neonatal assessment

Question 1

2 tests for newborn hearing screen, which is preferred?

Answer 1

auditory brainstem response*, otoacoustic emissions

Question 2

what is the most common birth defect?

Answer 2

hearing loss

Question 3

when should children with risk for hearing loss be screened?

Answer 3

before age 2

Question 4

when is the heart formed? brain? lungs?

Answer 4

heart- 7 weeks
brain 6-7 weeks
lungs 37 weeks

Question 5

what is the “age of viability”?

Answer 5

21-22 weeks

Question 6

when are APGARs taken, what is normal/abnormal?

Answer 6

take at 1 and 5 minutes
normal 7 and up
abnormal 4 and below

Question 7

APGAR stands for:

Answer 7

Appearance (color)
Pulse
Grimace (reflex irritability)
Activity (muscle tone)
Respirations

Question 8

Grades for appearance

Answer 8

0- blue
1- pink trunk, blue extremities
2- pink all over

Question 9

grades for pulse

Answer 9

0- absent
1- less than 100
2- over 100

Question 10

grades for grimace

Answer 10

0- no response
1- facial grimace
2- foot w/d, sneeze, cry

Question 11

grades for activity

Answer 11

0- flaccid
1- weak, inactive
2- strong, active

Question 12

grades for respiration

Answer 12

0- absent
1- irregular, slow
2- good, crying

Question 13

what is the use of the ballard score?

Answer 13

to estimate true gestational age after birth

Question 14

what are the 2 areas examined in ballard score?

Answer 14

neuromuscular and physical

Question 15

grasp reflex

Answer 15

baby will close fingers around object placed in hand (28 weeks)

Question 16

moro reflex

Answer 16

with loss of support/feeling like they are falling, baby will abduct arms, then adduct, then usually cry (28 weeks)

Question 17

tonic neck reflex

Answer 17

turn head to one side, on the side the head is turned to baby will extend arm/leg and will flex the opposite side arm/leg (35 weeks)

Question 18

placing reflex

Answer 18

put anterior tibia against a surface and baby will lift leg, as to step up