Newborn Assessment

Question 1

when is apgar scoring done

Answer 1

1 and 5 mins after birth

Question 2

what does an apgar measure

Answer 2

how well baby is transitioning

Question 3

apgar score categories

Answer 3

resp (crying)
reflexes (irritability)
pulse (HR)
skin color (body and extremities)
muscle tone

Question 4

apgar scores

Answer 4

0-2

Question 5

cold stress

Answer 5

cold stress

• –> hypoglycemia
• -> resp distress
• -> acidosis

Question 6

when is a baby transferred to a basinet?

Answer 6

when their temps are regulated for a certain amt of time

Question 7

def conduction

Answer 7

loss of heat from body surface to a cold surface

Question 8

def convection

Answer 8

loss of heat from body surface to the air

Question 9

def radiation

Answer 9

loss of heat from body surface to a cooler surface thats close to the baby
ex: nearby window

Question 10

def evaporation

Answer 10

loss of heat moisture from the skin

Question 11

what is kangaroo care

Answer 11

baby is placed on mom only wearing a diaper

skin to skin

Question 12

name the periods of reactivity

Answer 12

first period
sleep phase
second period

Question 13

how long does the first period of reactivity last

Answer 13

30 -60 mins

Question 14

what is monitored during the first period of reactivity

Answer 14

VS

color

Question 15

what should we encourage during the first period of reactivity

Answer 15

attachment and bonding

Question 16

how long does the sleep phase last?

Answer 16

1-4 hrs after birth

Question 17

when does the second period of reactivity occur

Answer 17

4-12 hrs after birth

Question 18

what characterizes the second period of reactivity

Answer 18

intense sensitivity to internal and external stimuli

Question 19

what occurs during the second period of reactivity

Answer 19

baby voids

meconium/bm

Question 20

what should be used after the baby expels meconium

Answer 20

A+D

Question 21

what do we watch for during the second period of reactivity

Answer 21

mucus
apnea
emesis

Question 22

what measurements are taken after the baby is born

Answer 22

head circumfreence
chest circumfrence
abdominal circumfrence
length

Question 23

how are glucose levels obtained in babies

Answer 23

heal stick

Question 24

what is considered a good transition

Answer 24

good reflexes
good muscle tone
passed meconium
breathing well
temp regulation

Question 25

what meds are admin to the baby in the DR

Answer 25

vit k | erythromycin

Question 26

how do you admin erythromycin

Answer 26

-inner canthus to outer canthus

Question 27

bulged fontanelle's indicate

Answer 27

IICP

Question 28

depressed fontanellels indicate

Answer 28

dehydration

Question 29

overriding fontanelles indicate

Answer 29

molding

Question 30

why does molding occur

Answer 30

occurs during birth to fit the babys head

Question 31

def caput succedaneum

Answer 31

soft tissue edema from birth trauma

Question 32

does caput succedaneum cross the suture lines

Answer 32

yes

Question 33

what does caput succedaneum indicate abt the birth

Answer 33

-used a vaccuum

Question 34

what is caput succedaneum caused by

Answer 34

head rubbing up against moms cervix

Question 35

def cephalohematoma

Answer 35

bleeding bx the cranial bone an the periosteum in the periosteal space

Question 36

does cephalohematoma cross suture lines

Answer 36

no

Question 37

what is cephalohematoma caused by

Answer 37

- use of forceps | - pressure from the pelvis

Question 38

how long does cephalohematoma take to resolve

Answer 38

3-6 weeks

Question 39

what will happen when cephalohematoma begins to resolve?

Answer 39

JAUNDICE

Question 40

what is subconjunctival heorrhage caused by

Answer 40

the trauma of birth

Question 41

who is subconjunctival hemorrhage seen in

Answer 41

baby | most likely mom from bearing down so hard during birth

Question 42

when does chemical conjunctivitis occur

Answer 42

if there is a rxn to eye prophylaxis

Question 43

what should illicit the startle reflex

Answer 43

loud noise

Question 44

newborns are typically what kind of breathers

Answer 44

obligate nose breathers

Question 45

what should we monitor for in the nose

Answer 45

nasal discharge

Question 46

newborns sneeze to

Answer 46

clear nostrils

Question 47

what is significant abt the structure of newborns nose

Answer 47

absent bridge

Question 48

what are hallmark signs of potential or actual resp dstress

Answer 48

nasal flaring grunting retractions

Question 49

what is the extrusion reflex

Answer 49

when a baby pushes any food that is placed in the front of their mouth out -protective

Question 50

when does the extrusion reflex disappear

Answer 50

approx 4 months

Question 51

what are epstein pearls?

Answer 51

white, yellowish cysts that form on the gums and roof of a newborns mouth

Question 52

bowel sounds should be auscultated when?

Answer 52

within 2 hrs after birth

Question 53

when should the first void occur

Answer 53

within 24 hrs after birth

Question 54

when should the first meconium be expelled?

Answer 54

within 24-48 hrs after birth

Question 55

where might lanugo be seen?

Answer 55

shoulders pinna of ears forehead

Question 56

when will lanugo be absent

Answer 56

post mature babies

Question 57

when will lanugo be abundant

Answer 57

in pre-term babies

Question 58

purpose of vernix

Answer 58

antibacterial properties | protects newborn skin

Question 59

def acrocyanosis

Answer 59

blue extremities

Question 60

what causes acrocyanosis

Answer 60

sluggish peripheral circulation

Question 61

how long should acrocyanosis last for

Answer 61

no more than a few hrs

Question 62

what may acrocyanosis indicate?

Answer 62

decreased temp

Question 63

what is mongolian spots

Answer 63

patch of purple/black/blue color over coccygeal and sacral regions

Question 64

what groups are more prone to getting mongolian spots

Answer 64

afr americans | asians

Question 65

are mongolian spots malignant?

Answer 65

no

Question 66

do mongolian spots resolve

Answer 66

yes- with time

Question 67

what is mottling

Answer 67

generalized white and red discoloration of the skin of chilled infants with fair complexion

Question 68

is hyperbili a/w hemolytic disease?

Answer 68

no

Question 69

when does jaundice occur

Answer 69

24 hrs after birth and peaks @ 72 hrs

Question 70

bili lab values

Answer 70

6-10 mg/dl

Question 71

when does jaundice usually resolve

Answer 71

5-7 days

Question 72

what is milia

Answer 72

tiny white papules located over the nose, cheek, and/or chin

Question 73

erythema toxicum is aka

Answer 73

fleabite rash

Question 74

is tx necesary for erythema toxicum

Answer 74

no

Question 75

when does erythema toxicum appear

Answer 75

in the first 24 hrs of birth

Question 76

where is erythema toxicum most common

Answer 76

trunk | diaper area

Question 77

what are signs of drug wd

Answer 77

excessive crying fretfullness inability to quiet self shaking

Question 78

what tests are run after the baby is born

Answer 78

PKU t4 hearing

Question 79

when is the gest age assessment done

Answer 79

2 hrs after birth

Question 80

normal wt range

Answer 80

2500-4000 grams

Question 81

normal length

Answer 81

45-55 cm/ 18-22 "

Question 82

head circumfrence range

Answer 82

32-36.8 cm / 12.6-14.5"

Question 83

chest circumfrece range

Answer 83

30-33 cm / 12-13"

Question 84

normal RR

Answer 84

30-60 rpm

Question 85

normal HR

Answer 85

100-160 bpm

Question 86

normal S BP

Answer 86

60-80 mm hg

Question 87

normal D BP

Answer 87

40-50 mm hg

Question 88

normal temp

Answer 88

36.5-37.2/ 97.7-98.9 F- axillary

Question 89

normal glucose range

Answer 89

40-60