Module 3 day 1

Question 1

What is the most crucial adjustment for newborns?

Answer 1

Breathing

Question 2

What are the 3 fetal shunts?

Answer 2

Ductus arteriosus
Ductus venous
Foramen ovale

Question 3

What will be heard when these shunts close?

Answer 3

murmurs

Question 4

How long till these shunts close?

Answer 4

several days or hours after birth

Question 5

If a newborn has a apgar score of less than 3 what does that mean?

Answer 5

newborn is in distress

Question 6

If a newborn has an apagr score between 4 and 6 what does that mean?

Answer 6

newborn has moderate difficulty

Question 7

If an newborn has an apgar score of greater than 7 what does that mean?

Answer 7

newborn has minimal or no difficulty

Question 8

when is apgar scoring done?

Answer 8

1 and 5 minutes after birth. If the 5 minute score is less than 7 it has to be repeated after 10 minutes and then every 5 minutes.

Question 9

What is the purpose of a bulb syringe?

Answer 9

suction excess mucus from nose & mouth

Question 10

What is the purpose of a pediatric ultrasound?

Answer 10

evaluate heart, lungs, & bowels

Question 11

What kind of thermometer is used on a newborn?

Answer 11

Axillary

Question 12

How is a newborn Blood Pressure recorded?

Answer 12

electronic method

Question 13

What is Kangaroo Care?

Answer 13

heating baby through contact with mother’s chest

Question 14

How many tags does the newborn wear?

Answer 14

Two one on the ankle & one on the wrist

Question 15

What information is on a newborn’s tag?

Answer 15

Mom’s name, individualized ID number, and an ID number that matches the mom.

Question 16

What is a Hug’s tag?

Answer 16

alarm that goes off if baby is taken to close to an exit

Question 17

What two meds should be given to a newborn after birth? Think “eyes before thighs”

Answer 17

Erythromycin & Vitamin K

Question 18

What is Erythromycin given for?

Answer 18

gonorrhea& chlamydia to prevent blindness in newborns. Given in the inner to outer canthus

Question 19

What is Vitamin K given for?

Answer 19

To help with clotting because babies don’t have enough which can lead to hemorrhage. Given in the Vastus lateralis.

Question 20

What is the expected weight of newborns? (lbs & grams)

Answer 20

5.5 to 8.8 lbs / 2500 to 4000 g

Question 21

What is the expected length of a newborn? (cm & inches)

Answer 21

18 to 22 inches / 44 to 55 cm

Question 22

What is the expected head circumference? (cm & inches)

Answer 22

12.5 inches to 14.5 inches / 32 to 38 cm

Question 23

What is the expected chest circumference? (cm & inches)

Answer 23

12 to 13 inches / 30 to 33 cm

Question 24

What does a gestational age assessment involve?

Answer 24

taking measurements, new ballard, & dubowitz tool

Question 25

when should a gestational assessment be performed?

Answer 25

48 hours after birth

Question 26

What is the percentile range for an appropriate gestational age newborn?

Answer 26

10th to 90th

Question 27

What is the percentile for a small for gestational age?

Answer 27

less than 10th percentile

Question 28

What is the percentile for a large for gestational age?

Answer 28

greater than 90th percentile

Question 29

what is intrauterine growth restriction?

Answer 29

growth rate doesn't meet the norm

Question 30

What order should vitals be checked?

Answer 30

RR, HR, BP, & Temp

Question 31

what is a normal Respiratory Rate for a newborn?

Answer 31

30 to 60 breaths per minute

Question 32

how long do we count newborn respirations?

Answer 32

for a full minute

Question 33

Is Short periods of apnea expected?

Answer 33

yes

Question 34

what is a normal newborn heart rate?

Answer 34

110 to 160

Question 35

What is a normal newborn blood pressure?

Answer 35

60-80/40-50

Question 36

What is a normal temperature for a newborn?

Answer 36

97.7 to 99.9 Fahrenheit /36.5 to 37.5 Celsius

Question 37

What should a nurse do if a newborn has an unstable temperature?

Answer 37

place in a radiant warmer or skin to skin

Question 38

What actions would a nurse take if a newborn has an inadequate oxygen supply?

Answer 38

stabilize temperature, clear airway, oxygen, have resuscitation nearby

Question 39

What is a normal Hgb for a newborn?

Answer 39

14 to 24

Question 40

What is a normal Hct for a newborn?

Answer 40

44 to 64

Question 41

What is a normal Platelet count for a newborn?

Answer 41

150,00 to 300,000

Question 42

What is a normal glucose for a newborn?

Answer 42

40 to 60

Question 43

What is a normal Bilirubin for a newborn 24 hours after birth?

Answer 43

2 to 6

Question 44

What is a normal Bilirubin for a newborn 48 hours after birth?

Answer 44

6 to 7

Question 45

What is a normal Bilirubin for a newborn a 3 to 5 days after birth?

Answer 45

4 to 6

Question 46

What is a normal WBC for a newborn?

Answer 46

9000 to 30,000

Question 47

how is a newborn's CBC obtained and what for?

Answer 47

Capillary stick to check for anemia, infection, clotting, & polycythemia

Question 48

Why is cord blood collected?

Answer 48

To blood type the newborn and Rh status is newborn is Rh+ they will need rho-gam

Question 49

do newborns prefer sweet or sour or spicy?

Answer 49

sweet

Question 50

What body parts of a newborn are sensitive to touch?

Answer 50

mouth, hands, feet

Question 51

How do newborns hear?

Answer 51

like adults once fluid drains & has selective hearing

Question 52

how far can a newborn focus?

Answer 52

8 to 12 inches from face

Question 53

what lighting do newborns prefer?

Answer 53

dim light

Question 54

what pattern do newborns prefer and when can they see color?

Answer 54

they prefer black and white and can see color at 2-3 months

Question 55

What is sucking & rooting reflex?

Answer 55

a newborns cheek is stroked which makes the newborn turn its head and suck

Question 56

What is the palmar grasp reflex?

Answer 56

a finger is placed in a newborns palm and the newborn curls its hand around the finger

Question 57

What is the plantar grasp reflex?

Answer 57

a finger is placed at the base of a newborns toes and toes curl downward

Question 58

What is the moro reflex?

Answer 58

position the newborns head & trunk at 30 degrees once let go extremities will extend and fingers for a "C"

Question 59

what is the tonic neck reflex?

Answer 59

the newborns neck is turned to one side causing and arm and leg to extend while the opposite side flexes. disappears after 3-4 months.

Question 60

What is Babinski reflex?

Answer 60

The newborns foot is stroked from the outer edge of the sole to the toes and the toes will fan outward. disappears after a year

Question 61

what is stepping reflex?

Answer 61

newborn is held upright with feet touching the surface and makes the motion of stepping. Will disappear at 4 weeks.