Care of the Newborn

Question 1

Which of the following is NOT a preventive therapy given to newborns?
A. Vitamin D
B. Vitamin K
C. Erythromycin eye drops

Answer 1

A. Vitamin D

Vitamin K is given IM to decrease the risk of hemorrhagic disease.
Erythromycin eye drops are give to prevent gonococcal eye infections.

Question 2

Meconium should be passed in the first __ hours.

Answer 2

24

Question 3

What are the 3 main components of basic newborn resuscitation?

Answer 3

Warm
Dry
Stimulate

Question 4

Baby Newton was born at 3500g at 40 weeks gestation. Mom brings him into clinic today because she weighted him and he has since lost 300g. Newton is now 5 days old. What do you tell Newton’s mom?

Answer 4

This mom should be provided reassurance. It is normal for babies to lose 10% of body weight in the first few days of life. By day 7-10 the weight should be back up to birth weight.

Question 5

What is included in the assessment of a baby using the APGAR score?

Answer 5

A = appearance/color (0 is pale or blue, 2 is pink body and extremities)
P = Puse/HR (0 is absent, greater than 100 is 2)
G = Grimace/Reflexes (0 is absent, 2 is cough, sneeze or pulls away)
A = Activity/Tone (0 is absent, 2 is active and spontaneous movement of limbs)
R = Respirations (0 is absent, 2 is good breathing with crying) 

Less than or equal to 3 requires resuscitation. Most babies are 8-9 and hardly ever 10.