BETH DLS QUESIONNAIRE FOR BOOK - Essentials in Pediatric...

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Essentials in Pediatric Nursing COMPREHENSIVE QUESTIONNAIRE 1 Newborn assessment/care. 1. Heat loss occurs immediately after birth to below normal due to immature heat regulating system. The nurse gently wipes the face, head, body and extremities with a clean cloth. What type of heat loss does this intervention prevents? a. Conduction b. Evaporation c. Radiation d. Convection Answer: B. Evaporation- heat loss is minimized when newborn is dried. Evaporation is the loss of heat through conversion of liquid to a vapor. A. Conduction means the body heat of newborn is transferred to a solid cool object which is in contact with a baby. C. Radiation means body heat of newborn is transferred to a cooler object without contact with baby’s body. D. Convection refers to heat is lost from newborn’s body to cooler surrounding. 2. A newborn becomes more alert during the second reactive period. The nurse observes an increase in mucus production. What is the nurse’s initial action? a. Suction secretions b. Report to the pediatrician c. Oxygenate the baby d. Prepare IV fluids Answer: A. Second reactivity period occurs 4-10 hours after birth. Production of large mucus is a normal finding during a second reactive activity. The initial action of the nurse is to remove secretions. Letter B,C,D are not necessary action by the nurse. 3. Three days after birth a neonate develops jaundice. The mother is concerned about these changes. The nurse is correct when she emphasizes to the mother that; a. Physiologic jaundice occurs due to fetal destruction of RBC during extrauterine life. b. Pathologic jaundice occurs due to maternal antibodies. c. Non passage of meconium causes physiologic jaundice. d. Delayed urine excretion leads to jaundice. Answer: A. Hyperbilirubinemia leads to jaundice as a result of RBC destruction which usually occurs on the 2 nd and 3 rd day after birth, the so called physiologic jaundice or normal jaundice. Physiologic jaundice in premature babies occurs in 48hours after birth. It peaks in about the 5 th day after birth. Letter B, pathologic jaundice occurs within 24 hours after birth. Letter C, baby should be breastfed early to stimulate intestinal bile excretion in the feces leading to decreased bilirubin level. Letter D is not related. 4. Which of the following is an accepted description of Mongolian spots? a. Managed by administering steroids b. Pathologic and requires further evaluation c. Associated with parental abuse d. Resolves in about a year Answer: D. Mongolian spots are bluish patches documented at the buttocks or sacrum as a result of melanocytes accumulation. It usually resolves in a year. A, not managed by steroids since MS usually resolves in 12 months. B and C, not associated with parental abuse
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This note was uploaded on 03/29/2012 for the course BSN 101 taught by Professor Prof.emilsisco during the Spring '12 term at University of the Philippines Diliman.

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BETH DLS QUESIONNAIRE FOR BOOK - Essentials in Pediatric...

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