NSG 3500 Exam 4 Study Questions
with Verified Answers Already
Graded A+ | Latest Edition
1. newborns exposed to _________ usually show s/s 48hrs after delivery
whereas newborns exposed to ______________ usually show s/s 12 hrs after
delivery. - answer heroin; alcohol
2. what do we therapeutically manage neonatal abstinence syndrome? - answer
- provide a quiet and dark environment with minimal stimuli helps with
sleeping
- swaddling and gently rocking
- use pacifiers
- feed newborn early if they show signs of readiness
- neonates who test positive need to use the scoring tool every 3 hrs
- mothers are encouraged to bf unless contraindicated
- do not use narcan
3. we may use this tx for respiratory distress syndrome. after an airway is
established, this synthetic therapy is administered within 15-30 min of birth.
it is given via endotracheal tube.
- newborns >1000g benefit bc it coats the alveoli allowing better
oxygen perfusion.
- newborns <1000g benefit anytime in the first 2-6 hours of life.
what tx is this? - answer surfactant (lower surface tension in alveoli) therapy
4. what are nursing considerations for surfactant therapy? - answer - naso-oral
suction before tx
- warm vial for 20 min at room temp before admin
- do not suction up to 1 hr after tx
,5. what do we educate parents on r/t sids? - answer - using a pacifier at sleep
times and breastfeeding can lower risk
- firm sleep surface
- room-sharing w/o bed-sharing
- remove soft objects (including blankets) from crib
- avoid overheating exposure
6. what is gastroschisis and omphalocele? - answer - stomach and intestine
herniate through the abdominal wall
---
- intestines are only covered by a thin layer of tissue and can be easily
seen and is >4cm
7. how do we therapeutically manage gastroschisis and omphalocele? - answer
- sterile moist gauze and wrap in plastic
- intestines are positioned above defect
- bowel may be placed in silo and reduced back into abdomen slowly
- extreme care taken when placing the child in supine position
- prevent kinking
- iv fluids 1.5x
- abx pre-op
- sx repair
- tpn post-op
8. what are s/s of neonatal sepsis? - answer subtle signs:
- bx changes
- hypothermia
- lethargy
- hypoglycemia
- poor feeding
- apnea
- bradycardia
, 9. what is a significant sign that neonatal sepsis is present? - answer
neutropenia
*no one lab determines sepsis but all labs are reviewed for dx
10.what is dubowitz score? - answer physical assessment of the neonate (after
birth) to determine the true gestational age.
11.a slanted low-set ear can be an indicator of? - answer chromosomal
abnormalities
12.what is it called when changes to the shape of the newborn head occurs and
cranial bones overlap? it is temporary and resolves within a few days. -
answer molding
13.how do newborns respond to cold? - answer they burn brown adipose tissue
since they cannot shiver to maintain warmth
14.what can the nurse do to regulate temperature in the newborn? - answer -
skin-to-skin contact with mom and warm blankets
- dry head and place cap on baby
- warp baby in two warm blankets
- place unwrapped baby under radiator and monitor temp
- monitor axillary temp
- keep newborn away from drafts
babies can regulate their temp better in 24-48hrs
15.blood volume is determined in large part by the timing of the umbilical cord
clamping. t/f? - answer true
with Verified Answers Already
Graded A+ | Latest Edition
1. newborns exposed to _________ usually show s/s 48hrs after delivery
whereas newborns exposed to ______________ usually show s/s 12 hrs after
delivery. - answer heroin; alcohol
2. what do we therapeutically manage neonatal abstinence syndrome? - answer
- provide a quiet and dark environment with minimal stimuli helps with
sleeping
- swaddling and gently rocking
- use pacifiers
- feed newborn early if they show signs of readiness
- neonates who test positive need to use the scoring tool every 3 hrs
- mothers are encouraged to bf unless contraindicated
- do not use narcan
3. we may use this tx for respiratory distress syndrome. after an airway is
established, this synthetic therapy is administered within 15-30 min of birth.
it is given via endotracheal tube.
- newborns >1000g benefit bc it coats the alveoli allowing better
oxygen perfusion.
- newborns <1000g benefit anytime in the first 2-6 hours of life.
what tx is this? - answer surfactant (lower surface tension in alveoli) therapy
4. what are nursing considerations for surfactant therapy? - answer - naso-oral
suction before tx
- warm vial for 20 min at room temp before admin
- do not suction up to 1 hr after tx
,5. what do we educate parents on r/t sids? - answer - using a pacifier at sleep
times and breastfeeding can lower risk
- firm sleep surface
- room-sharing w/o bed-sharing
- remove soft objects (including blankets) from crib
- avoid overheating exposure
6. what is gastroschisis and omphalocele? - answer - stomach and intestine
herniate through the abdominal wall
---
- intestines are only covered by a thin layer of tissue and can be easily
seen and is >4cm
7. how do we therapeutically manage gastroschisis and omphalocele? - answer
- sterile moist gauze and wrap in plastic
- intestines are positioned above defect
- bowel may be placed in silo and reduced back into abdomen slowly
- extreme care taken when placing the child in supine position
- prevent kinking
- iv fluids 1.5x
- abx pre-op
- sx repair
- tpn post-op
8. what are s/s of neonatal sepsis? - answer subtle signs:
- bx changes
- hypothermia
- lethargy
- hypoglycemia
- poor feeding
- apnea
- bradycardia
, 9. what is a significant sign that neonatal sepsis is present? - answer
neutropenia
*no one lab determines sepsis but all labs are reviewed for dx
10.what is dubowitz score? - answer physical assessment of the neonate (after
birth) to determine the true gestational age.
11.a slanted low-set ear can be an indicator of? - answer chromosomal
abnormalities
12.what is it called when changes to the shape of the newborn head occurs and
cranial bones overlap? it is temporary and resolves within a few days. -
answer molding
13.how do newborns respond to cold? - answer they burn brown adipose tissue
since they cannot shiver to maintain warmth
14.what can the nurse do to regulate temperature in the newborn? - answer -
skin-to-skin contact with mom and warm blankets
- dry head and place cap on baby
- warp baby in two warm blankets
- place unwrapped baby under radiator and monitor temp
- monitor axillary temp
- keep newborn away from drafts
babies can regulate their temp better in 24-48hrs
15.blood volume is determined in large part by the timing of the umbilical cord
clamping. t/f? - answer true
