newborn (exam1)

Question 1

newborn vitals and assessment

Answer 1

completed within first 4hrs
RR 30-60 secs
P 110-160
BP 60/40 or 90-60
temp 97.6- 99

Question 2

convection

Answer 2

heat from body to surface to air
due to air current

Question 3

evaporation

Answer 3

loss of heat that occurs when a liquid converts to vapor
(lay neonate on new/dry blanket)

Question 4

radiation

Answer 4

loss of heat from the body surface to a cooler solid surface not in direct contact

Question 5

conduction

Answer 5

loss of heat from the body surface to cooler surfaces in direct contact

Question 6

methods of heat loss

Answer 6

conduction
convection
evaporation
radiation

Question 7

airway clearance post delivery

Answer 7

bulb syringe - mouth then nose
oxygenation is priority
stimulate a cry to ensure breathing

Question 8

clamping and cutting the umbilical cord causes

Answer 8

rise in blood pressure
increase in circulation and lung perfusion

Question 9

erythromycin

Answer 9

eye prophylaxis in newborns to prevent chlamydia or gonnorhea
given within 1 hr

Question 10

vitamin k

Answer 10

IM - given within 1 hr of birth
needed for circumcision
promotes blood clotting

Question 11

APGAR score

Answer 11

how well newborn is transitioning from intro to extro uterine
max score 10
normal 7-10 normal
past exam - 8 score

Question 12

tonic neck reflex

Answer 12

fencer position
turn head to side, same side extremity will straighten
disappears by 3rd month

Question 13

moro reflex

Answer 13

startle reflex
arms straighten then flex, fingers fan out
resolved by 6 months

Question 14

rooting reflex

Answer 14

turn head to side when cheek is rubbed
only responds if hungry
disappears by 4 months

Question 15

plantar grasp reflex

Answer 15

flexion of toes
pressure to ball of foot, toes will grasp
disappears by 8 months

Question 16

babinski reflex

Answer 16

fanning of toes - hyperextend
disappears by 2nd bday
abnormal in adults

Question 17

acrocyanosis

Answer 17

hands and feet appear blue/purple

Question 18

preterm skin assessment

Answer 18

skin thin, transparent

Question 19

term baby skin assessment

Answer 19

skin thick, smooth

Question 20

post term baby skin assessment

Answer 20

skin dry, cracking

Question 21

anterior fontanelle

Answer 21

closes by 18 months
diamond shaped, larger

Question 22

posterior fontanelle

Answer 22

closes by 8-12 weeks
triangular shape, smaller

Question 23

head caput

Answer 23

present at birth
crosses suture lines

Question 24

strabismus

Answer 24

poor eye control
eyes not aligned
resolves by 3 months

Question 25

head to chest newborn ratio

Answer 25

2cm less than head circumference

Question 26

newborn female labia major

Answer 26

preterm: does not cover
term: covers all

Question 27

initial weight loss

Answer 27

loses up to 10% birth weight
regain by 10-14 days
gain 5-7oz per week

Question 28

newborn nutrition requirements

Answer 28

105-108 calories/kg/day
140-160 ml/kg/day

Question 29

newborn diapering

Answer 29

2-3 stools/day
6-8 voids/day

Question 30

umbilical cord care

Answer 30

sponge baths
mild soap
do not cover cord with diaper
should fall off within 7-10 days

Question 31

increased billirubin

Answer 31

increased brain damage

Question 32

jaundice

Answer 32

hyperbilirubinemia
appears after 24hrs
breakdown of RBC/ immature liver

begin phototherapy when bilirubin lvl is 10-12(term) 6-8 (preterm)

Question 33

hyperbilirubinemia #1 goal

Answer 33

prevent kernicterus
prevent brain damage

Question 34

normal newborn glucose

Answer 34

greater than 40-50mg/dL

Question 35

what do you do if newborn glucose is less than 40 ?

Answer 35

FEED newborn!!!!