Module 6 (Exam 1) ****3****

Question 1

Physical elements of Ballard Scoring

Answer 1

1. Skin
2. Lanugo
3. Plantar Surface
4. Breasts
5. Ears
6. Genitalia

Question 2

First period of reactivity

Answer 2

begins at birth and extends up to 2 hours

Question 3

Order of Reactivity

Answer 3

1. First period of reactivity
2. Period of sleep
3. Second period of reactivity

Question 4

Second period of reactivty

Answer 4

• Variable duration
• Elevated pulse and respiratory rate
• Mobilizationof R and gastric secretions
• priority intervention bulb syringe

Question 5

Quiet Sleep

Answer 5

Deep, relaxed sleep

little response to environmental stimuli

Question 6

Active Sleep

Answer 6

• Precursor to waking
• Movement of extemities
• Rapid eye movement

Question 7

Drowsy

Answer 7

transitional period

Question 8

Quiet Alert

Answer 8

• Optimal time for bonding/feeding
• Calm, attentive, bright-eyed, responsive
• Engagement/feeding cue exhibited

Question 9

Active Alert

Answer 9

Restless, fussy state

Question 10

Engagement

Answer 10

• “Stilling”
• Bright-eyed, attentive gaze
• Relaxed posture, symmetrical movements

Question 11

Disengagement

Answer 11

1. Turning away from stimulus
2. Crying, fretting
3. Hiccough, yawn

Question 12

Blanch Test for Jaundice

Answer 12

1. Forehead
2. Nose
3. Chin
4. Sternum
5. Abdomen
6. Groin
7. Thigh

Question 13

Why are infants prone to physiologic jaundice?

Answer 13

1. Immature liver function
2. Short fetal RBC lifespan
3. Poorly established hydration and feeding

Question 14

Onset of physiologic jaundice

Answer 14

After the first 24 hours

Question 15

Total Bilirubin levels for physiological jaundice

Answer 15

greater than or equal to 13-15mgs/dL

Question 16

Total bilirubin peak physiological jaundice

Answer 16

Day3-5 of life

Question 17

What might a two-vessel cord be an indicator of?

Answer 17

1. Congenital malformation
2. Renal or chromosomal

Question 18

24-48 Hours Normal Bilirubin

Answer 18

5-7mg/dL

Facial jaundice

Question 19

48-72 Hours Normal Bilirubin

Answer 19

10-12mg/dL

Chest jaundice

Question 20

72hr+ Normal Bilirubin Level

Answer 20

13-15mg/dL *peak level*

jaundice to abdomen

Question 21

Calorie Requirments for normal neonate

Answer 21

110-120kcal/kg/24 hours

OR

50-55 kcal/lb/24 hours

Question 22

Calorie content 1 oz formula

Answer 22

20kcal/30mL

30mL=1oz

Question 23

When should birthweight be regained?

Answer 23

10 days-2 weeks

Question 24

Normal gastric capacity of neonate at birth

Answer 24

30mL

Question 25

Colostrum

Answer 25

Yellow or cream-colored first milk, high in protein and immunoglobulins, appearing prior to onset of true lactation

Question 26

Lactation

Answer 26

Physiologic process of synthesizing breast milk on a supply/demand basis

Question 27

Adequate Breastfeedings in 24 hours

Answer 27

q 1.5-3 hours X 8-12 per day

Question 28

Adequate Formula feedings in 24 hours

Answer 28

q3-4 hours X 6-8 feedings per day

Question 29

Gestational age assessment

Answer 29

Standardized evaluation of the neonate’s physical characteristics and/or neurologic development to determine gestational age

Question 30

Appropriate for Gestational Age

Answer 30

Infant weight between the 10th and 90th percentiles for gestational age

Question 31

Small for Gestational Age

Answer 31

Infant weight less than 10th percentile for gestational age

Question 32

Large for gestational age

Answer 32

Infant weight greater than the 90th percentile forgestational age