Exam 1P - Newborn Assessment & DC Teaching

Question 1

normal newborn pulse

Answer 1

120-160 bpm

Question 2

normal newborn respirations

Answer 2

30-60 respirations/minute

Question 3

normal newborn temperature

Answer 3

Axillary: 36.4-37.2 C (97.5-99 F)
Skin: 36-36.5 C (96.8 - 97.7 F)

Question 4

normal blood pressure at birth

Answer 4

90-60 systolic / 50-40 diastolic

Question 5

normal newborn BP at day 10

Answer 5

100/50

Question 6

normal newborn blood glucose

Answer 6

> = 40 mg/dL

Question 7

changes within a few days to a week after birth

Answer 7

molding

Question 8

an area of localized edema usually over the vertex from pressure on mother’s cervix during labor

Answer 8

caput succedaneum

Question 9

an accumulation of blood under the scalp by pressure during birth

Answer 9

cephalohematoma

Question 10

female newborns may experience a small amount of vaginal bleeding from the sudden withdrawal of maternal hormones, known as ____

Answer 10

pseudomenstruation

Question 11

the ____ of female genitalia may be enlarged and darker

Answer 11

labia majora

Question 12

a collection of fluid around one or both testes, which usually resolves on its own

Answer 12

hydrocele

Question 13

____ is often seen as an enlargement of one or both sides of the scrotum

Answer 13

hydrocele

Question 14

undescended testis, can occur on one or both sides; and will likely descend by 6 months of age

Answer 14

cryptorchidism

Question 15

abnormally located urethral meatus on the underside of the penis or on the perineum

Answer 15

hypospadias

Question 16

urethral meatus on the upper side of the penis

Answer 16

epispadias

Question 17

name the 8 steps of subsequent daily care for the newborn

Answer 17

(1) VS q6-8h
(2) assess umbilical cord
(3) hearing screen
(4) metabolic screen
(5) congenital heart disease screen
(6) I&Os
(7) swaddle infant for warmth
(8) immunizations (Hep B)

Question 18

name at least 3 common concerns of new parents

Answer 18

(1) sleep-wake cycles
(2) feeding
(3) bathing
(4) soothing activities
(5) s/s illness
(6) infant safety

Question 19

name at least 3 ways to awaken an infant

Answer 19

(1) dress, undress, or bathe hands and feet
(2) change diaper
(3) talk to infant, place in upright position
(4) increase skin contact
(5) hand-express milk
(6) stimulate rooting reflex by brushing cheek with hand

Question 20

don’t go more than ____ without feeding

Answer 20

3-4 hours

Question 21

what are the 5S’s of quieting an infant?

Answer 21

(1) Swaddling
(2) Side / stomach position
(3) Shushing or rhythmic sounds
(4) Swinging (rocking)
(5) Sucking( pacifier / fist)

Question 22

when is the cord clamp removed after birth?

Answer 22

about 24 hours after birth

Question 23

what is the normal color for the cord to become?

Answer 23

brownish-black

Question 24

the cord will turn brownish-black within ____ days

Answer 24

2-3 days

Question 25

the cord will fall off within ____

Answer 25

10-14 days

Question 26

check the cord daily for ___, ___, and ____

Answer 26

odor, oozing, reddened areas

Question 27

for a circumcised infant, check for foul-smelling odor how frequently?

Answer 27

1x per day

Question 28

normal drainage from a circumcision is ____

Answer 28

light, sticky, yellow

Question 29

monitor for first void within ____ after circumcision

Answer 29

6-8 hours

Question 30

what should you NOT do with an uncircumcised infant?

Answer 30

do NOT retract the foreskin because it is adherent for 3-6 years

Question 31

signs of respiratory distress include

Answer 31

(1) tachypnea (2) grunting (3) retractions (4) cyanosis (5) seesaw respiration (6) asymmetry of chest expansion

Question 32

name 3 ways to avoid respiratory problems

Answer 32

(1) use a bulb syringe (2) proper positioning (3) safe sleep

Question 33

name at least 3 signs of illness in an infant

Answer 33

(1) lethargy (2) hypothermia (3) inconsolable (4) discharge / bleeding from umbilical cord, circumcision, etc. (5) green, watery stool (6) <6-8 wet diapers/day (7) fever