NRS 3026- Maternal Health Exam 1
Test Questions All Solved Correctly.
Meconium - Answer the first stool of a newborn, greenish-black and with a tarry consistency
Circumcision care - Answer -petroleum jelly in 1st 24hrs
- loose diaper
- no soap, commercial wipes until 5-6days later
- don't remove yellow exudate
circumcision methods - Answer -Mogen and Gomco clamp procedures (surgically removed),
wound is covered with sterile petroleum gauze.
-Plastibell procedure, after 5-7 days it drops of leaving a clean, well-healed excision.
-Most often have the Mogen or Gomco clamp used (minimal blood loss).
Erythromycin ointment - Answer ✓Trade Name: Ilotycin
✓Classification: Anti-infective
✓Dosage/Route/Frequency for population being served: PO (Neonates): Ethylsuccinate— 20-50
mg/kg/day divided q 6-12 hr.
✓Action: Inhibits folic acid synthesis by preventing PABA use, which is necessary for bacterial
growth
✓Side Effects: •CNS-headache •CV-hypertension, tachycardia, dysrythmias •EENT-burning,
stinging •GI-bitter taste
✓Nursing Implications: •Monitor opthalmic exams and intraocular pressure readings •Monitor
blood counts; renal/heptic function tests and serum electrolytes during long-term treatment
•Assess for infection (vital signs; appearance of wound, sputum, urine, and stool; WBC) at
beginning of and during therapy
Vitamin K and newborns - Answer born with low amounts in the body
- lackof intestinal bacteria
- may develop deficiency soon after birth
at risk of serious bleeding
Given within 1 hour of birth
Parents have a right to refuse any medications on behalf of newborn
Fontanelles - Answer Areas where the neonate's or infant's skull has not fused together;
usually disappear at approximately 18 months of age.
, Molding - Answer Shaping of the fetal head by overlapping of the cranial bones to facilitate
movement through the birth canal during labor.
Cephalohematoma - Answer Swelling caused by bleeding between the osteum and
periosteum of the skull. This swelling does not cross suture lines.
Normally resolves on own
Caput succedaneum - Answer edematous swelling and ecchymosis of the presenting part of
the head caused by birth trauma
Subgaleal hemorrhage - Answer -Bleeding into the subgaleal compartment due to ripping
away of scalp from connective tissue
-Caused from force that compresses and drag head through pelvic cavity
May result in: hypovolemic shock, disseminated intravascular coagulation and death
Acrocyanosis - Answer Temporary cyanotic condition, usually in newborns resulting in a
bluish color around the lips, hands and fingernails, feet and toenails. May last for a few hours
and disappear with warming.
Considered normal
Jaundice - Answer yellowing of the skin and the whites of the eyes caused by an
accumulation of bile pigment (bilirubin) in the blood
Physiologic Jaundice - Answer 60% resolves without treatment
pathological jaundice - Answer 0.2mg/dL increase per hour requires treatment
breastfeeding jaundice - Answer occurs during first week, idue to suboptimal milk intake -->
INC. TRANSIT TIME--> INC ENTEROHEPATIC CIRCULATION-->increased unconjugated bilirubin,
weight loss, dehydration, dec. stool
*EXACERBATION OF PHYSIOLOGIC JAUNDICE
Baby needs to poop
phototherapy for high billirubin - Answer ■ Maintain an eye mask over the newborn's eyes
for protection of corneas and retinas.
■ Keep the newborn undressed with the exception of a male newborn. A surgical mask should
be placed (like a bikini) over the genitalia to prevent possible testicular damage from heat and
light waves. Be sure to remove the metal strip from the mask to prevent burning.
Test Questions All Solved Correctly.
Meconium - Answer the first stool of a newborn, greenish-black and with a tarry consistency
Circumcision care - Answer -petroleum jelly in 1st 24hrs
- loose diaper
- no soap, commercial wipes until 5-6days later
- don't remove yellow exudate
circumcision methods - Answer -Mogen and Gomco clamp procedures (surgically removed),
wound is covered with sterile petroleum gauze.
-Plastibell procedure, after 5-7 days it drops of leaving a clean, well-healed excision.
-Most often have the Mogen or Gomco clamp used (minimal blood loss).
Erythromycin ointment - Answer ✓Trade Name: Ilotycin
✓Classification: Anti-infective
✓Dosage/Route/Frequency for population being served: PO (Neonates): Ethylsuccinate— 20-50
mg/kg/day divided q 6-12 hr.
✓Action: Inhibits folic acid synthesis by preventing PABA use, which is necessary for bacterial
growth
✓Side Effects: •CNS-headache •CV-hypertension, tachycardia, dysrythmias •EENT-burning,
stinging •GI-bitter taste
✓Nursing Implications: •Monitor opthalmic exams and intraocular pressure readings •Monitor
blood counts; renal/heptic function tests and serum electrolytes during long-term treatment
•Assess for infection (vital signs; appearance of wound, sputum, urine, and stool; WBC) at
beginning of and during therapy
Vitamin K and newborns - Answer born with low amounts in the body
- lackof intestinal bacteria
- may develop deficiency soon after birth
at risk of serious bleeding
Given within 1 hour of birth
Parents have a right to refuse any medications on behalf of newborn
Fontanelles - Answer Areas where the neonate's or infant's skull has not fused together;
usually disappear at approximately 18 months of age.
, Molding - Answer Shaping of the fetal head by overlapping of the cranial bones to facilitate
movement through the birth canal during labor.
Cephalohematoma - Answer Swelling caused by bleeding between the osteum and
periosteum of the skull. This swelling does not cross suture lines.
Normally resolves on own
Caput succedaneum - Answer edematous swelling and ecchymosis of the presenting part of
the head caused by birth trauma
Subgaleal hemorrhage - Answer -Bleeding into the subgaleal compartment due to ripping
away of scalp from connective tissue
-Caused from force that compresses and drag head through pelvic cavity
May result in: hypovolemic shock, disseminated intravascular coagulation and death
Acrocyanosis - Answer Temporary cyanotic condition, usually in newborns resulting in a
bluish color around the lips, hands and fingernails, feet and toenails. May last for a few hours
and disappear with warming.
Considered normal
Jaundice - Answer yellowing of the skin and the whites of the eyes caused by an
accumulation of bile pigment (bilirubin) in the blood
Physiologic Jaundice - Answer 60% resolves without treatment
pathological jaundice - Answer 0.2mg/dL increase per hour requires treatment
breastfeeding jaundice - Answer occurs during first week, idue to suboptimal milk intake -->
INC. TRANSIT TIME--> INC ENTEROHEPATIC CIRCULATION-->increased unconjugated bilirubin,
weight loss, dehydration, dec. stool
*EXACERBATION OF PHYSIOLOGIC JAUNDICE
Baby needs to poop
phototherapy for high billirubin - Answer ■ Maintain an eye mask over the newborn's eyes
for protection of corneas and retinas.
■ Keep the newborn undressed with the exception of a male newborn. A surgical mask should
be placed (like a bikini) over the genitalia to prevent possible testicular damage from heat and
light waves. Be sure to remove the metal strip from the mask to prevent burning.
