HD 202 E2 Samplex 2017 Flashcards
Newborn period
A. conception to birth
B. birth to day 7 of life
C. birth to day 28 of life
D. birth to 12th month of life
C
The key to good newborn care is anticipation. Which of the following is true regarding risk assessment?
A. careful risk assessment prior to delivery will identify all newborns that will require resuscitation at birth
B. many difficult neonatal courses can be detected by careful and “thoughtful” history taking
C. absence of risk factors predicts the birth of a normal newborn
D. NOTA
B
Immediate need of each newborn
A. To breathe
B. To cry
C. To defacate
D. A
A
Percent of newborns requiring initial assessment to identify if resuscitation is required
A. 1% (1 in 100)
B. 5% (1 in 20)
C. 10% (1 in 10)
D. 100% (all)
D
After drying and assessment of breathing, next appropriate action for healthy newborns is
A. foot printing
B. skin-to-skin contact
C. grafting
D. clamping
B
While observing the newborn attached to the breast, one can assess the following newborn capabilities
A. sucking reflex
B. swallowing reflex
C. cranial nerve reflex
D. AOTA
D
Least useful in the physical exam of the newborn
A. percussion
B. auscultation
C. inspection
D. palpation
A
Capabilities of a normal full term newborn
A. can discern pastel-colored objects
B. can recognize familiar voices
C. have 20/20 vision
D. NOTA
B
Visual capacity of a normal full term newborn
A. sees dark and light contrasts
B. tracking objects
C. visualize objects 10 feet away
D. have 20/20 vision
A
The preliminary assessment of the newborn is done in the first 30 seconds while drying the baby; the second, more thorough, physical examination is done
A. before the first breastfeed
B. during the first breastfeed
C. after the first breastfeed
D. NOTA
C
Cord is clamped
A. after the first breastfeeding
B. as soon as the cord pulsations stop
C. right after the baby is delivered
D. right after the placenta is delivered
B
Thorough assessment of the newborn is done in the
A. neonatal intensive care unit
B. newborn transition area
C. well baby nursery
D. company of the mother
D
Figure: Baby horizontally suspended, arms extended, hips flexed, knees flexed, head at same plane with body looking down
A. abnormal because of lack of arm flexion
B. abnormally increased tone because of hip and knee flexion
C. normal of a full term newborn even if the head falls and the neck flexes
D. normal of a full term newborn if the head can retain its present position
C
A healthy newborn demonstrates various states of wakefulness depending on eye opening, respiratory efforts, spontaneous movements and vocalization; according to Brazelton, if a baby’s eyes are closed or half-open with slight activity, the baby is in
A. deep sleep
B. light sleep
C. quiet, awake state
D. fully awake state
C
When performing the Ballard, full term infants are scored as early as possible but reliably up to
A. 24 hrs
B. 36 hrs
C. 48 hrs
D. 72 hrs
D
In the Ballard, criteria most prone to change in extremely preterm newborns if they are scored beyond 12 hours
A. skin
B. muscle tone
C. lanugo
D. eye
A
Lanugo appears first over the
A. lumbosacral area
B. scapular area
C. shoulders
D. legs
A
Mario was born term via spontaneous vaginal delivery with a birth weight of 3200 grams, birth length of 50 cm and birth head circumference of 40 cm
A. normal for a newborn Filipino
B. weight is not proportional with the rest of the measurements
C. normal for a newborn Caucasian
D. head circumference is bigger than normal for a newborn Filipino
D