CH. 33

Question 1

Answers to Assessment in Action Questions

Answer 1

Answers to Assessment in Action Questions

1. Answer: C uterine contractions began.
2. Answer: D it can lead to eclampsia and seizures
3. Answer: C Is this your first baby?
4. Answer: B the presence of meconium.
5. Answer: D Try to slip the cord gently over the head.
6. Answer: A Gently rub the newborn’s back.
7. Answer: C palpate the brachial pulse.
8. Answer: A Heart rate
9. Answer: Newborns are airway dependent. If their airway is not kept patent and/or they are not breathing adequately at a rate of 40 to 60 breaths/min, respiratory arrest can occur, followed shortly by cardiac arrest. Therefore, you must pay close attention to the airway and breathing status of a newborn. If you need to provide ventilatory assistance to a newborn, you must use an infant BVM. Covering both the nose and the mouth of the newborn with the mask, deliver breaths at a rate of 40 to 60 breaths/min. Make sure that the BVM is attached to a high-flow oxygen source and that you squeeze the bag gently, using just enough pressure to achieve subtle chest rise.
10. Answer: Meconium is fetal stool. The presence of meconium in the amniotic fluid signifies the presence of fetal distress. Meconium can range from being thin and light green to thick and dark green. If the newborn inhales meconium during or after delivery, the risk of developing respiratory distress and pneumonia is high. If you see meconium, notify the receiving hospital so they will be prepared to treat the newborn.