Beckman Immediate Newborn Care

Question 1

four characteristics define newborn requiring no additional resuscitation

Answer 1

1. full term
2. clear amniotic fluid with no evidence of meconium or infection
3. Spontaneous breathing and crying
4. good muscle tone

Question 2

Ballard score vs Apgar score

Answer 2

Ballard: estimate infant gestational age after delivery

Apgar: objective means to assess the newborn’s condition

Question 3

apgar timing

Answer 3

1 and 5; and every 5 minutes until 20 min if the 5 min is <7

Question 4

t/f: the apgar score is used to define birth asphyxia

Answer 4

FALSE…should not be used for this. also should not be used to predict neurologic outcomes

Question 5

t/f: only vaginal deliveries get antibiotic ointment to eyes

Answer 5

False, it is recommended regardless of mode of delivery (erythromycin or tertracycline to prevent gonococcal opthalmia neonatorum). can be delayed up to 1 hour to allow for breastfeeding

Question 6

stool color

Answer 6

first 3 days: greenish brown and tar-like

w/ingestion of milk, stool becomes yellow and semisolid

Question 7

Acute bilirubin encephalopathy or kernicterus ass. with total serum bilirubin greater than:

Answer 7

30 mg/dl

Question 8

protocol for infant with difficulty breathing

Answer 8

ventilation, chest compression, and EPINEPHRINE

Question 9

if infant with trouble breathing doesnt respond to epi?

Answer 9

consider hypovolemic shock, esp if evidence of blood loss. Give IV normal saline at 10 ml/kg

Question 10

when does a newborn require positive pressure ventilation? (done with face mask)

Answer 10

When they are apneic or gasping and have a heart rate <100bpm

Question 11

how is metabolic well-being of an ill newborn most accurately assessed during th eresuscitation process

Answer 11

Cord blood gases

Question 12

when should cord blood gases be obstained

Answer 12

when c-section done for fetal compromise, a low 5-min apgar, severe growth restriction, abnormal FHR tracing, maternal thyroid disease, intrapartum fever, and multifetal gestations

Question 13

freshly oxygenated blood from the placenta ravels to the fetus through the:

Answer 13

umbilical vein (vs blood metabolized by fetus travels back to placenta through 2 umbilical arteries)

Question 14

condition of impaired blood gas exchange leading to progressive hypoxemia and hypercapnia with a significant metabolic acidosis

Answer 14

Fetal asphyxia

Question 15

acidemica = umbilical arterial sample with pH

Answer 15

7.2

Question 16

benefits of circumcision

Answer 16

decrease in: UTI, penile cancer, transmission of STI