Question

1-A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

Select one:

a. Tachypnea and retractions

b. Hypotension and Bradycardia

c. Acrocyanosis and grunting

d. The presence of a barrel chest with grunting

2-Babies born at 24 weeks of gestation have a 39 % chance of survival

Select one:

a. True

b. False

3-If an Rh-negative mother delivered an Rh-positive child, then what would happen to the mother?

Select one:

a. She would never be able to have children again.

b. She would need an immediate blood transfusion.

c. She would become sensitized to the Rh-positive antigen, unless she were treated with RhoGAM.

d. She would be diagnosed with erythroblastosis fetal

4-Conjugated bilirubin can be absorbed into brain tissues leading to neurotoxicity and kernicterus

Select one:

a. False

b. Tru

5-Sepsis/Meningitis Signs and Symptoms in Neonates include:

Select one:

a. all of the above

b. seizures

c. feeding intolerance

d. retractions

Answer 1

Ans

1- tachypnea and retractions.

tachypnea is because of respiratory acidosis which stimulates respiratory centre in brain and retractions hecause the intercoastal muscles which are accessory muscles of respiration are used .

2- true . Yes the latest figures ahow that there is 39% chance of survival . But it depends on each country .in some countries its its than 50%.

3- she would become sensitised to Rh +ve antigen ,unless she were treated by Rho GAM.

If mother is Rh-ve in guest pregnancy tgethe Rh antigen from fetus sensitises mother causing mother to produce anti Rh antibodies . In subsequent pregnancy with Rh +ve fetus ,these anti Rh antibodies cross placenta and attack the fetus blood causing hemolysis and jaundice m manifests as erythroblastosis fetalis. To prevent thia the mother is administered with anti D immunoglobulins.

4- false.

Unconjugated bilirubin causes kernicterus and crosses BBB because its lipid soluble and can penetrate neuronal membranes. Unconjugated bilirubin is bound to albumin in blood.

5- seizures.

Meningitis or sepsis manifests as seizures , Brudzinsky's sign , stiff neck , fever , vomittig , etc . Retra tions occur with breathing problems. Seizures occur due to pressure building up in the brain due to oedema . Febrile seizures are sometimes the obly symptom of meningitis in neonates.

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