Newborn Assessment

Question 1

What is the normal RR for a newborn?

Answer 1

30-60

Question 2

what is periodic breathing

Answer 2

Pauses in breathing lasting 5-10 seconds followed by rapid respirations

Question 3

What is apnea

Answer 3

a pause in breathing lasting 20 seconds or more or accompanied by cyanosis, pallor, bradycardia, or decreased muscle tone

Question 4

Describe the breath sounds of a newborn

Answer 4

-Maybe some crackles in first hours

Question 5

What are the s/s of newbor resp distress?

Answer 5

-Tachypnea
-Retractions
-Flairing
-Grunting
-Para resp.
-asymmetry
Cyanosis

Question 6

What is Choanal Atresia?

Answer 6

blockage or narrowing of one or both nasal passages by bone or tissue. Important to assess because NB are preferential nose breathers for approx. first 6 weeks of life

Question 7

How do you assess for

Answer 7

closing the infant’s mouth and occluding one nostril at a time. Observe for breathing and breath sounds are auscultated while each nostril is occluded. Infants may be cyanotic when quiet but pink when crying

Question 8

What is Acyanosis?

Answer 8

Peripheral cyanosis that is normal and goes away after the first day

Question 9

How can you tell the diff between a bruise and a cyanotic area?

Answer 9

A bruise will not blanch

Question 10

What is likely if a new born has pallor?

Answer 10

Hypoxiema or anemia

Question 11

what is the appropreate way to take a infant pulse?

Answer 11

Apical for one whole minute

Question 12

What is the normal heartrate for a newborn?

Answer 12

120-160 as low as 100 when they sleep

Question 13

Newborns may have sinus arrhythmia. WHat is this

Answer 13

increase of hr on inhalation and decrease on exhalation

Question 14

What is the normal axillary temp range of a newborn?

Answer 14

36. 5 37.5

97. 7 99.5

Question 15

What is a cephalohematom?

Answer 15

Bleeding between periosteum and skull. Does not cross suture lines

Question 16

What is a caput?

Answer 16

Localized edema as a result of presure in the cervix. May cross the suture line

Question 17

WHat is Erb’s Palsy?

Answer 17

paralysis of the shoulder and arm d/t a brachial plexis injury

Question 18

How does the nurse assess for developmental dysplasia?

Answer 18

Glute creases

Question 19

How do you assess the newborn vertebral column?

Answer 19

Palpate it looking for signs of indentation

Question 20

How often are infant weights taken?

Answer 20

Daily

Question 21

What is average newborn length

Answer 21

48-53

Question 22

Where is the chest measured at and how does it often compare to head circumference

Answer 22

measured at the nipple level

usually 2-3cm smaller than head

Question 23

How is Head circumference affected in newborns

Answer 23

by the presence of molding

Question 24

If an infant had deminished or absent reflexes, what is it likley to mean?

Answer 24

that they are sick or nero impaired

Question 25

How do you test infant hearing

Answer 25

-reactions to noises

Question 26

“when will i know by babies eye color”

Answer 26

By 6 months it should be their color

Question 27

WHat are the common causes for conjunctivitis in newborns?

Answer 27

Staph, Chlamydia, N gonorrhea

-Newborns normally get eyedrops of erythromycin

Question 28

Transient strabismus is normal in newborns up to ____

Answer 28

3-4 months

Question 29

If mother had rubella what are some risks to the newborn

Answer 29

cataracts and glaucoma

Question 30

Red reflex is also know as ____ reflex

Answer 30

Cat eye

Question 31

What can cause a red reflex?

Answer 31

Glaucoma
retinoblastoma
(cant be seen if child has cataracts)

Question 32

Infants can see the best at ____ inches

Answer 32

8-12

Question 33

What is the moro reflex and when does it dissapear?

Answer 33

5-6 months

Arms and legs kick out when infant is allowed to drop

Question 34

When does the plantar grasp reflex dissapear?

Answer 34

8-9 months

Question 35

What is the palmar grasp reflex?

Answer 35

grasp if you touch the palm

Question 36

What is the babinski reflex and when does it disappear?

Answer 36

8-9 months

Flairing of the does when you stroke the lateral side of the sole of the food

Question 37

IF an infants babinski reflex is prolonged (bilar or unilat) after its normal time, it may indicate

Answer 37

• B: CNS deficit

- U: Local nerve Inury

Question 38

What is the rooting reflex?

Answer 38

Turns head when cheek is touched

Question 39

What is the tonic neck reflex? when does it dissapear?

What does it indicate if it doesnt dissapear?

Answer 39

the extended posture newborns take when they are supine
Goes away at 4 months
if prolonged= neuro deficit

Question 40

When does the stepping reflex dissapear?

Answer 40

3-4 months

Question 41

How should the newborn abdomen appear?

Answer 41

rounded and soft

Question 42

When should testicals descend?

Answer 42

by 12 months

Question 43

What are some causes of skin mottling?

Answer 43

• Bilated blood vessels
• cold
• stress
• overstimulation

Question 44

What is vernix?

Answer 44

Greasy deposits on the skin

Question 45

What is Lanugo?

Answer 45

peach fuzz hair

Question 46

What are Milia?

Answer 46

little white pimples

Question 47

What is Erythema Toxicum?

Answer 47

Red, blotched area with white or yellow papules or vesicles

Question 48

How often does Erythema Toxicum occur?

Answer 48

70% within the first 24-48

Question 49

How can you tell the difference between a Nevus simplex and a Mongolian spot?

Answer 49

The simplex blanches and goes away the other doesnt blanch and is perm.

Question 50

When does a Nevus simplex go away?

Answer 50

2 years

Question 51

When is vit K given and how?

Answer 51

within one hour of birth

IM