initial assessment of a newborn

Question 1

Normal Weight Range

Answer 1

2.5-4.7kg (5.5-10lbs)

Question 2

normal weight range average (50th percentile)

Answer 2

3.4kg -female
3.5kg-male

Question 3

first few days newborns lose about _____ of birth weight

Answer 3

5%-10%

Question 4

Breastfed newborns recapture birth wt
within

Answer 4

10 days

Question 5

Formula fed newborns recapture birth wt
within

Answer 5

7 days

Question 6

Doubles at ___ , Triples at ____
and Quadruples at _____ of age
(based on weight at birth).

Answer 6

5 months
12 months
2 to 2.5 years

Question 7

Normal Length Range

Answer 7

46-54 cm

Question 8

Normal Length Range Average (50th Percentile)

Answer 8

49 cm (19.2 in.) for females
50 cm (19.6 in.) for males

Question 9

BLOOD PRESSURE RANGE

Answer 9

80/46 mmHg at birth
rises to 100/50 mm Hg by the 10th
day.

Question 10

BP Not routinely measured unless a _____

Answer 10

cardiac
anomaly is suspected

Question 11

For an accurate reading of BP, the cuff width used
must be ______ the length
of the upper arm or thigh

Answer 11

no more than two thirds

Question 12

TEMPERATURE RANGE

Answer 12

36.5 °C– 37 °C

Question 13

Temperature will fall almost immediately to
below normal due to_____ and the
neonate’s __________ .

Answer 13

heat loss
immature temperature-regulating
mechanism

Question 14

PULSE RANGE

Answer 14

110-160 beats per minute

Question 15

pulse is Slightly irregular due to immaturity of the _________
in the medulla.

Answer 15

cardiac regulatory center

Question 16

Always palpate for femoral pulses why?

Answer 16

aortic coarctation

Question 17

RESPIRATION RANGE

Answer 17

30 to 60 breaths per minute (at
rest)

Question 18

respiration is Observed most easily by watching the
movement of a newborn’s ____

Answer 18

abdomen

Question 19

_________- reflexes are
present at birth to clear the airway

Answer 19

Coughing and sneezing

Question 20

Used to evaluate the prognosis of a
newborn to determine if there is adjustment
on extrauterine life.

Answer 20

apgar scoring

Question 21

0-3 apgar

Answer 21

Poor-severe difficulty in
transition; NEEDS
IMMEDIATE
RESUSCITATION

Question 22

4-6 apgar

Answer 22

Fair- have some difficulty
adjusting; needs further
observation & stimulation

Question 23

7-10 apgar score

Answer 23

Good- healthy, adapts well to
extrauterine life

Question 24

Physical Maturity
6 categories

Answer 24

1. Skin 4. Breast buds
2. Lanugo 5. Ears
3. Plantar creases 6.Genitals

Question 25

(measurement of wrist angle with flexion toward forearm until resistance is met)

Answer 25

Square window

Question 26

extension and release of arm after arm is completely flexed and held in position for approximately 5 seconds)

Answer 26

Arm recoil

Question 27

measurement of knee angle on flexion of thigh with extension of lower leg until resistance is met.

Answer 27

Popliteal angle

Question 28

(arm pulled gently in front of and across top portion of body until resistance is met).

Answer 28

Scarf sign

Question 29

(movement of foot to near the head as possible)

Answer 29

Heel to ear

Question 30

an excellent way to meet the needs of the newborn and provide family-centered care

Answer 30

Kangaroo care-

Question 31

Inspect the cord to be certain it is clamped securely

Answer 31

hemorrhage could result.

Question 32

Wipe the cord with alcohol at ______ to hasten drying and possibly reduce the development of infection.

Answer 32

each diaper change

Question 33

diapers are folded ____- of the umbilical cord, so that, when the diaper becomes wet, the cord does not become wet as well.

Answer 33

below the level

Question 34

Remind parents to ________- until it falls off after they return home.

Answer 34

continue to keep the cord dry

Question 35

Administer IM injection into ____-

Answer 35

large muscle (anterolateral muscle of a newborn’s thigh)

Question 36

after VIT K Assess for signs of

Answer 36

bleeding (black, tarry stools, hematuria, decreased hemoglobin and hematocrit levels, and bleeding from any open wounds or base of the cord)

Question 37

All newborns receive a first vaccination against hepatitis B within

Answer 37

12 hours after birth;

Question 38

Infants whose mothers are positive for the hepatitis B surface antigen (HBsAg) also at birth

Answer 38

receive hepatitis B immune globulin (HBIG)

Question 39

Bath water should be approximately _______-, a temperature that feels pleasantly warm to the elbow or wrist.

Answer 39

98° to 100° F (37° to 38° C)

Question 40

Bathing should proceed from the cleanest to the most soiled areas of the body—that is,

Answer 40

from the eyes and face to the trunk and extremities and, last, to the diaper area.

Question 41

A thin, watery, yellow fluid composed of protein, sugar, fat, water, minerals, vitamins, and maternal antibodies

Answer 41

colostrum

Question 42

colostrum is secreted startubg ub

Answer 42

fourth month of pregnancy

Question 43

production of colostrum continues for the first

Answer 43

3-4 days after birth

Question 44

replaced by _________ on the second to fourth day.

Answer 44

transitional breast milk

Question 45

True or ______ is produced by the 10th day

Answer 45

mature breast milk