LATEST Promoting Healthy Populations Exam 4 SG 5 QUESTION AND ANSWER 2023 GRADED A+ UPGRADE

A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse? - ANSWRS A. Acrocyanosis of the extremities B. Murmur at the left sternal border C. Substernal chest retractions while sleeping D. Positive Babinski reflex Answer: Substernal chest retractions while sleeping A. Acrocyanosis of the extremities Acrocyanosis of the extremities is an expected manifestation in newborns. Acrocyanosis is a bluish discoloration of the newborn's hands and feet. B. Murmur at the left sternal border An audible murmur heard at the left sternal border is an expected manifestation in newborns. C. Substernal chest retractions while sleeping Substernal chest retractions can indicate respiratory distress syndrome in the newborn. This manifestation requires further assessment and intervention by the nurse. D. Positive Babinski reflex A positive Babinski reflex is an expected manifestation in newborns. This reflex is elicited when a newborn's sole is stroked with a finger upward along the lateral aspect of the sole and then across the ball of the foot and, in response, the t FHR can be heard by a doppler at - ANSWRS 10-12 weeks gestation when should a nurse start measuring a woman's fundal height? - ANSWRS after 12 weeks gestation between 18-30 weeks the fundal height should measure what? - ANSWRS it should equal the week of gestation MSAFP screening is done at - ANSWRS 15-22 weeks gestation smoking tobacco during pregnancy is associated with - ANSWRS low birth weight pregnant women should consume how much water each day? - ANSWRS 2-3 liters of water each day regarding kick counts what are the signs the woman needs further evaluation? - ANSWRS there are less than 3 kicks in one hour or there are no signs of fetal movement for 12 hours recommended weight gain during pregnancy - ANSWRS 25-30 pounds, 3-4 pounds first trimester and 1 pound per week last two trimesters foods high in folic acid - ANSWRS leafy greens, dried peas, dried beans, seeds, orange juice recommended amount of folic acid intake during pregnancy - ANSWRS 600 mcg recommended folic acid intake for lactating pregnant women - ANSWRS 500 mcg what vitamin increases absorption of iron - ANSWRS vitamin c client's bladder needs to be ____ before an ultrasound - ANSWRS full BPP normal score - ANSWRS 8-10 BPP abnormal score - ANSWRS less than 4 if a BPP comes back as a 6 - ANSWRS it should be retested BPP assesses for - ANSWRS fetal well being non stress test (NST) - ANSWRS assesses fetal well being during third trimester reactive NST - ANSWRS normal FHR baseline with moderate variability and two accelerations 15 beats per minute for at least 15 seconds over 20 minute period non reactive NST indicates - ANSWRS FHR did not accelerate adequately with fetal movement positive contraction stress test (CST) is - ANSWRS abnormal and indicates late decelerations on more than half of the contractions when is amniocentesis is performed - ANSWRS after 14 weeks gestation AFP can be measured from amniotic fluid between - ANSWRS 16-18 weeks PG on fetal lung test indicates - ANSWRS respiratory distress CVS can be done at - ANSWRS 10-12 weeks gestation when can a quad screen be done - ANSWRS 15-20 weeks gestation MSAFP can be done when - ANSWRS 16-18 weeks gestation amniocentesis requires the bladder to be - ANSWRS empty labor occurs ___ hours after ROM - ANSWRS 24 hours first stage of labor - ANSWRS 1-1.5 cm latent phase of labor - ANSWRS 0-3 cm, mild to moderate contractions q5-30 min lasting 30-40 seconds active phase of labor - ANSWRS 4-7 cm, moderate to strong contractions q3-5 min lasting 40-70 seconds transition phase of labor - ANSWRS 8-10 cm, strong contractions q2-3 min lasting 45- 90 seconds second stage of labor - ANSWRS birth third stage of labor - ANSWRS delivery of placenta fourth stage of labor - ANSWRS stabilization of vital signs first four hours postpartum minimal variability - ANSWRS less than 5 contractions per min moderate variability - ANSWRS 6-25 contractions per min, normal marked variability - ANSWRS more than 25 contractions per min fetal bradycardia - ANSWRS less than 60 beats per min fetal tachycardia - ANSWRS more than 110 beats per min first degree laceration - ANSWRS skin of perineum second degree laceration - ANSWRS skin and muscles of perineum third degree laceration - ANSWRS skin and muscles of perineum and anal sphincter fourth degree laceration - ANSWRS skin and muscles of perineum and anal sphincter and anterior rectal wall