Exam 2: PNR203 / PNR 203 (Latest
2024 / 2025 Update) Maternal- Newborn Nursing | Questions and Verified Answers | 100% Correct | Grade A - Fortis
Question:
APGAR Score 7-10
Answer:
good prognosis
Question:
APGAR Score 4-6
Answer:
impending respiratory arrest
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Question:
APGAR Score 0-3
Answer:
needs supplemental oxygen
Question:
Care of the Newborn: Phase 1
Answer:
- - 30 minutes (period of reactivity)
- tachycardia, gradually lowering to normal rate
- irregular respirations
- rales may be present on auscultation
- newborn is alert; frequent moro reflex (startle reaction), tremors, crying,
increased motor activity
Question:
Care of the Newborn: Phase 2
Answer:
30 minutes - 2 hours (decreased responsiveness)
- decreased motor activity
- rapid respirations (up to 60 breaths/min)
- normal heart rate for term newborn
- audible bowel sounds 2 / 4
Question:
Care of the Newborn: Phase 3
Answer:
- - 8 hours (second period of reactivity)
- abrupt, brief changes in color and muscle tone
- presence of oral mucus (can cause gagging)
- responsiveness to external stimuli
- newborn stabilizes, begins suck-swallow coordination, and is ready for
regular feedings
Question:
Fourth Stage of Labor - Recovery: Mom
Answer:
- fundal assessment Q15 minutes
- vitals Q15 minutes
- assess pain
- assess anesthesia status
- assess bladder status
- full bladder will deviate uterus (high and to the side) can cause hemorrhage
- ice pack on perineum
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Question:
Fourth Stage of Labor - Recovery: Baby
Answer:
- skin to skin with mom = golden hour
- facilitate breastfeeding
- vitals Q30 minutes
Question:
Family Identification Bands
Answer:
- last name, gender, date of birth, MRN#, security number
- all bands need to match (mom, dad, baby)
- ALWAYS verify any time baby leaves room and returns
Question:
Security of the Newborn
Answer:
- security alarm band
- family education regarding staff badges
- should not leave newborn in room alone
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