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NUR 335 Exam 4 Questions With Complete Solutions
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NUR 335 Exam 4 Questions With Complete Solutions
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NUR 335 Exam 4 Questions With Complete SolutionsHow can we decrease risk of baby bottle tooth decay? Correct
Answers Dont put to bed with bottle of milk, juice, or sugar
water
Dont give bottles of sugar water or soda
Clean infants gums with clean gauze after each feeding
Brush teeth as soon as they erupt
Talk to dentist about fluoride treatments if not consuming water
with fluoride
Go to dentist regularly by 1st bday
How can you prevent intraventricular hemorrhage? Correct
Answers Best prevention is preventing premature births
Give betamethasone to moms who are likely to delivery
prematurely
Delayed cord clamping (evidence varies)
How is GBS infection in a newborn managed? Correct Answers
- penicillin G to mom 4 hours before delivery
- ampicillin and gentamicin to infant when s/s of sepsis occur
How is infant formula prepared? Correct Answers Clean and
disinfect prep area
Wash hands
Use bottles cleaned in hot soapy water or dishwasher
Check formula expiration date
Wash, rinse, and dry top of formula can
Mix boiled non fluoride water or bottled water with formula
(ensure water is cooled to room temp and proper concentration
is used)
,After preparation bottles must be kept refrigerated and used
within 24 hours (same with ready to use cans/bottles)
To warm bottle place prepared bottle into a container of warm
water
How is necrotizing enterocolitis treated? Correct Answers NPO
gastric decompression
IV fluids and antibiotics
Surgical removal of affected section of bowel
How is PDA diagnosed and managed? Correct Answers -Dx:
echocardiogram
-Manage: fluid restrictions, diuretics, indomethacin/ibuprofen,
surgery
How to prevent heat loss in preterm infants? Correct Answers
Dry infant and remove wet linens
Cover infants head
Plastic incubator
Chemical warming mattress in resuscitation
Prewarm all supplies
Control environmental temp
Skin to skin when stable
Wean from incubator
Newborn Hearing Screening Correct Answers - screening the
hearing of an infant before discharge
- important because hearing is essential for language
development
- infant has headphones put on and neurological response to
sound emitted from the headphones is measured
,Patient education for caring for a colicky baby? Correct
Answers Swaddle infant
Place infant in a safe area and remove yourself for a 10 minute
break
Colic is not a reflection of ability to care for the infant
Administer simethicone drops for intestinal gas if okayed by
pediatrician
Breastfeeding moms can try decreasing their intake of spicy,
gaseous foods, dairy, or corn
Car ride, movement (swaying/gentle rocking), infant massage,
and white noise
Colic usually goes away by 12-16 weeks
What abnormal findings are more common in preterm
assessments? Correct Answers Apnea: stop breathing for >20
secs or <20 secs w/ cyanosis, pallor, hypotonia, or bradycardia
Hypotension: due to hypovolemia, infection, or immature
cerebral auto-regulation (brain can't automatically regulate BP
yet)
Heart murmur: PDA
Anemia: frequent labs, and diminished EPO production
What are assessment findings and complications associated with
LGA babies? Correct Answers - infant is >90th percentile
- Complication: c/s, operative vag delivery, shoulder dystocia,
birth trauma, hypoglycemia, hyperbilirubinemia, RDS, mec
aspiration
, What are gavage feedings? Correct Answers - Enteral feeding
administered through a gastric tube
- Human milk is preferred but required fortification with
calories, protein, and minerals for preterm infants
- check for s/s of feeding intolerance
- give pacifier during feed
- monitor growth and weight gain
What are normal assessment findings of the post-due neonate?
Correct Answers Dry/peeling skin
Long nails
Marked creases
Low fat
Meconium stained
Hypoglycemia
Poor feeding
Profuse hair
What are normal vital signs for a newborn? Correct Answers
Temperature: (36.5-37.2C) (97.7-99F)
Pulse: 110-160 (crying up to 180; sleeping down to 90)
Resp: 30-60
BP: 50/30 to 75/45
Pulse Ox: should be above 95% after 10 minutes post birth
What are nursing interventions for LGA babies? Correct
Answers Respiratory assessment
Maintain NTE
Check BG
Assess for birth injuries in mother and infant
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