Deck 1

Question 1

What do you do first for the newborn after you have secured a patent airway?

Answer 1

You want to dry the baby off. They’re wet from the amniotic fluid, do this to keep them warm.

Question 2

What’s the nurse’s priority action after the delivery of a cesarean delivery is.

Answer 2

Respiratory - ABCs. Check respiratory and patent airways.

Question 3

How do you care for the umbilical cord stump?

Answer 3

Do not submerge in water until stump falls off - sponge bath only

Question 4

What is caput succedaneum?

Answer 4

Happens with vaginal births, especially when vacuum is used. Localized swelling of the soft tissues of the scalp caused by pressure on the head during labor. Can be palpated as a soft edematous mass and CAN cross over the suture line.

Question 5

What is cold stress?

Answer 5

Ineffective thermoregulation.
Can lead to hypoxia, acidosis, and hypoglycemia.
• If the baby becomes cold, they will burn brown fat to generate heat (which releases glucose) → hypoglycemia

Question 6

How to prevent SIDS(Sudden infant death syndrome)?

Answer 6

Place child on back during sleep
• Use firm, tight-fitting mattress in crib
• No pillows, blankets, stuffed animals in crib

Question 7

What is cephalhematoma?

Answer 7

Collection of blood between the periosteum and the skill bone it covers.
• Does NOT cross suture line
• Results from trauma during birth (pressure during prolonged birth, forceps)

Question 8

What is Hepatitis B vaccine surface antigen?

Answer 8

If Mom is Hepatitis B + the baby gets hepatitis immunoglobulin and the hepatitis B vaccine within 12 hours of birth

Question 9

What do you use to remove secretions from the newborn’s mouth?

Answer 9

Bulb syringe (Aspirate mouth first, 1” nostril, 2’’ nostril)

Question 10

What do you need to understand about crib safety?

Answer 10

• No pillows, blankets, or stuffed animals in crib
• no toys, bumper pads or loose linens
• Use a firm, tight-fitting mattress in crib

Question 11

What medications should the nurse give immediately following birth?

Answer 11

Vitamin K, hepatitis B vaccine, erythromycin vaccine

Question 12

What do you do when a newborn is jittery, lethargic, diaphoretic?

Answer 12

Obtain glucose levels, perform heel stick

Question 13

How do you release a newborn from the nursery?

Answer 13

ONLY Baby, mom, and partner have bracelets

Question 14

APGAR score

Answer 14

Appearance(skin color), pulse(heart rate), grimace(reflex irritability), activity(tone), respiration.

Question 15

How do you identify respiratory distress?

Answer 15

• Nasal flaring
• Grunting
• Gasping
• Labored breathing
• RR > 60

Question 16

Understand what Tonic neck reflex looks like. (AKA Fencer position)

Answer 16

Supine position
• If you turn the newborn’s head quickly to one side, the newborn’s arm and leg on that side extend, and the opposite side’s arm and leg flex

Question 17

What to look for in a head-to-toe assessment in a newborn?

Answer 17

• Acrocyanosis
• Deep red to purple
• Vernix in skin folds and at joints
• Lanugo (fine downy hair)
• Subconjunctival hemorrhage - can result from pressure during birth
• Eyeballs random jerky movements

Question 18

Milia

Answer 18

small raised pearly or white spots

Question 19

Mongolian spots

Answer 19

blue/gray/brown/black pigmentation on the back and buttocks.

Question 20

Telangiectatic nevi

Answer 20

“stork bite” flat, pink red mark that easily blanch - found on back of neck, nose, upper eyelids, middle of forehead

Question 21

Nevus flammeus

Answer 21

(port wine stain) capillary angioma below skin that is purple or red, commonly on face - does not blanch or disappear

Question 22

Erythema Toxicum

Answer 22

a pink rash that appears suddenly anywhere on the body of a term newborn within first three weeks (newborn rash- no treatment needed)

Question 23

Normal fetal respiratory rate?

Answer 23

30-60 breaths per minute

Question 24

Normal fetal heart rate?

Answer 24

110-160 bpm (check apically for one minute)

Question 25

Normal fetal blood pressure?

Answer 25

• Systolic 60 - 80 mm/Hg
• Diastolic 40- 50 mm/Hg

Question 26

Normal fetal temperature?

Answer 26

36.5-37.5 (97.7-99.5 F)