Newborn Exam

Question 1

Define newborn

Answer 1

First 28 days of life

Question 2

What components are included in the neonatal hx?

Answer 2

Maternal & Paternal Hx (medical and genetic),
Maternal OB Hx,
Current OB Hx (antepartum, intrapartum, gestational age of newborn)

Question 3

What physical exam components are done immediately after birth?

Answer 3

Observation
  -Cyanosis
  -Resp distress
  -Genetic anomalies
  -Rashes
  -Overall skin color
Lung/Heart Auscultation
APGAR Score
Skeletal
  -Congenital anomalies
Birth Trauma (clavicle fx)
Number of Umbilical Vessels
  -2 arteries, 1 vein
Placenta
  -Infarcts or clots

Question 4

When is APGAR score assessed and what are the scores?

Answer 4

Assessed at 1 & 5 minutes
7 or more = normal
4-5 = fairly low
3 or less = critically low

Question 5

What does APGAR stand for?

Answer 5

Activity
Pulse
Grimace
Appearance
Respiration

Question 6

What is the normal HC in a newborn?

Answer 6

33-38cm

Question 7

What is the avg HR during PE in the nursery?

Answer 7

100-180bpm

Question 8

What is the avg resp rate during PE in the nursery?

Answer 8

40-60 breaths/min

Question 9

What is the normal BP in a newborn at 12hrs and at 96hrs

Answer 9

12hrs = 50-70/25-45
96hrs = 60-90/20-60

Question 10

Which fontanelle closes first?

Answer 10

The posterior fontanelle (1cm) closes first at 1-3 months.

The anterior fontanelle (1-4cm) closes at 6-12 months.