Healthy Neonate

Question 1

Routine procedures needed in care of healthy neonate

Answer 1

.

Question 2

Recognize normal presentation of neonate

Answer 2

.

Question 3

Identify common normal physical findings in healthy newborn.

Answer 3

.

Question 4

APGAR scores
Heart rate, respiratory effort, muscle tone, reflex irritability, color.

What score sends child to well nursey?

Answer 4

Max score is 2 per category, total of 10 APGAR score possible.

Score of 7-10 is healthy.

Question 5

Any respirations above ___ is abnormal in a newborn.

Answer 5

above 60 is abnormal

Question 6

HR of newborn

Answer 6

80 (100)-160

Question 7

Temp of newborn

Answer 7

97.7-99.5

Question 8

Routine things given to newborn w/in first 18-24 hours

Answer 8

Hep B, Vitamin K, erythromycin against GC eye infection

Question 9

Feedings are important in what three instabces?

Answer 9

Infants with DM moms, small, large for gestational age.

Question 10

What weight loss is acceptable during the first few days?

Back to birth weight by what date?

Answer 10

7% loss or less

10-14 days

Question 11

Jaundice/hyperBR above ___mg% can result in Br induced neuro dysfunction or kernicterus.

Answer 11

> 25mg%

Jaundice in first 24 hrs is never normal.

Question 12

Normal respiratory motion in infants (but not normal in older).

Answer 12

See-saw - thorax in, belly out

Question 13

Retrations are abnormal - if accompanied by ___, then it is significant.

Answer 13

Grunting

singing is ok

Question 14

Pink is…

Answer 14

GOOD

Question 15

What is blue discoloration of perioral area, feet, and hands - is this bad?

Answer 15

Acrocyanosis. Normal in first 24 hours. Closely associated with cool surroundings. Perioral changes seen in sucking, feedings.

Question 16

What is bluish discoloration of tongue/mucus membranes - is this bad? Think what two diseases?

Answer 16

Central cyanosis is BAD, think cardiac disease and pulmonary disease.

Question 17

Differnce between bruise and cyanosis.

Answer 17

Bruises do not blanch. Cyanosis blances.

Question 18

Severe acidosis is indicated by what color?

Answer 18

gray

Question 19

Flexion and resistance noted when extremities - good or bad?

Flaccid full term/late preterm babies - good or bad?

Answer 19

Good

Bad

Question 20

What reflex is evaluated to ensure lack of opacity of lens and cornea and to look for intraocular masses (retinoblastoma). What is a second reflex that is pathologic?

Answer 20

Red Reflex - normal

White reflex - urgent referral necessary

Question 21

CHARGE syndrome and crying association

Answer 21

coloboma, heart defect, atresia choanne, retartded growth/development, genital abnomalities, ear abnomralities

cyanotil when NOT crying.

Question 22

A webbed neck indicates?

Answer 22

Turner’s Syndrome

Question 23

Excess skin at base of neck indicates?

Answer 23

Trisomy-21

Question 24

S2 split - absence heard or wide split heard - abn or normal?

Answer 24

can mean pathology!

Question 25

extreme distension of abdomen at birth or shorty after is...

Answer 25

BAD | ascites, meconium ileus, intrauterine midgut volvulus

Question 26

what type of head anomaly crosses suture lines?

Answer 26

caput succedaneum

Question 27

what type of head anomaly does not cross suture lines?

Answer 27

cephalohematoma - week to months for resulution

Question 28

what type of head anomaly has a fluid wave?

Answer 28

subgaleal hemorrhage - signif blood loss possible. DANGEROUS

Question 29

Barlow hip test

Answer 29

posterior dislocation

Question 30

Ortaliani hip test

Answer 30

putting posterior dislocation back "click"

Question 31

What is the only exam that can pick up an abnormality not seen prior?

Answer 31

Re-exam of hips - examine every day they're in hospital

Question 32

absence of anus can indicate...

Answer 32

VATER: Vertebral defects/VSD, Anal atresia, TE fistula/esophageal atresia, Radial dysplasia