Greaterheights

<15-16mEq/L -PaCo2 level <40-45mmHg -adequate spontaneous or assisted ventilation -cause of acidosis is being assessed & treated signs of respiratory distress - Answer--tachypnea, retractions, flaring or grunting persist beyond 1 hour after birth -any time severe or worsening tachypnea, retractions, flaring, or grunting develop -any time cyanosis or low SpO2 is present what part of the baby's body should you examine to determine if the baby is cyanotic - Answer-lips a baby, ...

Normal skin assessment - Answer-Acrocyanosis with decreased peripheral pulses, facial bruising and/or petechiae Normal head assessment - Answer-Large in relation to body size, cranial molding, caput succedaneum Normal newborn lung assessment - Answer-RR 40-60/min, coarse rales, prolonged expiration phase Normal newborn heart assessment - Answer-HR 120-160, may peak up to 180 bpm when stimulated, loud S2, split S2, soft systolic murmur (L —> R shunt from PDA) Normal newborn GI tr...

Eve is 2 days postpartum. During palpation, where would you normally expect to find her fundus? a. at the level of the umbilicus b. 2 fingers below umbilicus c. 5 fingers below umbilicus d. non-palpable at this time - Answer-b. 2 fingers below umbilicus Keisha delivered her third child about 24 hours ago. She begins to c/o severe uterine cramping while breastfeeding. She is experiencing: a. exfoliation of dead tissue b. involution of uterus c. shedding of the endometrium d. after ...

A postpartum woman complains of excruciating and pressure in the perineal area. She is restless, her pulse is 120, and respirations are 26 per min. Her fundus is firm at the umbilicus with small to moderate rubra lochia. The nurse should suspect - Hematoma Which neonate is at greatest risk for jaundice? - Late Preterm On admission to the postpartum unit, a 20 year old gravida 1, complains of a headache. Her vital signs are: BP 140/88, HR 110, RR 18. She is has pitting edema in her legs wit...

According to the March of Dimes, there may be four main routes to spontaneous premature labor. They include all except which of the following? a. infections or inflammation b. maternal or fetal stress c. diabetes d. bleeding - Answer-c. diabetes Diabetes is not a route considered. The fourth route is uterine stretching. Overdistention of the uterus due to multiple gestation, or placental abnormalities can lead to the release of chemicals that stimulate uterine contractions. The prese...

Medication administered for meconium aspiration in neonate - Answer-Beractant (survanta) Spina Bifida occulta - Answer-Gap in spine, without spinal opening or sac protrusion Craniosynostosis - Answer-Premature fusion of cranial sutures. Absence of fontanels, misshapen head that doesn't resolve in a few days, and hard raised ridge along affected sutures. Diaphragmatic hernia in neonate - Answer-Scaphoid abdomen and decreased left breath sounds. Tx:immediate intubation and insertion of o...

Correct ETT placement - Answer-T1-T2 level of clavicles Correct UVC placement - Answer-T 8-9 0.5-1 cm above diaphragm Tip in inf. vena cava Correct UAC placement - Answer-Low-L3-4 Below renal arteries High-T6-10 Correct PICC placement - Answer-T3-5 Lower 1/3 of s. Vena cava Normal weight loss of preterm infant - Answer-10-15% Healthy term infant requires how many kcal/kg/day for normal growth? - Answer-100-120 kcal/kg/day Formula to calculate GIR - Answer-ml/kg/day x %...

A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10 weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? - Answer-Gravida 3 Para 1212 Cholestasis is a condition that occurs in pregnancy and is caused by elevated... - Answer-Bile acid What is a sign of deteriorating status in pregnancy complicated by hypertension? - Answer-Increased serum creatinine A patient at 37 weeks gestation arrives to labor and delivery from the emergen...

1. Late in pregnancy, a patient often develops supine hypotension because of a. partial occlusion of the vena cava and aorta. b. decreased peripheral collateral circulation. c. increased blood flow to the placenta. - Answer-A because of partial occlusion of the vena cava and aorta from the weight of the uterus. This impedes venous return from the lower extremities although increased collateral circulation during pregnancy helps to compensate. Remaining in the supine position for long peri...

Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation. After one hour, tachysystole develops but the fetal heart rate pattern is normal. Appropriate management is to: - Answer-remove the insert Nifedipine acts as a tocolytic agent by interfering with: - Answer-availability of calcium The progression of labor is based on: - Answer-individual factors and clinical conditions Universal alphafetoprotein sceening should be offered to all women because: - Answe...