Newborn Unit

Question 1

What are the two specific tests run on newborns?

Answer 1

Apagar test, Neonatal Behavioral Assessment (on Brazelton scale)

Question 2

What is the Apagar test?

Answer 2

the testing of the physical condition of the newborn, check survival probability

Question 3

What is tested in the Apagar test?

Answer 3

heart rate, respiratory effort, muscle tone, reflex irritability, color

Question 4

When is the Apagar test given?

Answer 4

1 minute and 5 minutes after birth

Question 5

What are the average scores for the Apagar test?

Answer 5

1 minute = 6-7
5 minutes = 8-10

Question 6

Why is the Neonatal Behavioral Assessment beneficial?

Answer 6

helps doctors spot problems in neurological, social, and behavioral aspects

Question 7

What does the Neonatal Behavioral Assessment check for?

Answer 7

Interaction with environment - alertness, attention to sound, wanting to cuddle
Motor process - general activity level, reflex behavior
Control of physical state - self-quieting behaviors, levels of excitement/irritability
Response to stress - startle reaction, trembling

Question 8

What other tests can be run on newborns?

Answer 8

blood tests, disorder tests, phenylketonuria, hypothyroidism, galactosemia, sickle cell

Question 9

Blood tests?

Answer 9

anemia

Question 10

Disorder tests?

Answer 10

from baby’s heel; 55 can be tested, 29 treated

Question 11

Phenylketonuria?

Answer 11

can cause mental disability without diet

Question 12

Hypothyroidism?

Answer 12

thyroid deficiency, slow growth and brain devleopment

Question 13

Galactosemia?

Answer 13

can’t turn sugar from milk into glucose

Question 14

Sickle cell?

Answer 14

check for sickle cell anemia

Question 15

How many infants are premature?

Answer 15

12%

Question 16

What do the ICN/ICU do?

Answer 16

monitor breathing/heart rate

Question 17

Measurements of newborn? How much do they grow in the first month?

Answer 17

7 lbs., 20 in. to 8 1/2 lbs., 21 in.

Question 18

How large is the head compared to the body?

Answer 18

1/4 total length

Question 19

What are some features of newborns?

Answer 19

round chest, stomach protrudes, legs drawn up and short compared to arms, almost no neck, broad/flat nose, tiny jaw/chin

Question 20

What is cranium like?

Answer 20

(bones in head) fontanels - soft spots that close 1-2 years

Question 21

What is skin like?

Answer 21

thin+dry/blotchy+ruddy/loose+wrinkly, rash after 1-2 days that disappears within a week

Question 22

What are eyes like?

Answer 22

small, dull gray-blue, full color not until 6 months, no tears until 3 months

Question 23

What is mouth like?

Answer 23

sucking pads on inside of cheeks, born with 0,1, or more teeth

Question 24

Why is burping needed?

Answer 24

both with bottle and breast feeding, it gets rid of air from sucking/crying, halfway and after feeding

Question 25

What causes diaper rashes?

Answer 25

constant use of plastic pants/diapers. Bacteria grows on the warm, moist, air-free skin.

Question 26

Rooting reflex response and trigger

Answer 26

something is rubbed close to baby’s mouth
it turns head and opens mouth

Question 27

Palmer reflex response and trigger

Answer 27

something is pressed against baby’s hand
hand tightens into fist

Question 28

Planter reflex response and trigger

Answer 28

something is pressed against baby’s foot
toes curl up

Question 29

Startle (moro) reflex response and trigger

Answer 29

baby is dropped unexpectedly
startle and reach arms out

Question 30

Babinski reflex response and trigger

Answer 30

rubbing firmly against baby’s foot
dorsiflection and plantar flexion

Question 31

Walking/stepping reflex response and trigger

Answer 31

baby is held up, feet against flat surface

Question 32

5 baby sounds

Answer 32

hunger, sleepy, discomfort, lower gas, burp