Mod E Random Note Cards

Question 1

What temperature should a newborn have?

Answer 1

97.7 - 99.5 (axillary temp- KNOW the formula for calculating temp from Celcius to Farenheit and vice versa)

Question 2

What should a newborn’s BP be at?

Answer 2

50-90/20-60 (**Thigh and arm BP should be equal)

Question 3

What should a newborn’s HR be at?

Answer 3

110-160

Question 4

What should a newborn’s RR be at?`

Answer 4

30-60 (initially it could be as high as 80 but it will level out)

Question 5

______ shunts blood from the pulmonary artery to the descending aorta, bypassing lungs:

Answer 5

Ductus arteriosus

Question 6

_____ connects umbilical vein to the inferior vena cava, allows blood to bypass the liver

Answer 6

Ductus venosus

Question 7

_____ allows blood entering the right atrium of the heart to go through left atrium, left ventricle, out ascending aorta to supply brain, heart, upper extremities

Answer 7

Foramen ovale

Question 8

How long does it take the Ductus Venosus to close?

Answer 8

Functionally closes in 2-3 days, anatomically it closes in 7

Question 9

How long does it take the Foramen Ovale to close?

Answer 9

closes between minutes and hours after birth

Question 10

What type of metabolism is the primary heat source for babies?

Answer 10

Brown Fat metabolism

Question 11

What is hypothermia defined as?

Answer 11

< 97 degrees

Question 12

What must a baby’s temp be in order to take a bath?

Answer 12

98.6 F. If they are less than this you should put them under a warmer.

Question 13

Define Evaporation

Answer 13

loss of heat when water on the skin is converted to vapor

Question 14

Define Convection

Answer 14

transfer of heat when a flow of cool air passes over body’s skin

Question 15

Define Conduction

Answer 15

transfer of heat when the infant comes in direct contact with cooler substances

Question 16

Define Radiation

Answer 16

transfer of heat from the infant to cooler surfaces and objects not in contact with the newborn

Question 17

How much should a newborn weigh?

Answer 17

2,500–4,300 g

Question 18

What should a newborn’s length be?

Answer 18

45–54 cm

Question 19

What should a newborn’s head circumference be?

Answer 19

33–38 cm THE HEAD IS NORMALLY 2CM LARGER THAN THE CHEST. THIS WAS A TEST QUESTION.

Question 20

Know how to identify common skin variations.

Answer 20

• Milia
• Erythema toxicum
• Mongolian spots [Note: identifying this was a test question last semester]
• Birthmarks

Question 21

Is an open Anterior fontanel normal in a newborn?

Answer 21

Yes. It normally closes in 12-18 months.

Question 22

Is an open posterior fontanel normal in a newborn?

Answer 22

Yes. It normally closes in 2-4 months.

Question 23

Define Molding

Answer 23

Molding is overlapping of bones on the head

Question 24

Define Caput succedaneum

Answer 24

this has a spongy feel to it. This is swelling of the head that crosses the suture line. Usually all on the top of the head. It is a very spongy feeling and often red

Question 25

Localized swelling on one side of the head is called:

Answer 25

Cephalhematoma

Question 26

Should a baby have murmurs after 24h

Answer 26

No.

Question 27

How many arteries/veins in an umbilical cord?

Answer 27

2 arteries, 1 vein

Question 28

What do you do if a baby has a fracture?

Answer 28

Immobilize it.

Question 29

What is a Simian Crease?

Answer 29

This is the crease in the hand. If it goes all the way across the hand it can indicate a chromosomial disorder

Question 30

What are the normal reflexes?

Answer 30

suck, rooting, grasp, Moro, Gallant, gag, Babinski’s

Question 31

What is Spinal Bifida and what happens with it?

Answer 31

[Note: This is a neural tube defect where there is an abnormal opening on the spinal column. The higher up on the spine the opening is, the worse the symptoms are. If a child is born with a sack on the outside, surgery has to be done immediately. You DO NOT rupture the sack!! You will cover it with a moist sterile gauze. This infant would be delivered c-section.]

Question 32

What is the white goop on a newborn’s skin called?

Answer 32

Vernix

Question 33

Where do you check turgor on an infant?

Answer 33

On the abdomen

Question 34

Where is Vitamin K given?

Answer 34

Vastus Lateralis?

Question 35

How is Vitamin K administered?

Answer 35

IM

Question 36

Why is Vitamin K administered?

Answer 36

To prevent clotting.

Question 37

How is the eye antibiotic Arythromycin administered?

Answer 37

“inner from outer” and placed in the conjunctiva sack. *** Test question

Question 38

For cord care, what do you do?

Answer 38

alcohol around the base of it.