NURS 3031 QUESTIONS WITH COMPLETE ANSWERS.
Theyneonatalyperiody-yCORRECTyANSWER-
fromybirthythroughytheyfirsty28ydaysyofylife
Approximatelyy_______yofyamnioticyfluidyisyforcedyoutyofytheylungsyinytheydeliveryypro
cess.y-yCORRECTyANSWER-30mL
Ductusyvenousy-yCORRECTyANSWER-
Clampingyofytheycordycausesyconstrictionyofytheyvesselsyandyclosureyofytheyductusyve
nousyimmediately.y
-yclosesybyythey3rdydayyofylife
Foramenyovaley-yCORRECTyANSWER-
openingybetweenytheyrightyatriumyandytheyleftyatriumy
-yclosesywhenytheyleftyatrialypressureyisyhigherythanytheyrightyatrialypressure
Ductusyarteriosusy-yCORRECTyANSWER-
connectsytheypulmonaryyarteryywithytheydescendingyaorta
-yusuallyyclosesywithiny15yhoursypostybirth
SignsyofyRespiratoryyDistressy-yCORRECTyANSWER-Cyanosis
Apnea/tachypnea
Retractions
Grunting
Flaringyofynostrils
Hypotonia
Apgaryscoringy-yCORRECTyANSWER-Takenyaty1yandy5yminutesyafterybirth
Neutralythermalyenvironmenty[NTE]y-yCORRECTyANSWER-
Anyenvironmentythatymaintainsybodyytemperatureywithyminimalymetabolicychangesy
andy/oryoxygenyconsumption.
Factorsythatynegativelyyaffectythermoregulationy-yCORRECTyANSWER-
Decreasedysubcutaneousyfat
Decreasedybrownyfatyinypretermyinfants
Largeybodyysurface
Lossyofyheatyfromyconvection,yradiation,yconduction,yand/oryevaporation
Brownyfaty/yNon-shiveringythermogenesisy-yCORRECTyANSWER-
Locatedyinytheyneck,ythorax,yaxilla,yscapularyareas,yaroundyadrenalyglandsyandykidne
ys.yItyincreasesymetabolism,yheatyproductionyonceyusedyityisynotyreplenished.yNeonat
esyareyatyhigheryriskyofythermoregulatoryyissuesybecauseyofyhigherybodyysurfaceyare
, aytoybodyymassyratio,yhigherymetabolicyrates,yandyimmatureythermoregulatoryyabilit
ies.
Evaporationy-yCORRECTyANSWER-
Lossyofyheatythroughyconversionyofyliquidytoyvapor
Directlyyafterybirthyorybathing
Convectiony-yCORRECTyANSWER-
Lossyofyheatyfromyinfant'sywarmybodyytoycooleryairycurrents.
Draftsyfromywindows,yACyoryoxygenymasks
Conductiony-yCORRECTyANSWER-
Transferyofyheatyfromycoolerysurfaceybyydirectycontact.
Coldyhands,ycoldyequipment
Radiationy-yCORRECTyANSWER-
Transferyofyheatytoyaycolderysolidyobjectynotyinycontactywithyinfant.
Coldywallyofyisoletteyorycoldyequipmentynearyinfant
Temperatureythatyindicatesycoldystressy-yCORRECTyANSWER-
Lessythanyoryequalytoy36yCy/y97.6yF
Whoyisyatyriskyforycoldystressy-yCORRECTyANSWER-
Prematureyinfants,ySGA,yhypoglycemia,yprolongedyresuscitationyefforts,ysepsisy,yneur
ological,yendocrineyorycardiorespiratoryyproblems
Signsyandysymptomsyofycoldystressy-yCORRECTyANSWER-
Coolyskin,ylethargy,ypallor,ytachypnea,ygrunting,yhypoglycemia,yhypotonia,yjitteriness
,yweakysuck
Bloodyglucoseythatyindicatesyhypoglycemiay-yCORRECTyANSWER-Lessythany40
Whoyisyatyriskyforyhypoglycemiay-yCORRECTyANSWER-
Diabeticymoms,yLGA,ypost/ypretermyinfants,ySGA,yhypothermia,yinfection,yrespirator
yydistress,yresuscitation,ybirthytrauma
Signsyandysymptomsyofyhypoglycemiay-yCORRECTyANSWER-
Jitteriness,yhypotonia,ylethargy,yirritability,yapnea,ytemperatureyinstability
IndirectyBilirubiny-yCORRECTyANSWER-
Fatysoluable,yproducedyfromybreakdownyofyRBC
DirectyBilirubiny-yCORRECTyANSWER-
Waterysoluble,yconvertedyfromyindirectybilirubinybyyliveryenzymes
