Maternal-Newborn CJE Practice Questions and Rationales Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! I

Maternal-Newborn CJE Practice Questions and Rationales Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf 1. Newborn care Prioritization Management of care Safety - Correct Answer: Circulatory, Respiratory and thermoregulation should be priority for management of newborn care. The Newborn's mouth is suctioned first and then the nose. to prevent aspiration of mucus or amniotic fluid The umbilical cord is double clamped. After the first cry which is the first breath taken by the baby, the baby is dried up and place skin to skin with mother to prevent hypothermia and establish breastfeeding to prevent hypoglycemia. Newborn HR is btw 110-140. APGAR assessment is done at 1 and 5 minutes and at 10min if score is less than 7 to determine how well the new born is adapting and if interventions are required. A scoreof 7-10 is good. no interventions required, 6-4 some interventions required 0-3 immediate resuscitation 2. Safety Newborn care Infection prevention Safety and infection control - Correct Answer: A prophylactic agent, Erythromycin 0.5% must be installed in the newborn's eye within one or two hours of birth to prevent Ophthalmia neonatorum which is a hyperacute purulent conjuntivitis usually contracted during birth from mothers with gonorrhea or chlamydia. Hepatitis B vaccine is also administered to the newborn. The nurse must use standard precaution in caring for the new born. Wash hands before and after providing care, Minimise exposure of new born to organisms, No sick staff or visitors are allowed to visit or handle newborns. avoid sharing infant supplies with another newborn. 3. Labor and delivery Fetal assessment Physiological adaptation Patient centered care - Correct Answer: Fetal assessment during labor, identifies well being or signs that indicate compromise. This includes the character of the amniotic fluid, but focus is primarily on FHR pattern Amniotic fluid should be clear. Cloudy or foul smelling indicates infection. Green fluid indicate thet the fetus passed meconiun in utero. To prevent aspiration, the nurse will suction the new born when the head is delivered or aminioinfusion is used to dilute the amniotic fluid. FHR patterns are in category I-III . Cat I- baseline rate 110-160. normal fetal acid base ratio. baseline variability is moderate, no late or variable decelerations Cat II- Fetal tachycardia (160) or Bradicardia (110) Requires evaluation and continous survelliance. Cat III- Fetal bradycardia(110)Predictive of abnormal fetus acid -base ratio and requires intervention. there is recurrent late decelation, recurrent variable deceleations and sinusoidal pattern. 4. Safety Newborn care Discharge Teaching Safety and infection control - Correct Answer: Wash your hands thoroughly before preparing formular. Place all infants on their backs to sleep to prevent SIDS. Keep small and sharp objects out of reach to prevent them from being aspirated. Always supervise newborn in the tub, a newborn can drown in 2 inches of water. Avoid placing the crib or changing table near blinds or curtain cords. Provide smoke free environment for all infants. 5. Reproduction 3rd Trimester Non-Stress Test Management of care - Correct Answer: This is an indirect measurement of uteroplacental function. It is a non -invasive test usually done after 28 weeks for clients with diabetes and other high risk conditions like IUGR, preeclampsia, post term pregnancy, renal disease and multifetal pregnancies. The client empties her bladder, stays in semi fowler position and 2 monitor belts are placed on her abdomen. NST is interpreted as reactive when 2 featal heart rate accelerations from the baseline of at least 15bpm for 15 sec within a 20 minute recording period and non reactive when this is absent. A non reactive test is correlated with higher incidence of Fetal distress during labor, fetal mortality and IUGR.