NSG
NSG 3500 / NSG3500 F INAL EXAM : (NEW 2025/
2026 UPDATE) NURSING PRACTICE - MATERNAL HEALTH
GUIDE| QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
What is radiation heat loss? - ANS ✓heat loss that occurs when there is a transfer of heat
between objects that are not in direct contact w/each other
What is evaporation heat loss? - ANS ✓loss of heat that occurs when fluids that cover the
body are air-dried & converted into vapor
What is conduction heat loss? - ANS ✓loss of heat to a cooler surface via direct skin contact
>>> occurs when infant is placed on cold surface
What is convection heat loss? - ANS ✓loss of heat from warm body surface to cooler air
currents
>>> occurs when infant is exposed to drafts & cool circulating air
What is active alert? - ANS ✓- eyes are open, less fixated on objects, motor activity is
intense, infant displays thrusting movements of extremities
- environment stimuli increase motor activity
What is quiet alert? - ANS ✓- infant is alert & follows/fixates on attractive
objects/faces/auditory stimuli
- intense gaze on people
- minimal motor activity & delayed response to external stimuli
- optimal time to feed
What does it mean when the infant is drowsy? - ANS ✓- time between sleep & awake
- open/closed eyes, fluttering eyelids, semidozing appearance, slow/regular movement of
extremities
-delayed response to stimuli
-goes to sleep or gradually awaken
What does it mean when the infant is in a deep sleep? - ANS ✓- eyes are closed, no eye
movement occurs
- breathing is regular/even
-jerky motions, behavioral response to external stimuli delayed
-difficult to arouse
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What are the infant reflexes? - ANS ✓-palmar grasp
-plantar grasp
-rooting
-sucking
-extrusion
-stepping
-glabellar
-babinski
-moro
hypoglycemia in newborns - ANS ✓-blood glucose <35mg/dL or plasma concentration
<40mg/dL
-s/s: jitterness, apnea, seizures, lethargy, hypothermia
-resolves w/feeding
-occur in stressful events >>> hypothermia/hypoxia
What is kernicterus? - ANS ✓type of brain damage that can result from high levels of
bilirubin in baby's blood
>>>untreated = leads to cerebral palsy
PKU - ANS ✓- inability to convert essential amino acid (phenylalanine) to tyrosine because
of lack of enzyme
- trANSmitted by autosomal recessive gene
- s/s: irreversible neurological delays, intellectual disabilities, seizures
- TX: phenylalanine-free diet w/elimination of protein for life
-screening is done after 24hr after birth
congenital hypothyroidism - ANS ✓- s/s: lethargy, poor feed, constipation, prolonged
jaundice, hoarse cry, hypotonia, slow reflexes, delayed growth & neurodevelopment
- DX: NB screen, increased TSH, decreased T3/T4
- med: levothyroxine
What do you educate on with SIDS? - ANS ✓- use a firm mattress
- no bed-sharing
- remove objects/loose bedding from crib
- breastfeeding
- pacifier
- avoid overheating exposure
HSV - ANS ✓- no vaginal delivery if presence of active lesions
- s/s: vesicular rash over presenting part at delivery
- med: acyclovir (avirax) for minimum of 14 days after birth
Neonatal abstinence sydrome (NAS) - ANS ✓- NB who has been exposed to drugs in
intrauterine environment >>> causes withdrawal s/s in extrauterine environment
NSG 3500