI's
NSAIDS
What type of drug more readily crosses the placenta? - Answer Lipid soluble
If mom HIV positive, what does baby receive? - Answer Zidovudine x 6 weeks
or x 4 weeks if infant term and mom was on retrovirals.
APGAR score - Answer Scale of 1-10 that is measured at 1 minute and 5 minutes that
measures cardiac and respiratory adjustment - 1 minute measures how well the baby
tolerated the birthing process; 5 minutes measures how baby completed the neonatal
transition.
HR
respiratory effort
reflex irritability
Muscle tone
Color
Ballard score - Answer Used to determine gestational age on newborns born between
20-44 weeks.
Measured 2 hours after birth and again at 48 hours if complications occurred.
, Appropriate for gestational age - Answer 10-90th percentile
Small for gestational age - Answer <10th percentile
Large for gestational age - Answer >90th percentile
Normal head circumference - Answer 31-38 cm
12-15 inches
Should be measured 3 times and the largest should be recorded
Normal weight - Answer 2500-4000 g
5 lb 8 oz - 8 lb 13 oz
normal Length - Answer 46-56 cm
18-22 in
Normal temp - Answer 36.5-37.2 Celsius
97.7-99 F
Normal RR - Answer 30-60 BMP
Normal to hear crackles in first few hours after birth
Pulse - Answer 120-160
***80-100 while sleeping and upwards to 180 when crying***
Auscultate at PMI
CCHD screening - Answer Pulse ox RUE (preductal) and one foot (post ductal)
Complete after first 24 hours (before discharge) or in office if home birth.
If <95% or >3% difference => failed screen
Coarctation of Aorta - Answer congenital cardiac condition characterized by a
narrowing of the aorta
increase BP and pulse in upper extremities vs lower
Systolic murmur with 3rd heart sound
"Ken-tuck-ee"
Patent Ductus Arteriosus - Answer passageway between the aorta and the pulmonary
artery remains open after birth
Machine like murmur at 4th IC Left sternal border
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