Chapter 24

Question 1

What is the apgar Scoring system?

Answer 1

A quick assess of the health of a newborn child immediately after birth in order to combat infant mortality

Question 2

What does apgar stand for?

Answer 2

Activity
Pulse
Grimace ( reflex irritability )
Appearance
Respiration

Question 3

What does activity ( muscle tone )?
0
1
2 points mean each

Answer 3

Absent
Flexed arms and legs
Active

Question 4

What does pulse mean
0
1
2

Answer 4

Absent
Below 100 bpm
Above 100 bpm

Question 5

What does grimace ( reflex irriatability )
0
1
2

Answer 5

Floppy
Minimal response to stimulation
Prompt response to stimulation

Question 6

What does appearance ( skin color )
0
1
2

Answer 6

Blue & pale
Pink body & blue extremities
Pink

Question 7

What does respiration mean?
0
1
2

Answer 7

Absent
Slow and irregular
Vigorous cru

Question 8

What is the heart rate based upon?

Answer 8

Auscultation with stethoscope or Palpation of the umbilical cord

Question 9

What is respiratory effort based on?

Answer 9

Observed movement of the chest wall

Question 10

What is muscle tone or activity based on?

Answer 10

Based on degreee of Flexion and movement of extremities

Question 11

What is reflex irritability based?

Answer 11

Presence of grimace crying of active withdrawal

Question 12

What is generalized skin color based on ?

Answer 12

Pallied
Cyanotic
Pink

Question 13

How are you going to perform a head to toe on a neonate?

Answer 13

General appearance
Respiratory system
Cardiovascular system
Neurological system
Gastrointestinal system
Eyes, nose, mouth
Skin
Genitourinary system

Question 14

What should the general appearance of a neonate be? (3)

Answer 14

Pink
Alert
Active

Question 15

What should the respiratory system look like for a neonate? (3)

Answer 15

Airway patent
RR-30-60
Lungs clear

Question 16

What should the cardiovascular system look like? (3)

Answer 16

Heart rate above 100
Strong muscules
No murmurs

Question 17

How should the neurological system look like? (2)

Answer 17

Moves extremities
Reflexes present

Question 18

What should gastrointestinal system look like?

Answer 18

Soft abdomen
Cord attached and clamp

Question 19

How should the eyes nose and mouth look like?

Answer 19

Eyes clear
Palate intact
Nares patent

Question 20

How should the skin look like?

Answer 20

No lesions/ abrasion

Question 21

How should the geintourinary system look like?

Answer 21

Normal genitalia

Question 22

What are some baseline assessment are done to help determine patterns of growth for infant ? (2)

Answer 22

Head circumference and body length
Weight

Question 23

Weighing a baby should be what?

Answer 23

Same scale and same time of day

Question 24

How do you measure head circumference?

Answer 24

Tape measure placed on head above infants eyebrows

Question 25

What is preterm baby date? Late preterm ? Early term Full term Late term Post term Post mature

Answer 25

Born before 37 0/7 weeks 34 0/7 to 36 6/7 weeks 37 0/7 to 38 6/7 weeks 39 0/7 to 40 6/7 weeks 41 0/7 to 41 6/7 weeks 42 0/7 week and beyond Born after 42 weeks after and shows progressive placental insufficiency

Question 26

How do we help baby into the new world? (4)

Answer 26

Suction with bulb for airway Maintain body temperature ( rubbing ) Prophylactic agent on eyes Single dose of phygonadione prevent hemorrhaging

Question 27

Why do we use prophylactic agent on newborns eyes?

Answer 27

To prevent ophthalmia neonatroum So no pink eye, bacteria or uti

Question 28

Why do we give phytonadione 0.5-1mg to prevent vitamin K?

Answer 28

Dependent hemorrhagic disease in newborn

Question 29

What the most common behavior of pain in an infant?

Answer 29

Crying Whimpering Eye sqeeuzing

Question 30

How does pain change infants vital signs?

Answer 30

Increase or decrease Heart rate or blood pressure Respiratory and oxygen

Question 31

How do you help with circumcised children?

Answer 31

Acetaminophen Swaddling Breastfeeding Skin to skin care