/
Newborn Assessment and Care
Save to my account
Sign up
Newborn Assessment and Care
test 2
Study
1
Question
When is the APGAR scale administered to a newborn?
Answer
At the 1st minute of life, then at the 5th minute of life, and if the baby is still not in good condition, again at the 10th minute.
2
Question
What is the WET FROG mnemonic used to assess in a newborn?
Answer
It is used to identify signs that a baby is in respiratory distress.
3
Question
What does each letter in WET FROG stand for related to respiratory distress signs?
Answer
W: Wheezing (listen front and back), E: Effort (breathing difficulty, accessory muscles, nasal flaring, retractions), T: Tachypnea (greater than 60 breaths per minute), F: Flaring, R: Retractions, O: Oxygen (color), G: Grunting.
4
Question
How should newborns with good APGAR scores be kept warm while bonding with parents?
Answer
Keep the baby skin-to-skin with the mom or dad to maintain warmth and avoid taking the baby to a different room or using machines.
5
Question
What should remain in the room with the mother after delivery for newborn care?
Answer
Bulb suction should be left in the room for clearing the baby's mouth and nose.
6
Question
In what order should suctioning be performed on a newborn?
Answer
Suction the mouth first, then the nose.
7
Question
How is newborn body temperature initially maintained after birth?
Answer
By maternal body temperature and the warmth of the intrauterine environment.
8
Question
What anomalies should be assessed in a newborn?
Answer
Symmetry of hips and face, presence of rashes, blood, birthmarks, head swelling, and fontanelles (bulging, depressed, or flat).
9
Question
Should parents be allowed to explore their newborn to discover anomalies independently?
Answer
No, parents should be informed so they are aware of any anomalies or what is going on.
10
Question
What factors are important in a focused newborn assessment?
Answer
Duration of labor and pushing, medications or narcotics used, maternal health problems, complications during labor, prematurity, and maternal fever (which can cause respiratory depression).
11
Question
Where is the very first temperature taken on a newborn, and what else is checked during this measurement?
Answer
The first temperature is taken rectally, also checking to ensure the anus is open.
12
Question
After the first rectal temperature, where is subsequent temperature usually measured in a newborn?
Answer
Axillary (underarm) temperature, unless ordered otherwise by a healthcare provider.
13
Question
When should a newborn regain their birth weight?
Answer
By the 2-week appointment.
14
Question
When do the anterior and posterior fontanelles typically close?
Answer
The anterior fontanelle closes between 18 months to 2 years, and the posterior fontanelle closes after 2 months.
15
Question
How are the Barlow and Ortolani tests used to assess hip dislocation in newborns?
Answer
Barlow test attempts to dislocate the femoral head from the acetabulum (a clunk indicates positive). Ortolani test abducts the hip and attempts to relocate a dislocated femoral head (a clunk indicates success).
16
Question
What is an umbilical hernia in a newborn, and how is it managed?
Answer
A protrusion at the umbilical site that can resolve on its own or might require surgery.
17
Question
What is acrocyanosis in a newborn?
Answer
Blueness of the extremities often seen in newborns.
18
Question
What congenital conditions are associated with low-set ears?
Answer
Down syndrome, DiGeorge syndrome, and Trisomy 18 (Edwards syndrome).
19
Question
What are key components of the neurologic assessment of a newborn?
Answer
Checking palmar grasp (fingers close when palm is touched), Babinski sign (toes fan when foot is touched), observing for tremors, seizures, or irritability.
20
Question
What trigger elicits the Moro reflex in newborns, and what is the response?
Answer
A loud sound or sudden movement causes the baby to startle.
21
Question
What is the palmar grasp reflex?
Answer
The newborn's hand will grasp when the palm is stroked.
22
Question
What does the plantar grasp reflex involve?
Answer
Toes curl or 'grasp' in response to stimulation of the sole of the foot.
23
Question
Describe the Babinski reflex in a newborn.
Answer
Fanning out of the toes when the sole of the foot is touched.
24
Question
What is the rooting reflex?
Answer
When a baby’s cheek is touched, the baby turns toward the touch, opens the mouth, and searches for the nipple.
25
Question
What is the sucking reflex?
Answer
A newborn makes sucking motions when a finger or nipple is placed in their mouth.
26
Question
Describe the tonic neck reflex in a newborn.
Answer
When the head is turned to one side, the arm and leg on that side extend while limbs on the opposite side flex.
27
Question
What does the stepping reflex look like in a newborn?
Answer
When bare feet touch the floor, the infant mimics a stepping motion.
28
Question
What is the normal range for blood sugar in a newborn on the first day?
Answer
Between 45 and 50 mg/dL.
29
Question
How is high bilirubin treated in newborns?
Answer
Treatment includes giving dextrose such as D5 20% and using interventions like sunlight exposure to help break down bilirubin so it can be excreted.
30
Question
What precautions should be taken if a baby has jaundice?
Answer
Protect the baby's eyes during treatment.