Newborn Assessment

Question 1

The assessment of the newborn should progress in a ______.

Answer 1

systematic manner

Question 2

An immediate assessment of the newborn is carried out to evaluate the infant’s ______.

Answer 2

transition to extrauterine life.

Question 3

A complete physical examination should be done within ___.

Answer 3

24 hours

Question 4

Normal range of temperature axillary?

Answer 4

36.5-37.2 °C

Question 5

Normal range of temperature rectal?

Answer 5

36.6-37.8 °C

Question 6

Amount of heat loss

Answer 6

200 kcal/kg/min

Question 7

Temperature is stabilized by

Answer 7

8-10 hours of age

Question 8

Is the flow of heat from the newborn’s body surface to cooler surrounding air?

Answer 8

Convection

Question 9

Is the transfer of body heat to a cooler solid object not in contact with the baby?

Answer 9

Radiation

Question 10

Is the transfer of body heat to a cooler solid object in contact with a baby?

Answer 10

Conduction

Question 11

Is loss of heat through conversion of a liquid to a vapor?

Answer 11

Evaporation

Question 12

The apical pulse in the 4th intercostal space

Answer 12

100-160 bpm

Question 13

Quality of heart sounds?

Answer 13

Sharp and clear

Question 14

Heart rate when sleeping

Answer 14

80-100 bpn

Question 15

Heart rate when crying

Answer 15

180 bpm

Question 16

Heart rate after birth

Answer 16

80-170+ bpm

Question 17

Heart rate when stabilized

Answer 17

120-140 bpm

Question 18

Peripheral pulses are

Answer 18

Equal and strong

Question 19

Respirations are ___ in nature.

Answer 19

abdominal

Question 20

Short periods of apnea is

Answer 20

normal

Question 21

RR of newborn after birth

Answer 21

90 bpm

Question 22

RR will settle to

Answer 22

30-60 bpm

Question 23

When an infant is awake, respirations tend to be

Answer 23

shallow and irregular in rate, rhythm, and depth.

Question 24

No sounds are audible on inspiration and expiration.

Answer 24

True

Question 25

Breath sounds are ___ in nature.

Answer 25

bronchial

Question 26

This may indicate a need for bp measurement.

Answer 26

Irregular, very slow, or very fast heart rate.

Question 27

Bp is at ___ at birth.

Answer 27

80-60/45-40 mmHg

Question 28

Bp is at ___ at day 10.

Answer 28

100/50 mmHg

Question 29

Features to assess

Answer 29

Posture Activity Overt signs of anomalies State of alertness

Question 30

The newborn readily assumes

Answer 30

utero position

Question 31

Normal resting position

Answer 31

general flexion

Question 32

Normal spontaneous movements

Answer 32

bilaterally asynchronous; equal extension in all extremities

Question 33

Lies quietly without moving

Answer 33

Deep sleep

Question 34

Moves while sleeping; REM sleep

Answer 34

Active (light) sleep

Question 35

Eyes may open or close, but look glazed

Answer 35

Drowsy state

Question 36

Body and face are relatively quiet and inactive with bright shining eyes.

Answer 36

Awake alert state

Question 37

Transitional state to crying

Answer 37

Alert but fussy state

Question 38

Cries, perhaps screams; most effective mode for attracting a caregiver.

Answer 38

Crying