[ Pobierz całość w formacie PDF ]
.In be brought to the healthcare provider s attention.addition, placing the isolette close to the door might Typically it is treated by a dilutional exchangeproduce cold drafts, causing hypothermia.transfusion.the inaccessibility of health care, which precludesÏ% STUDY ACTI VI TI ESsome pregnant women from receiving early prenatal1.This program could be very effective to get thecare, and the lack of insurance to cover the cost ofpregnant women to think about the harmful effectsdiagnostic tests or prescriptions for treatment ofsmoking has on a growing fetus.The emphasisinfections.should be on the vasoconstriction of the blood3.hypoglycemiavessels and how this reduces nutritional and bloodsupplies to the fetus.Pictures of a narrowed blood4.Common birth injuries include clavicle fractures,vessel could be used to demonstrate this problem.facial palsies, and brachial plexus injuries.Although each group will react in different ways toa presentation on smoking and pregnancy, ideally 5.Nursing measures to promote energy conservationthe seed will be planted for some to curtail or stop would include a, b, and c.smoking.Feeding and digestion will increase energy demands;2.The March of Dimes web site is full of ideas on how thermal warmers might produce hyperthermia and thusto prevent preterm births, which include early prena- increase energy demands; and preventing parents fromtal care for all women, diagnostic tests to detect visiting their infant is not a plan to reduce energy expen-changes in the cervix, and prevention of maternal diture and could increase stress for both the parents andinfections.The students comments may center on the baby.3132-26_AnswersRev.qxd 12/15/05 3:45 PM Page 766766 ANSWERS TO WORKSHEET QUESTIONSChapter 24patterns are disrupted and would not beÏ% MULTI PLE CHOI CE QUESTI ONSdescribed as normal.1.The correct response is D.Nasal flaring is a cardi-3.The correct response is D.Detection of PKUnal sign of air hunger in respiratory distress syn-depends on an accumulation of phenylalanine,drome.When an infant becomes hypoxic due towhich is found in protein.Protein is ingested withpoor lung expansion, the nares expand to  searchbreast milk or formula, so newborns need at leastfor more oxygen to relieve the low oxygen concen-48 hours of protein ingestion via milk before theytration.Abdominal distention denotes air in thecan be screened for PKU.The ingestion of proteinintestines, not hypoxia.Acrocyanosis is presentis not related to thyroid hormone levels and thusonly in the extremities and might indicate sluggishis not necessary to screen for hypothyroidism.circulation.An infant with respiratory distress syn-A heel stick blood sample can be taken prior todrome would demonstrate generalized cyanosis48 hours of age to diagnose sickle cell anemia.secondary to hypoxemia.Depressed fontanelsThis newborn screening test is not dependent onwould indicate dehydration, not respiratory dis-protein intake since it is a genetic disease.Cystictress syndrome.fibrosis is an inherited disorder and present at2.The correct response is C.Irritability is a primebirth, not 48 hours later.symptom of drug withdrawal in newborns.As4.The correct response is D.The newborn with thisthey experience physiologic withdrawal from theanomaly cannot handle oral secretions since theaddictive substance, irritability with crying andesophagus ends in a blind pouch.The secretionsthe inability to be consoled are prevalent behav-typically foam out of the mouth, and this becomesiors.Newborns exposed to substances are anythinga clue that a fistula exists.A tracheoesophagealbut calm when withdrawing from an addictivefistula alone doesn t affect the newborn s temper-substance.They are extremely distressed, andature unless an infection is present.This defect istheir faces commonly exhibit that distress.Weightstructural, not neurologic.The newborn s abilityloss, not weight gain, is typical of the newbornto swallow is not related to this structural defect.exposed to substances.Although they show signsThere would have to be an insult to the CNS forof hunger, vomiting is common and thus weightswallowing to be affected as well as a structuralloss follows.These newborns are extremely dis-defect in the pharynx.tressed and agitated.Their feeding and sleeping2.Ï% CRI TI CAL THI NKI NG EXERCI SESa.What additional information do you need to1.obtain from her mother?a.What in the mother s history might have raised aIt is important to understand the extent and type of herred flag to the nurse?drug use during pregnancy.Ask specific questionsProlonged rupture of the membranes provides anabout her drug use so that you can plan care for her asavenue for bacteria to ascend into the mother s genitalwell as her newborn.Place her at ease and ask direct,tract.The fact she had a fever during labor is a key sign.nonjudgmental questions.b [ Pobierz caÅ‚ość w formacie PDF ]