Week 4- Newborn Care And Assessment

Question 0

APGAR- Activity

Answer 0

Muscle tone
0- absent
1- arms and legs flexed
2- active movement

Question 1

APGAR

Answer 1

Activity
Pulse
Grimace
Appearance
Respiration

Assess at 1min and 5 minutes
If score is less than 7 at 5 minutes repeat at 10 minutes

Question 2

APGAR- Pulse

Answer 2

0- absent
1- below 100 BPM
2- over 100 BPM

Question 3

APGAR- Grimace

Answer 3

0- flaccid
1- some Flexion of extremities
2- active (sneeze, cough, turn away)

Question 4

APGAR- Appearance

Answer 4

0- blue and or pale
1- pink body and blue extremities
2- all pink (rare at 1minute)

Question 5

APGAR- Respirations

Answer 5

0- absent
1- slow and irregular
2- vigorous cry

Question 6

Gestational Age Assessment

Answer 6

Wait at least 2 hours
Large= above 90%
Small= below 10%

Question 7

Preterm/ Premature

Answer 7

Born before 37 weeks

Question 8

Late Preterm

Answer 8

Born between 34 0/7 and 36 6/7

Question 9

Term

Answer 9

Born between 38 and 42 weeks gestation

Question 10

Post term

Answer 10

Born after the completion of 42 weeks

Question 11

Postmature

Answer 11

Born after 42 weeks with effects of placental insufficiency

Question 12

Late preterm infant

Answer 12

Often size and weight of a term baby
Hard time coordinating suck, swallow and breath
Physiologic immaturity
Increase infant mortality
Respiratory distress, temp instability, feedings difficulties, hyperbili

Question 13

Common newborn problems

Answer 13

Hemorrhages
Erythema, ecchymoses, petechiae, abrasions, edema
Forceps, vacuum
Lacerations

Question 14

Elevated Bilirubin

Answer 14

ANY elevation before 24 hours is ABNORMAL

Question 15

Common newborn problems

Answer 15

Conjugation of bilirubin 
Jaundice 
Kernicterus
Hypoglycemia 
Hypocalcemia

Question 16

Screenings

Answer 16

All Michigan babies must have a screening after 24 hour (has to be eating for 24 hours)
Heel stick
High hct/hgb is a hard poke

Also test glucose, bilirubin, PKU, sickle cell, galatoaemia, drug serum levels

Question 17

Infant feeding

Answer 17

Start shorting after birth
At east within 4 hours of life
On demand feedings
Encourage every 2-3 hours

Question 18

Therapy for High Bilirubin

Answer 18

Phototherapy
Exchange transfusion
Parent education
Home phototherapy

Question 19

Circumcision

Answer 19

Most common procedure on a infant male
Decreases UTIs in first 6 months
May decrease STDs
AAP does not recommend

Question 20

Infant Pain

Answer 20

Behavioral response, physiologic or autonomic response, metabolic response

Treat with pharmacological management or nonpharmacological

Question 21

Discharge Planning

Answer 21

Temperature, respirations, feeding schedule, elimination, positioning and holding, rashes, clothing, safety and car seats, non-nutritive sucking, bathing, cord care, skin care, infant follow up, immunizations, CPR

Question 22

Baby’s First Days At Home

Answer 22

Stay home! Lots of people means lots of germs 
Good rest 
Limit visitors 
Develop a routine 
Interpret the different cries
Quieting techniques 
Milestones
Illness recognition