newborn pt2

Question 1

should Mongolian spots be documented as a bruise?

Answer 1

No

Question 2

nevus flammeus

Answer 2

Port wine stain
Doesn’t go away or fade

Question 3

strawberry Mark

Answer 3

Raised, Rough
Enlarge capillaries in dermal and subdermal layers

Question 4

Erb’s palsy

Answer 4

Injury to fifth and sixth cervical roots of brachial plexus

Question 5

what can a single simian crease be indicative of?

Answer 5

Down syndrome

Question 6

Syndactyly

Answer 6

Webbed toes/fingers

Question 7

polydactyly

Answer 7

Extra digits

Question 8

What demonstrates true clubfeet?

Answer 8

resistance to turning midline position
Refer to provider

Question 9

what maneuvers can be done in order to detect dysplasia of the hip?

Answer 9

Barlow
Ortolani

Question 10

tonic neck reflex

Answer 10

Infant is supine, head turned towards one side
Extremities on the same side straighten
Extremities on opposite side flex

Disappears around four months

Question 11

palmar grasp reflex

Answer 11

Grasp or hold object
Disappears around 4–6 months

Question 12

Planter grasp reflex

Answer 12

Press on bottom of foot, toes should curl
Disappears around nine months to one year

Question 13

moro reflex

Answer 13

Startle
Disappears around six months

Question 14

rooting reflex

Answer 14

Stroke side of cheek
Disappears around four months

Question 15

Babinski reflex

Answer 15

stroke outer edge under toes, toes should flare
Disappears around one year

Question 16

Stepping reflex

Answer 16

imitates walking
Disappears around 3–4 months

Question 17

How many weeks is considered preterm

Answer 17

20–36, six days weeks

Question 18

how many weeks are considered term?

Answer 18

37+

Question 19

how many weeks are considered post term?

Answer 19

42+

Question 20

causes of preterm birth

Answer 20

Diabetes
Chronic hypertension, preeclampsia
abruption, previa
Gallbladder disease, heart disease
IUGR
asthma
HIV, active HSV
Obesity, multiple gestation’s
Hydrops
Poly/oligohydramnios

Question 21

purpose of vitamin K

Answer 21

Gut needs to be colonized, vitamin K reduces risk of bleeding

Question 22

Purpose of erythromycin ointment

Answer 22

Prevent conjunctivitis from chlamydia or gonorrhea

Question 23

When should a newborn bath be done?

Answer 23

Around six hours after birth

Question 24

Daily Care assessments

Answer 24

vital signs
Weight
Feedings
Care of umbilical cord
I/O

Question 25

what is the normal bilirubin level?

Answer 25

4–6, MG

Question 26

pathologic jaundice

Answer 26

First 24 hours of life
tx: Phototherapy, blood transfusion

Question 27

physiologic jaundice

Answer 27

Greater than 24 hours of life
tx: increased feedings, phototherapy

Question 28

nursing care for jaundice in newborns

Answer 28

Keep intent, warm greater than 97.7°.
Monitor number of stools
Encourage early feedings

Question 29

Nursing care for phototherapy

Answer 29

wear diapers, otherwise naked
Eye protection
Monitor hydration

Question 30

what is the modified Finnegan NAS tool used for?

Answer 30

Assessment tool to score severity of withdrawal from opioids

Question 31

treatment for NAS

Answer 31

Eat
Sleep
Console

Question 32

what are the main medication is used to treat NAS

Answer 32

morphine
methadone

Question 33

Prior to discharge

Answer 33

Hearing screen
PKU testing-24 hours
Circumcision
Swaddle
Follow up appt with PEDS
Infant CPR teaching

Question 34

What 4 aspects are used to determine G/D?

Answer 34

Positive head lag test
Crying vigorously when hungry
Amount and pattern of eating increase with weight
Neuro responses for appropriate age

Question 35

What are signs of newborn illness?

Answer 35

Temp >100.4, <97.7
Cont increase in temp
Forceful vomiting
Refusal of two feedings in a row
Difficulty wakening infant
Cyanosis with or without feeding
Apnea
Inconsolable high pitch cry
Discharge/bleeding from cord
0 wet diapers/18-24 hours