Adaptation to Extrauterine Life

Chapter 2 Adaptation to Extrauterine Life




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






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






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?






4. A image-week-gestation infant is delivered with vacuum assistance after a prolonged 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 minutes, respectively. 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?






5. A 38-week-gestation infant is delivered by cesarean section due to a breech presentation. The Apgar score is 8 at 1 minute and 9 at 5 minutes. The mother received late prenatal care. The hepatitis B status of the mother is unknown. The plan of care for this infant should include which one of the following options?


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Jul 11, 2016 | Posted by in NURSING | Comments Off on Adaptation to Extrauterine Life

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