Birth care through the first 2 hours

Question 1

The primary goal of care in the first moments after birth is to assist the newly born infant to transition to…

Answer 1

Extrauterine life by establishing effective respirations.

Question 2

Where is the infant placed after birth and what is the first assessment?

Answer 2

Places prone on the mother’s abdomen or chest, and the nurse assesses the airway

Question 3

Drying the infant with vigorous rubbing removes moisture to prevent…

Answer 3

Evaporative heat loss and provides tactile stimulation to stimulate respiratory effort

Question 4

How is the HR quickly assessed?

Answer 4

By grabbing the umbilical cord or by auscultating the left chest with a stethoscope.

Question 5

What does the Apgar score do?

Answer 5

Permits a rapid assessment of the newborn’s transition to extrauterine existence based on 5 signs that indicate the physiologic state of the neonate.

Question 6

What are the 5 signs of the neonate.

Answer 6

HR
Respiratory effort
Muscle tone
Reflex irritability
Color

Question 7

When should a more detailed physical exam of the infant be done?

Answer 7

12 to 18 hrs after birth and before the infant leaves the hospital

Question 8

What features to assess during a general survey are?

Answer 8

Posture
Activity
Any overt signs of anomalies that can cause initial distress
Presence of bruising or the consequences of birth
State of alternates

Question 9

What is the normal resting position of a neonate?

Answer 9

General Flexion

Question 10

Where do you measure the temp of a newborn?

Answer 10

Axillary

Question 11

What should the examiner do before taking the temp?

Answer 11

Determine apical HR and RR while the infant is quiet and at rest

Question 12

The normal axillary temp averages..

Answer 12

97.7 to 99.5

Question 13

What are the characteristics of neonates respirations?

Answer 13

Shallow and irregular

Question 14

What is the average RR?

Answer 14

40 breath/min

Range 30 to 60

Question 15

What is the average HR of an neonate?

Answer 15

120 - 160

Question 16

What is the average birth weight of an infant?

Answer 16

2500 to 4000 g (5.5 to 8.8 IB)

Question 17

The head is measured at the widest part, which is the _______.

Answer 17

Occipitofrontal Diameter

Question 18

The term neonate’s head circumference ranges from ___ to ___ cm

Answer 18

32 to 36.8

Question 19

What is the New Ballard Score?

Answer 19

A frequently used method of determining gestational age. Used to measure gestational ages of infants as 20 weeks of gestation.

Question 20

To ensure accuracy of the New Ballard Score, when do newborns need to be measured?

Answer 20

first 48 hours of life.

Question 21

Define preterm or premature

Answer 21

Born before completion of 37 wks of gestation, regardless of birth weight

Question 22

Define Late preterm

Answer 22

Born between 34 0/7 and 36 6/7 wks

Question 23

Define term

Answer 23

Born between the beginning of wk 37 and the end of wk 42 of gestation

Question 24

Define postterm

Answer 24

Born after completion of wk 42 of gestation

Question 25

Define postmature

Answer 25

born after completion of wk 42 of gestation and showing the effects of progressive placental insufficiency.

Question 26

What is suctioned first with the bulb syringe and why?

Answer 26

The mouth is suctioned first to prevent infant from inhaling pharyngeal secretions by gasping as the nares are touched

Question 27

What part of the mouth is avoided and why?

Answer 27

The center of the infants mouth is avoided because the gag reflex can be stimulated.

Question 28

The nurse should listen to the infant’s respirations and lung sounds with a stethoscope to determine if ____ or _______ is present.

Answer 28

Crackles

Inspiratory stridor

Question 29

Four conditions are essential for maintaining an adequate oxygen supply:

Answer 29

A clear airway
Effective establishment of respirations
Adequate circulation, adequate perfusion, and effective cardiac function
Adequate thermoregulation