neonatal assessment

Question 1

Normal range of weight loss

Answer 1

10%

Question 2

most babies regain birth weight within

Answer 2

10-14 days

Question 3

Average weight gain is

Answer 3

20-30 g per day

Question 4

Infants double their birth weight by

Answer 4

4 months, triple by 1 year

Question 5

what head circumference would raise concern?

Answer 5

< 32cm

Question 6

Average increase in HC?

Answer 6

0.5cm/week x 6 weeks

Question 7

Caput succideneum is

Answer 7

swelling just under skin

Question 8

Cephalohematoma

Answer 8

does NOT cross suture lines - UNder periosteum, resolves in weeks

Question 9

Sub Galeal hemorrahge

Answer 9

Just above aponeurosis - can fill whole area under skull

Question 10

Common breech exam findings

Answer 10

flat occiput, sharp flat forehead

increased hip dysplasia

Question 11

Common exam finding - new born

Answer 11

Blue feet - Acrocyanosis

Question 12

Common exam finding - premature

Answer 12

less mature creases

malleable ear

Question 13

Preterm
term
post-term

Answer 13

< 37 weeks
37-41 weeks
> 42 weeks

Question 14

low birth weight =
Very low birth weight
Extremely low BW =

Answer 14

< 2.5kg
< 1.5 kg
< 1kg

Question 15

additive risks of neonatal sepsis

Answer 15

any 2 risk factors can increase risk up to 25 times

Question 16

sign and Sx of neonatal sepsis are

Answer 16

non specific!

rectal temp > 37.8

Question 17

normal neonates can be cyanotic until

Answer 17

5-10 mins of age when o2 sats reach 85-95 %

Question 18

causes of central cyanosis in neonate

Answer 18

• hypoventilation
• pulmonary disease V/Q mismatch, diffusion impairment
• right to left shunt
• hematologic

Question 19

abnormal tachypnea in a new born is

Answer 19

> 60 breaths/min

Question 20

respiratory distress in the immediate new born period can indicate

Answer 20

lung disease

infection

Question 21

respiratory distress after a few hours of new born birth

Answer 21

infection/sepsis
metabolic disorder
cardiac dysfunction

Question 22

respiratory distress that appears beyond the first few days

Answer 22

can suggest infection

and cardiac issues

Question 23

transient tachypnea can present how soon after birth?

Answer 23

within 2 hours of birth

Question 24

when do you think about congenital heart disease in a new born?

Answer 24

completely blue baby - but no respiratory distress

Question 25

what happens to pulmonary pressures as babies transition to extrauterine life?

Answer 25

they decrease

Question 26

some red flags for GI upset in newborns

Answer 26

• abdominal tenderness/distention
• bile stained vomitus
• bleed
  absent sounds
• poor weight gain
• delayed passage of meconium

Question 27

when does pyloric stenosis tend to happen?

Answer 27

3-6 weeks of age, not congenital, not immediate

Question 28

what is pyloric stenosis caused by

Answer 28

hypertrophy of pyloris

Question 29

when to be concerned about jaundice?

Answer 29

within 24 hours
rapid increase in levels
direct hyperbilirubinemia
prematurity
sepsis/ill

Question 30

ABO incompatibility happens when

Answer 30

mother is O and baby is A o B

Question 31

positive coomb’s test does not necessarily

Answer 31

indicate that baby will have hyperbilirubinemia

Question 32

when would you consider jaundice related to breast milk jaundice?

Answer 32

when unconjugated and beyond 7 days of age no other etiologies