Care of newborn

Question 1

APGAR Score

APGAR = infants. GCS = Children

Answer 1

A score of 7-10 = normal

4 - 7 may require some resuscitation

Apgar scores of 3 & below requires immediate resuscitation

Question 2

APGAR
A

Answer 2

Appearance (Skin color)
0 (Blue-gray)
1 (Normal, except for extremities)
2 (Normal over entire body)

Question 3

APGAR
(Pulse)

Answer 3

0 - No pulse
1 - Below 100 bpm
2 - ABove 100 bpm

Question 4

APGAR
Grimace
(Reflex Irritability)

Answer 4

0: No response
1: Grimace
2: Sneeze, cough, pulls away

Question 5

APGAR
Activity (Muscle Tone)

Answer 5

0: Absent
1: Arms & Legs Flexed
2: Active Movement

Question 6

APGAR
Respiration

Answer 6

0: Absent
1: Slow, irregular
2: Good, crying

Question 8

What is the normal range for a newborn’s heart rate?

Answer 8

120 to 160 beats per minute.

Question 9

True or False: Newborns can regulate their body temperature effectively.

Answer 9

False.

Question 10

What is the Apgar score used for?

Answer 10

To assess the physical condition of a newborn shortly after birth.

Question 11

Fill in the blank: The first stool passed by a newborn is called _______.

Answer 11

meconium.

Question 12

What is the typical weight range for a newborn at birth?

Answer 12

5.5 to 8.8 pounds (2.5 to 4 kg).

Question 13

What is the primary purpose of skin-to-skin contact immediately after birth?

Answer 13

To promote bonding and regulate the newborn’s temperature.

Question 14

True or False: Breastfeeding should begin within the first hour after birth.

Answer 14

True.

Question 15

What are common signs of newborn distress?

Answer 15

Cyanosis, poor feeding, lethargy, and abnormal breathing.

Question 16

What is jaundice in newborns?

Answer 16

A condition characterized by yellowing of the skin and eyes due to high bilirubin levels.

Question 17

What immunization is typically given to newborns before discharge?

Answer 17

Hepatitis B vaccine.

Question 18

Fill in the blank: Newborns typically lose ______% of their birth weight in the first week.

Answer 18

7 to 10.

Question 19

What is the recommended position for a newborn during sleep?

Answer 19

On their back.

Question 20

True or False: Newborns have fully developed vision at birth.

Answer 20

False.

Question 21

What is the primary role of a registered nurse in newborn care?

Answer 21

To monitor the health and developmental needs of the newborn and educate parents.

Question 22

What should be monitored for signs of infection in newborns?

Answer 22

Temperature, feeding patterns, and behavior changes.

Question 23

What is the significance of the ‘golden hour’ after birth?

Answer 23

It refers to the first hour after birth when bonding and breastfeeding are encouraged.

Question 24

Fill in the blank: Newborns typically exhibit a reflex called the _______ reflex when startled.

Answer 24

Moro.

Question 25

What are the signs of dehydration in a newborn?

Answer 25

Fewer wet diapers, dry mouth, and lethargy.

Question 26

What is the importance of vitamin K for newborns?

Answer 26

It helps prevent bleeding disorders.

Question 27

True or False: Newborns can be bathed immediately after birth.

Answer 27

False.

Question 28

What is the recommended frequency for feeding a newborn?

Answer 28

Every 2 to 3 hours.

Question 29

What is the purpose of a newborn screening test?

Answer 29

To detect certain genetic, metabolic, or endocrine disorders early.

Question 30

What is the term for the soft spot on a newborn's skull?

Answer 30

Fontanelle.

Question 31

Fill in the blank: The _______ reflex allows newborns to grasp objects placed in their palms.

Answer 31

palmar.

Question 32

What is the recommended duration for exclusive breastfeeding?

Answer 32

At least the first 6 months.

Question 33

What should a nurse do if a newborn has a high bilirubin level?

Answer 33

Monitor closely and consider phototherapy.

Question 34

True or False: It is safe for newborns to sleep with soft bedding.

Answer 34

False.

Question 35

What does APGAR stand for?

Answer 35

Apgar is an acronym for Appearance, Pulse, Grimace, Activity, and Respiration.

Question 36

What is the purpose of the APGAR score?

Answer 36

The APGAR score is used to assess the health of a newborn immediately after birth.

Question 37

True or False: The APGAR score is assessed at 1 and 5 minutes after birth.

Answer 37

True.

Question 38

Fill in the blank: A score of ___ or higher on the APGAR scale is generally considered normal.

Answer 38

7

Question 39

What score indicates a need for immediate medical intervention?

Answer 39

A score of 3 or lower.

Question 40

Which APGAR component assesses skin color?

Answer 40

Appearance.

Question 41

Multiple Choice: Which of the following is NOT part of the APGAR assessment? A) Pulse B) Reflexes C) Temperature D) Respiration

Answer 41

C) Temperature.

Question 42

What is the maximum score a newborn can achieve on the APGAR scale?

Answer 42

10.

Question 43

True or False: A newborn with a score of 4 requires resuscitation.

Answer 43

True.

Question 44

What nursing action is indicated for a newborn with a low APGAR score?

Answer 44

Provide immediate resuscitation if necessary.

Question 45

Fill in the blank: The ___ component of APGAR measures the heart rate of the newborn.

Answer 45

Pulse.

Question 46

What does a grimace response indicate in the APGAR assessment?

Answer 46

It indicates the newborn's reflex response to stimuli.

Question 47

Multiple Choice: Which of the following would score a 0 in the 'Activity' category? A) Active movement B) Some flexion of extremities C) None D) Flexed posture

Answer 47

C) None.

Question 48

What is the significance of the APGAR score at the 5-minute mark?

Answer 48

It helps to assess the effectiveness of resuscitation efforts and the newborn's transition to extrauterine life.

Question 49

True or False: A newborn's APGAR score can improve between the 1-minute and 5-minute assessments.

Answer 49

True.

Question 50

What nursing management should be performed for a newborn with an APGAR score of 6?

Answer 50

Monitor closely and provide supportive care.

Question 51

Fill in the blank: The ___ component of APGAR evaluates the newborn's breathing effort.

Answer 51

Respiration.

Question 52

What is an abnormal finding in the 'Appearance' category of the APGAR score?

Answer 52

Cyanosis or pallor.

Question 53

Multiple Choice: A newborn scoring a 2 in the 'Pulse' category has a heart rate of: A) 0 B) Below 100 C) Above 100 D) Irregular

Answer 53

C) Above 100.

Question 54

What nursing intervention is appropriate for a newborn with an APGAR score of 5?

Answer 54

Provide stimulation and reassess in a few minutes.

Question 55

True or False: The APGAR score is used to predict long-term health outcomes for newborns.

Answer 55

False.

Question 56

What is the first step in nursing management for a newborn with a low APGAR score?

Answer 56

Ensure a clear airway.

Question 57

Fill in the blank: A score of ___ in the 'Grimace' category indicates no response to stimuli.

Answer 57

0

Question 58

Multiple Choice: Which APGAR score would indicate the best condition? A) 3 B) 5 C) 8 D) 10

Answer 58

D) 10.

Question 59

What does a score of 1 in the 'Respiration' category indicate?

Answer 59

Weak or irregular breathing.

Question 60

True or False: The APGAR score is only relevant for the first few hours after birth.

Answer 60

True.

Question 61

What action should be taken if a newborn's APGAR score does not improve?

Answer 61

Initiate advanced resuscitation protocols.

Question 62

Fill in the blank: The APGAR assessment is performed at ___ and ___ minutes after birth.

Answer 62

1; 5

Question 63

What is the role of nursing staff during the APGAR assessment?

Answer 63

To perform the assessment and document the scores accurately.

Question 64

Multiple Choice: Which score indicates that the newborn is in distress? A) 7 B) 4 C) 8 D) 10

Answer 64

B) 4.