Physiological changes of neonate at birth and how midwife can optimise transition to extra-uterine life in first hour of life.

Pregunta 1 de 13

1

What is the process of physiologic change in the newborn infant, that begins in utero in preperation for the change from intrauterine placental support to extrauterine self-maintenance.

Selecciona una de las siguientes respuestas posibles:

Transition
Translation
Adaptation
Recruitment

Explicación

Pregunta 2 de 13

1

Label the below fetal circulation

Arrastra la opción correcta a cada uno de los puntos naranjas

Ductus Arteriosus

Umbilical arteries

Umbilical vein

Liver

Ductus Venosus

Foramen Ovale

Explicación

Pregunta 3 de 13

1

The Ductus Venosus is located in the ❌. It connects the umbilical vein to the left ❌ or ❌.

At birth, the sphincter close to the umbilical vein ❌ and the ductus venosus ❌. This becomes the ❌.

Arrastra y suelta para completar el texto.

liver

heart

large intestime

hepatic vein

umbilical arteries

inferior vena cava

constricts

dilates

closes

opens

ligamentum venosum

Explicación

Pregunta 4 de 13

1

Blood continues to travel up the inferior vena cava, and enters the ❌ of the heart.
Some blood goes to the ❌, then to the pulmonary arteries. Only a small amount goes to the maturing lungs. The rest of blood is shunted away from lungs by the ❌ back to the aorta.
Most of the blood in the right atrium passes to the ❌ through the ❌. From the left atrium it flows to the left ventricle, and is then pumped to the ❌.

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right atrium

right ventricle

ductous arteriosus

left atrium

foramen ovale

aorta

Explicación

Pregunta 5 de 13

1

The Foramen Ovale is a small opening in the septum of the heart and completely bypasses the non-functioning lungs.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 6 de 13

1

Eventually the ductus arteriosus becomes the ❌, and the foramen ovale becomes the ❌.

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ligamentum arteriosum

ligamentum vanosum

ligamentum teres

fossa ovalis

Explicación

Pregunta 7 de 13

1

Factors that will initiate the first breath and lung expansion of the neonate are:
1) ❌ of the chest wall during vaginal delivery AND ❌ of the chest wall immediately after birth;
2) ❌ stimulation by the decrease in O2 and increase in CO2 in blood;
3) ❌ (touch, pressure and low environmental temperature);
4) Stimulation of the senses ❌.

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Compression

recoil

Chemoreceptor

Sensory stimuli on the skin

by light and noise

Explicación

Pregunta 8 de 13

1

Which of the below are ways in which a neonate can lose heat?

Selecciona una o más de las siguientes respuestas posibles:

evaporation
convection
conduction
radiation

Explicación

Pregunta 9 de 13

1

At the time of birth blood effects the ❌ of the alveoli and clears ❌ from the alveoli.

During fetal life, the alveoli are filled with lung fluid. They are small and not expanded.

At birth, capillaries fully fill with ❌ for the first time, expanding so they become ❌ and actively ❌ the alveoli. This process is called ❌.

Lung fluid is not ❌ into ‘lung tissue’ which is an area for active gaseous exchange. The only way to clear lung fluid is through the intricate circulation established within the lung tissue immediately after birth.

The higher ❌ of the blood in the capillaries surrounding each alveolus ❌ the fluid from the lung.

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opening

lung fluid

blood

erect

open

recruitment

absorbed

colloidal osmotic pressure

draws

Explicación

Pregunta 10 de 13

1

Signs of normal transition are:

Selecciona una o más de las siguientes respuestas posibles:

It is normal to lose heat through evaporation and conduction of not prevented
It is normal for peripheral circulation to be delayed, giving ‘blue’ hands and feet
Breathing adequate by 90 seconds
Heart rate of 120 – 150bpm
May be born blue, but rapidly becomes pink
Cries or gasps within seconds

Explicación

Pregunta 11 de 13

1

How many more red blood cells can newborns gain through optimal cord clamping?

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30-60%
10-30%
50-80%

Explicación

Pregunta 12 de 13

1

What are the advantages of optimal cord clamping?

Selecciona una o más de las siguientes respuestas posibles:

Higher birthweight
Higher early haemoglobin concentration
Increased iron reserves up to 6 months after birth
Small risk of jaundice requiring phototherapy

Explicación

Pregunta 13 de 13

1

Once a baby is born ❌ contact is preferable to prevent further ❌ and to regulate the ❌. Any part of the baby should be ❌ to prevent heat loss. The room should be ❌. Wet towels should be replaced with ❌. The ❌ may provide skin to skin if the mother cannot or does not want to

Arrastra y suelta para completar el texto.

skin-to-skin

heat loss

heartbeat

covered

warm and draught free

warm, dry ones

partner

	Creado por Emma Coulling hace más de 8 años

Test sobre Physiological changes of neonate at birth and how midwife can optimise transition to extra-uterine life in first hour of life., creado por Emma Coulling el 21/01/2016.

Physiological changes of neonate at birth and how midwife can optimise transition to extra-uterine life in first hour of life.

Pregunta 1 de 13

What is the process of physiologic change in the newborn infant, that begins in utero in preperation for the change from intrauterine placental support to extrauterine self-maintenance.

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 2 de 13

Label the below fetal circulation

Arrastra la opción correcta a cada uno de los puntos naranjas

Explicación

Pregunta 3 de 13

The Ductus Venosus is located in the ❌. It connects the umbilical vein to the left ❌ or ❌. At birth, the sphincter close to the umbilical vein ❌ and the ductus venosus ❌. This becomes the ❌.

Arrastra y suelta para completar el texto.

Explicación

Pregunta 4 de 13

Arrastra y suelta para completar el texto.

Explicación

Pregunta 5 de 13

The Foramen Ovale is a small opening in the septum of the heart and completely bypasses the non-functioning lungs.

Selecciona uno de los siguientes:

Explicación

Pregunta 6 de 13

Eventually the ductus arteriosus becomes the ❌, and the foramen ovale becomes the ❌.

Arrastra y suelta para completar el texto.

Explicación

Pregunta 7 de 13

Arrastra y suelta para completar el texto.

Explicación

Pregunta 8 de 13

Which of the below are ways in which a neonate can lose heat?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 9 de 13

Arrastra y suelta para completar el texto.

Explicación

Pregunta 10 de 13

Signs of normal transition are:

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 11 de 13

How many more red blood cells can newborns gain through optimal cord clamping?

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 12 de 13

What are the advantages of optimal cord clamping?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 13 de 13

Once a baby is born ❌ contact is preferable to prevent further ❌ and to regulate the ❌. Any part of the baby should be ❌ to prevent heat loss. The room should be ❌. Wet towels should be replaced with ❌. The ❌ may provide skin to skin if the mother cannot or does not want to

Arrastra y suelta para completar el texto.

Explicación

The Ductus Venosus is located in the ❌. It connects the umbilical vein to the left ❌ or ❌.

At birth, the sphincter close to the umbilical vein ❌ and the ductus venosus ❌. This becomes the ❌.