NURS 304 Exam 3 – Accurate Answers To All
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Terms in this set (105)
What are the S/Sx and the diagnosis Irritability, excessive high pitched crying, tremors,
criteria for neonatal substance jitteriness, hypertonia, poor feeding, vomiting or
withdrawal (NSW)? diarrhea, frequent yawning, sneezing, or congestion,
sleep disturbance, and sweating, fever, or
temperature instability.
What is the risk for developing NSW? Caused when the fetus is exposed to opioids,
alcohol, nicotine, or other drugs while in utero.
What complications are affiliated with Feeding problems, CNS dysfunction, ADD, language
NSW? abnormalities, microcephaly, delayed growth and
development, and poor maternal-newborn bonding.
What complications are affiliated with Facial anomalies (small eyes, flat midface, thin lip,
FAS? wide spaced eyes, epicanthal folds, small teeth, cleft
palate), vital organ anomalies (heart defects like ASD
or VSD, Tet of Fallot, or PDA), developmental delays,
prenatal and postnatal growth delays, and sleep
disturbances
What complications are affiliated with Prematurity, low birth weight, increased risk for SIDS,
tobacco? increased risk for bronchitis, pneumonia, and
developmental delays
NSW diagnosis including Finnegan The Finnegan neonatal abstinence scoring system
Scores assesses for signs and symptoms of NSW and score
them. The higher the number, the more severe the
neonate is withdrawing
,What are the treatments for NSW? Depending on the withdrawal manifestations,
treatment can include morphine, methadone, and
phenobarbital. Remove source of substance
(breastmilk)
What are nursing interventions, Decrease stimuli- swaddle the baby and cluster cares
including education for patients, for as much as possible. Administer small, frequent
NSW? feedings and provide pacifier for non-nutritive
sucking. Essentially, eat, sleep, console protocol.
Educate parent why their child is experiencing this
and how they can work to ease the transition for the
neonate.
What is hypoglycemia in neonates? Low blood sugar related to losing maternal glucose
scores, stress from birth, or inadequate glycogen
stores.
What are some risk factors for Maternal gestational diabetes mellitus, prematurity,
hypoglycemia? LGA or SGA, stress at birth like cold stress or
asphyxia
S/Sx of hypoglycemia Poor feeding, jitteriness, tremors, hypothermia, weak
cry, lethargy, flaccid muscle tone, seizures, coma,
irregular respirations, cyanosis, or apnea
What are treatments (priority steps, Treatments includes getting a heel stick BGS. Early
review and think of PPH stimulations feeding is key to reduce the risk of hypoglycemia. IV
and discussions) for hypoglycemia? glucose can treat if feeding is poor and sugar level is
severe
What are the nursing interventions for Glucose monitoring and feeding every 2-3 hours,
hypoglycemia? implement skin to skin with mom nto promote
breastfeeding and thermoregulation, and initiate
frequent feeds
, How does meconium aspiration occur Typically occurs during periods of fetal distress,
and what are the risks for developing? where they defecate and inhale the free floating
meconium in the amniotic fluid. This streaks the
bronchopulonary tree, coating the alveoli, and
blocking gas exchange- creating asphyxia. Risks
include post-term birth, fetal distress, and maternal
HNT/GDM
What are assessment findings of Green-tinged amniotic fluid, neonatal RDS
meconium aspiration? (tachypnea, nasal flaring, expiratory grunting,
retractions, labored breathing, fine crackles in lungs,
cyanosis, or in worse cases unresponsiveness,
flaccidity, and apnea). Check ABGs, CBC, and C/S of
blood, urine, and CFS
What are s/sx of meconium S/sx include tachypnea, nasal flaring, expiratory
aspiration? grunting, retractions, labored breathing, fine crackles
in lungs, cyanosis, or in worse cases,
unresponsiveness, flaccidity, and apena
What are the treatments for meconium Surfactant accelerate lung maturation and restores
aspiration? surfactant to improve respiratory compliance;
oxygen therapy, and antibiotics
What are the potential caused of Inefficient amount of lung surfactant, prematurity,
respiratory distress syndrome (RDS)? oxygen therapy
What is the risk for developing RDS? Preterm gestation, perinatal asphyxia, maternal GDM,
PROM, maternal use of barbiturates or narcotics
close to birth, maternal hypotension, C/S without
labor, hydrops fetalis, maternal bleeding during the
third trimester, hypovolemia, and white male race
What are the s/sx of RDS? Tachypnea, nasal flaring, expiratory grunting,
retractions, labored breathing, fine crackles in lungs,
cyanosis, or in worse cases, unresponsiveness,
flaccidity, and apnea
Questions
Save
Terms in this set (105)
What are the S/Sx and the diagnosis Irritability, excessive high pitched crying, tremors,
criteria for neonatal substance jitteriness, hypertonia, poor feeding, vomiting or
withdrawal (NSW)? diarrhea, frequent yawning, sneezing, or congestion,
sleep disturbance, and sweating, fever, or
temperature instability.
What is the risk for developing NSW? Caused when the fetus is exposed to opioids,
alcohol, nicotine, or other drugs while in utero.
What complications are affiliated with Feeding problems, CNS dysfunction, ADD, language
NSW? abnormalities, microcephaly, delayed growth and
development, and poor maternal-newborn bonding.
What complications are affiliated with Facial anomalies (small eyes, flat midface, thin lip,
FAS? wide spaced eyes, epicanthal folds, small teeth, cleft
palate), vital organ anomalies (heart defects like ASD
or VSD, Tet of Fallot, or PDA), developmental delays,
prenatal and postnatal growth delays, and sleep
disturbances
What complications are affiliated with Prematurity, low birth weight, increased risk for SIDS,
tobacco? increased risk for bronchitis, pneumonia, and
developmental delays
NSW diagnosis including Finnegan The Finnegan neonatal abstinence scoring system
Scores assesses for signs and symptoms of NSW and score
them. The higher the number, the more severe the
neonate is withdrawing
,What are the treatments for NSW? Depending on the withdrawal manifestations,
treatment can include morphine, methadone, and
phenobarbital. Remove source of substance
(breastmilk)
What are nursing interventions, Decrease stimuli- swaddle the baby and cluster cares
including education for patients, for as much as possible. Administer small, frequent
NSW? feedings and provide pacifier for non-nutritive
sucking. Essentially, eat, sleep, console protocol.
Educate parent why their child is experiencing this
and how they can work to ease the transition for the
neonate.
What is hypoglycemia in neonates? Low blood sugar related to losing maternal glucose
scores, stress from birth, or inadequate glycogen
stores.
What are some risk factors for Maternal gestational diabetes mellitus, prematurity,
hypoglycemia? LGA or SGA, stress at birth like cold stress or
asphyxia
S/Sx of hypoglycemia Poor feeding, jitteriness, tremors, hypothermia, weak
cry, lethargy, flaccid muscle tone, seizures, coma,
irregular respirations, cyanosis, or apnea
What are treatments (priority steps, Treatments includes getting a heel stick BGS. Early
review and think of PPH stimulations feeding is key to reduce the risk of hypoglycemia. IV
and discussions) for hypoglycemia? glucose can treat if feeding is poor and sugar level is
severe
What are the nursing interventions for Glucose monitoring and feeding every 2-3 hours,
hypoglycemia? implement skin to skin with mom nto promote
breastfeeding and thermoregulation, and initiate
frequent feeds
, How does meconium aspiration occur Typically occurs during periods of fetal distress,
and what are the risks for developing? where they defecate and inhale the free floating
meconium in the amniotic fluid. This streaks the
bronchopulonary tree, coating the alveoli, and
blocking gas exchange- creating asphyxia. Risks
include post-term birth, fetal distress, and maternal
HNT/GDM
What are assessment findings of Green-tinged amniotic fluid, neonatal RDS
meconium aspiration? (tachypnea, nasal flaring, expiratory grunting,
retractions, labored breathing, fine crackles in lungs,
cyanosis, or in worse cases unresponsiveness,
flaccidity, and apnea). Check ABGs, CBC, and C/S of
blood, urine, and CFS
What are s/sx of meconium S/sx include tachypnea, nasal flaring, expiratory
aspiration? grunting, retractions, labored breathing, fine crackles
in lungs, cyanosis, or in worse cases,
unresponsiveness, flaccidity, and apena
What are the treatments for meconium Surfactant accelerate lung maturation and restores
aspiration? surfactant to improve respiratory compliance;
oxygen therapy, and antibiotics
What are the potential caused of Inefficient amount of lung surfactant, prematurity,
respiratory distress syndrome (RDS)? oxygen therapy
What is the risk for developing RDS? Preterm gestation, perinatal asphyxia, maternal GDM,
PROM, maternal use of barbiturates or narcotics
close to birth, maternal hypotension, C/S without
labor, hydrops fetalis, maternal bleeding during the
third trimester, hypovolemia, and white male race
What are the s/sx of RDS? Tachypnea, nasal flaring, expiratory grunting,
retractions, labored breathing, fine crackles in lungs,
cyanosis, or in worse cases, unresponsiveness,
flaccidity, and apnea
