Reading not PP

Question 0

Pulse

Answer 0

Birth140-180

After- 120-140

Question 1

Newborn temp

Answer 1

Decreases immediately

If not stable then possible infection

Question 2

Birth interventions

Answer 2

Suction nose then mouth
Clamp and cut
Dry and wrap

Question 3

Acrocyanosis

Answer 3

Blue in hands and feet for 1st 24 hours

Question 4

Newborn blood

Answer 4

High RBC, HCT, HGB, WBC

Warm and wrap heel before stick for accuracy

Question 5

Jaundice and infection

Answer 5

Jaundice because of RBC breakdown

High WBC from trauma of birth

Question 6

Respiratory

Answer 6

First breath inflates alveoli
Heart disproportionately larger
<10 minutes residual vol established
10-12 hours Vit capacity established

Question 7

Premature respiratory issues

Answer 7

Alveoli close with less surfactant
Poor residual
Ducts may close or not open

Question 8

Gi tract bacteria

Answer 8

Vit k for gut flora
Usually 5 hours, no more than 24
Breathing, delivery, hospital introduce more

Question 9

Gi problems

Answer 9

Poor sphincter

Lipase and amylase deficient

Question 10

Black stool

Answer 10

Initially meconium

After 2-3 days, either swallowed maternal blood or intestinal bleeding

Question 11

Gray stool

Answer 11

Blocked bile duct

Question 12

Green stool

Answer 12

Transitional at 2-3 days

Question 13

Light yellow

Answer 13

Breastfeeding. Little odor

Question 14

Bright yellow

Answer 14

Formula and more odor

Question 15

Urinary function

Answer 15

Always urinate in 24 hrs
Boys should arc
Girls should steady stream
30 mL for first 2 days and may be pink
300ml by day 7

Question 16

Immune system

Answer 16

Not effective until 2 months.
Shots not given until 3 months
Shave some passive antibodies
HepB and eye drops given

Question 17

Neuromuscular

Answer 17

Should move and respond if mature

Little movement suggests narcosis

Question 18

Hearing at birth

Answer 18

Generalized. Respond but can’t locate

Question 19

Vision at birth

Answer 19

Blink at direct light

9-12 inches

Question 20

Touch at birth

Answer 20

Respond and react

Question 21

Taste

Answer 21

Present before birth

Question 22

Smell

Answer 22

Like smell of mom and sweet

Question 23

First period of reactivity

Answer 23

Elevated vs for 30 min
Bowel sounds
Irregular RR

Question 24

Resting period

Answer 24

Vs stable
sleep
99* temp
30-50 RR

Question 25

Second period of reactivity

Answer 25

99.8* temp
Irregular RR
Excessive mucus production
Meconium

Question 26

Port wine

Answer 26

Permanent birthmark. Does not blanch

Question 27

Mongolian spot

Answer 27

Grey blue. Extra pigment especially darker skinned. Sacrum buttocks, occasionally arms and legs. Fade at 5-6 years

Question 28

Hemangiomas

Answer 28

Bright red superficial or darker blue deep. Steroids to treat orally or injected into