Newborn Care

Question 1

APGAR categories (5)

Answer 1

• Heart rate
• Respiratory effort
• Muscle tone
• Reflex irritability
• Color

Question 2

APGAR scoring

Answer 2

0-2

Question 3

Heart rate

Answer 3

• 0 = absent
• 1 = slow, less than 100
• 2 = greater than 100

Question 4

Respiratory effort

Answer 4

• 0 = absent
• 1 = slow, weak cry
• 2 = good cry

Question 5

Muscle tone

Answer 5

• 0 = flaccid
• 1 = some flexion of extremities
• 2 = well flexed extremities

Question 6

Reflex irritability

Answer 6

• 0 = no response
• 1 = grimace
• 2 = cry

Question 7

Color

Answer 7

• 0 = blue, pale
• 1 = centrally pink with blue extremities
• 2 = completely pink

Question 8

Normal heart rate

Answer 8

100-160

Question 9

Normal heart rate variations

Answer 9

• Sleeping: 100
• Crying: 180

Question 10

Normal respirations

Answer 10

40-60

Question 11

Bradypnea

Answer 11

Less than 25

Question 12

Tachypnea

Answer 12

Greater than 60

Question 13

Normal temperature

Answer 13

Axillary 37C

Question 14

Normal blood pressure

Answer 14

60-80/40-50

Question 15

Sucking rooting reflex

Answer 15

Stroking cheek or edge of mouth

Question 16

Sucking rooting reflex expected age

Answer 16

Birth - 4 months

Question 17

Normal sucking rooting response

Answer 17

Newborn turns head toward side that is touched and starts to suck

Question 18

Palmar grasp

Answer 18

Placing object in newborn’s palm

Question 19

Palmar grasp expected age

Answer 19

Present at birth until 3-6 months

Question 20

Palmar grasp normal response

Answer 20

Newborn grasps object

Question 21

Plantar grasp

Answer 21

Touching sole of newborn’s foot

Question 22

Plantar grasp expected age

Answer 22

Birth - 8 months

Question 23

Plantar grasp normal response

Answer 23

Newborn curls toes downward

Question 24

Moro (startle reflex)

Answer 24

• Striking flat surface that newborn is lying on
• Allowing head and trunk in semi-sitting position to fall backwards

Question 25

Moro reflex expected age

Answer 25

Birth - 4 months

Question 26

Moro reflex normal response

Answer 26

Newborn’s arms/legs extend and abduct symmetrically and fingers form a “C”

Question 27

Tonic neck reflex

Answer 27

Newborn extends arm and leg on the side when head is turned to that side with flexion of the arm and leg of the opposite side

Question 28

Tonic neck reflex expected age

Answer 28

Birth - 3-4 months

Question 29

Babinski reflex

Answer 29

Stroking outer edge of sole of foot towards toes

Question 30

Babinski reflex expected age

Answer 30

Birth - 1 year

Question 31

Babinski reflex normal response

Answer 31

Toes fan upward and out