Newborn Assessment

Question 1

Newborn Vitals

Answer 1

resp: 30-60
heart rate: 110/120-160
tep: 97.6
glucose: 40-80; 45-90
length: 18-22cm
weight 5.5-9lbs

Question 2

apnea

Answer 2

pause in breathing longer than 20 seconds

Question 3

signs/ symptoms of respiratory distress

Answer 3

• flaring of nares
• increased respiratory rate
• grunting
• dusky color
• cyanosis
• decreased muscle tone (exhausted)
• muscle retraction

Question 4

cardiovascular pattern

Answer 4

• while in mom low systemic resistance (bp), high pulmonary resistance
• after cord clamped high systemic resistance (bp), low pulmonary resistance

Question 5

placenta

Answer 5

2 arteries, 1 vein

Question 6

acrocyanosis

Answer 6

trunk pink, extremities bllue

Question 7

signs and symptoms of hypoglycemia

Answer 7

jitters, apnea, abnormal cry, cardiac arrest/failure, cyanosis, diaphoresis, hypothermia, irritability, lethargy, muscle twitching, poor feeding, respiratory distress, seizures, tachypnea, tachycardia, tremors

Question 8

signs and symptoms of hypothermia

Answer 8

body cold to touch, central cyanosis, poor feeding, bradycardia, restlessness, decreased activity, pallor/mottling, tachypnea, hypoglycemia, acrocyanosis, weak suck, hypotonia, irritability, lethargy, feeble cry, apnea, shallow/irregular respirations

Question 9

types of heat loss (4)

Answer 9

evaporation, convection, conduction, radiaiton

Question 10

BAT

Answer 10

brown adipose tissue on scapula, kidneys, adrenals, head, neck, heart, great vessels, and axila

primary source of heat in hypothermia increase metabolism to break down fat

Question 11

Fontanelles

Answer 11

anterior= diamond
posterior= triangle

Question 12

vernix

Answer 12

cheesey fat that covers skin

Question 13

lanugo

Answer 13

fine hair

Question 14

stork bites

Answer 14

increased vascularization on eyes, neck, forehead

Question 15

gabellar reflex

Answer 15

eyes blink when tap nose a few times

Question 16

pupillary reflex

Answer 16

eyes respond to light

Question 17

doll eye reflex

Answer 17

eyes open when placed into sitting position

Question 18

sucking reflex

Answer 18

 front of tongue laps finger
 back of tongue massages middle of finger
 esophagus pulls on tip of finger

Question 19

rooting reflex

Answer 19

baby turns its head towards side that cheek is touched

Question 20

extrusion reflex

Answer 20

baby pushes tongue forward when stimulated

Question 21

palmar grasp

Answer 21

grasp with each forefinger

Question 22

plantar grasp

Answer 22

baby toes cur when inner sole of foot stroked

Question 23

Babinski refex

Answer 23

baby spreads toes when outer sole of foot is stroked

Question 24

Moro reflex

Answer 24

startle reflex triggered by noise or dropping

infants spreads legs/arms

Question 25

fencing reflex

Answer 25

 infant on stomach, stroke neck to spine back curves to side you are touching

Question 26

step reflex

Answer 26

holding infant under arms, touch feet to flat surface takes “Steps”

disappears at 2-3 months and returns at 10-15months