Newborn Assessment Flashcards
These are non-infectious multiple, firm, pearly, opalescent white papules scattered over the forehead, nose and cheeks of a newborn. a. Newborn acne b. Neonatal acne c. Molluscum contagiosum d. Milia
d. Milia
During a 3 day old newborn infant’s first outpatient follow-up, you noted that the circumcised area is red with a small amount of old bloody drainage. He was circumcised 36 hours ago just before discharge. You advise the parents that:
a. cbc needs to be obtained
b. Infant needs to see urologist
c. infant needs to start antibiotics
d. this is a normal finding
d. this is a normal finding
The parents noted that the baby’s skin is yellow-tinged. The infant has been solely breastfed and was gaining weight along with multiple wet diapers. What is a most appropriate instructions to the mother?
a. Feed the newborn infant less frequently
b. Switch to bottle feeding the baby for 2 weeks
c. Stop the breast feedings and switch to bottle-feeding permanently
d. Continue to breast-feed every 2-4 hours
d. Continue to breast-feed every 2-4 hours
You are assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the following assessment findings would you note?
a. Lethargy
b. Sleepiness
c. Irritability and tremors
d. Cuddles when being held
c. Irritability and tremors
The average caloric intake required in an infant from age 0-3 months is usually:
a. 40- 60 kcal/kg/day
b. 100-120 kcal/kg/day
c. 15-20 kcal/kg/day
d. 60-80 kcal/kg/day
b. 100-120 kcal/kg/day
A 10 day old child presents with multiple raised lesions resembling flea bites over the trunk and nape of neck. The infant is nursing well and has no fever or exposure to animals. These lesions most likely represent:
a. staphylococcal skin infection
b. erythema toxicum neonatorum
c. neonatal acne
d. milia
b. erythema toxicum neonatorum
You are examining a thriving 4 week old boy who was born at 39 weeks gestation and note a painless, tense, non reducible, relatively symmetric scrotal enlargement that brightly and evenly transilluminates. The parents report that the scrotum “always looks like this,” without change in size during the day. Bilateral testes, approximately 1 cm in length, are palpable and held within the scrotum. The penis is approximately 4cm in length. You consider these findings are most consistent with:
a. a normal examination
b. a micropenis
c. bilateral inguinal hernias
d. hydrocele
d. hydrocele
Which of the following would NOT be found in newborns?
a. best vision at a range of 8-12 inches
b. presence of red reflex
c. lack of defensive blink
d. light sensitive eyes
c. lack of defensive blink
A first time mom was concerned about her infant’s lesion in the forehead and asked what this is. You explained to her that this is called nevus simplex and this is temporary. The other names for this lesion are: (pick 2).
a. stork bite
b. salmon patch
c. Mongolian spot
d. Port Wine Stain
a. stork bite
b. salmon patch
An infant born at 37 weeks is considered premature.
True or False
False
hese are solitary superficial bullae on the upper limbs and lips of the infants at birth, commonly found in the radial aspect of the forearm, the thumb and index finger which will resolve rapidly without sequelae.
a. sucking blisters
b. Herpes infection
c. Staphylococcus blisters
d. Sebaceous hyperplasia
a. sucking blisters
A 10 day old infant was brought to the office for concerns of slight bloody discharge around the umbilical base after cord separation last night. The newborn otherwise appears well. Your next action is:
a. cauterize area with silver nitrate
b. refer newborn to emergency room
c. cover the area with gauze then diaper on top
d. wipe area with water or saline and leave open to air dry
d. wipe area with water or saline and leave open to air dry
The parents have not decided on circumcising their 1 week old newborn. As the NP providing care for this newborn, you advised the parents that:
a. There is no evidence for routine circumcision but the benefits of the procedure is greater that its risks.
b. There is no benefit in performing circumcision.
c. It is beneficial to wait until they are older to do the procedure so that they can decide on their own.
d. The American Academy of Pediatrics require all infant males to be circumcised.
a. There is no evidence for routine circumcision but the benefits of the procedure is greater that its risks.
When is the recommended first newborn follow-up?
a. 2 weeks after discharge
b. 2-3 days after discharge
c. Only if there are concerns
d. 1 week after discharge
b. 2-3 days after discharge
Upon physical examination of the newborn, you noticed a preauricular skin tag. You are concerned of a genetic red flag. Which action is appropriate?
a. Brain MRI
b. Refer to ENT for surgical removal
c. Observation and monitor until it disappears
d. Renal ultrasound
d. Renal ultrasound
