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4 Cards in this Set

  • Front
  • Back

1. Which of the following pressure changes accurately represents normal postnatal adaptation to extrauterine life?


A. Increase in pulmonary vascular resistance, increase in systemic vascular resistance.


B. Increase in pulmonary vascular resistance, decrease in systemic vascular resistance.


C. Decrease in pulmonary vascular resistance, increase in systemic vascular resistance


D. Decrease in pumonary vascular resistance, decrease in systemic vascular resistance.

c

2. What is the name of the fetal shunt that is responsible for shunting blood between the aorta and pulmonary artery?


A. Foramen ovale


B. Ductus venosus


C. Ductus arteriosus


D. Blalock-Taussig shunt

a

3, The nurse in the labor, delivery, and recovery (LDR) department calls the nursery to request an immediate assessment of a term infant displaying signs and symptoms of respiratory distress following an uneventful vaginal delivery. Upon arrival to the LDR, the nursery nurse observes that the LDR nurse is providing bag-and-mask ventilation. The infant is dusky and has a scaphoid abdomen with an asymmetric-appearing chest with breath sounds greater on the right side. Based on this information, the infant most likely has what condition?


A. Pneumothorax


B. Diaphragmatic hernia


C. Tracheoesophageal fistula


D. Gastrointestinal obstruction

b

4. A 40 2/7 week-gestation infant is delivered with vacuum assistance after a proloonged second stage of labor. THe infant weighs 3.75 kg. THis is the mother's first baby. The apgar scores were 3, 5, and 8 at 1, 5, and 10 min. After stabilizing the infant following the delivery, the nurse conducts the head-to-toe assessment. Scalp edema is noted. When the head and neck areas are palpated, it is observed that swelling crosses the suture lines and feels boggy. The infant's overall tone is decreased. Based on these findings, what would be a probable diagnosis and care plan for this infant?


A. Cephalohematoma; admit to the NICU for close observation


B. Subgaleal hemorrhage; admit to the NICU for close observation.


C. Cephalohematoma: keep mother and baby together in the LDR.


D, CAput succedaneum; keep mother and baby together in the LDR

a