Ms tabujara

Question 1

Newborn assessment at 1 to 5 minutes after birth to determine neurologic deficit.

Answer 1

APGAR scoring

Question 2

What are the 5 parameters of APGAR?

Answer 2

Heart Rate
Respiratory Effort
Muscle Tone
Reflex Irritability
Color

Question 3

Treatment of jaundice

Answer 3

Phototherapy or Exchange Infusion

Question 4

Used to estimate degrees of respiratory distress in newborn

Answer 4

Respiratory evaluation:
Silverman and Andersen index

Question 5

What do nurses need to do in Phototherapy treatment?

Answer 5

-Closely monitor body temp and fluid electrolyte imbalance
-Observe skin Integrity
-Provide Eye protection
-Encourage parent participation
-Monitor pathologic jaundice

Question 6

What is the long term adverse neurologic effect of prolonged hypoglycemia?

Answer 6

Learning disabilities and mental retardation.

Question 7

Blueness of NB hands and feet

Answer 7

Acrocyanosis

Question 8

Cyanosis of trunk

Answer 8

Central cyanosis

Question 9

The yellowish of infant’s skin and sclera of the eyes that occurs at the 2nd or 3rd day of life.

Answer 9

Hyperbilirubinemia

Question 10

The redness of the dependent side infant’s skin when lying on the side while the other side is pale, as if a line is drawn in the center

Answer 10

Harlequin sign

Question 11

Macular purple or dark-red lesion sometimes called as port-wine stain.
Typically appears on the face, thigh and nose

Answer 11

Nevus flammeus

Question 12

Refers to elevated areas formed by immature capillaries and endothelial cells. High estrogen levels in pregnancy.

Answer 12

Strawberry Hemangioma

Question 13

Appear as slate-gray patches across the sacrum or buttocks or in the arms and legs

Answer 13

Mongolian spots

Question 14

White, cream cheese-like substance that serves as a skin lubricant in the utero

Answer 14

Vernix Caseosa

Question 15

Fine downy hair that covers the newborns back, shoulder and upoer arms

Answer 15

Lanugo

37-39 wks babies have more than 40 wks

Question 16

Extremely dry skin of newborns similar to sunburn

Answer 16

Desquamation

Question 17

White papule found on the cheeck or across the bridge of the nose.

Answer 17

Milia

Question 18

Flea bite rash

Answer 18

Erythema Toxicum

Question 19

Circular or linear contusion matching the rim of the forcep’s blade

Answer 19

Forceps Marks

Question 20

Newborn skin should feel resilient if the underlying tissue is well hydrated

Answer 20

Skin turgor

Question 21

The space or openings where skull bones join

Answer 21

Fontanelles

Question 22

When does anterior fontanelles closes

Answer 22

12 to 18 months

Question 23

When does posterior fontanelles close

Answer 23

2 months / 2nd month

Question 24

What to assess for fontanelles?

Answer 24

-Indented or sunken (sign of dehydration)
-bulging (sign of increase intracranial pressure)

Question 25

Separating lines of the skull

Answer 25

Sutures

Question 26

Part of the infant’s head that engaged the cervix molds to fit cervix contours during labor

Answer 26

Molding

Question 27

Edema of the scalp at the presenting part of the head

Answer 27

Caput succedaneum (collection of fluid under scalp)

Question 28

Collection of blood between the periosteum of a skull bone and the bone itself (takes weeks to be absorbed) (could lead to jaundice)

Answer 28

Cephalhematoma

Question 29

Localized softening of cranial bones

Answer 29

Craniotabes

Question 30

Between what months does eye assume permanent color

Answer 30

3 and 12 months

Question 31

What is given at birth to protect from chlamydia infection and opthalmia neonatorum (gonorrhea conjuctivitis)

Answer 31

Erythromycin

Question 32

Low seated ear could possibly be sign of what?

Answer 32

Down syndrome and kidney disorder

Question 33

What is choanal atresia?

Answer 33

Blockage at the rear of the nose

Question 34

What is called when the upper part of the esophagus does not connect with the lower esophagus and stomach

Answer 34

Esophageal atresia

Question 35

True or false The newborn’s chest should be bigger than the head in diameter

Answer 35

False

Question 36

What do you call an undescended testes?

Answer 36

Cyptorchidism

Question 37

Urethral opening is on the dorsal surface

Answer 37

Epispadias

Question 38

Urethral opening is in the ventral surface

Answer 38

Hypospadias

Question 39

What is the collection of fluid in a sac next to a testis

Answer 39

Hydrocele

Question 40

Why do we need to inspect palm for simian crease?

Answer 40

May be associated with down syndrome

Question 41

The affected foot looks like it has been rotated internally at the ankle

Answer 41

Clubfoot or congenital talipes equinovarus (CTEV)

Question 42

Newborn nursing care

Answer 42

-Regulation of Temperature - Regulation of Respiration - Protection from infection and injury - Identify the baby after delivery -Cord Care

Question 43

Where do we inject Vitamin K?

Answer 43

Right Vastus lateralis

Question 44

What is found in the breastmilk that binds large bacteria and viruses, keeping them from being absorbed in the GI tract?

Answer 44

Immunoglobulin

Question 45

Iron binding protein in breastmilk that interferes with the growth of pathogenic bacteria.

Answer 45

Lactoferin

Question 46

Chief protein in human breastmilk

Answer 46

Alpha-lactalbumin Casein in cows

Question 47

Protein in breastmilk that attacks diarrhea causing viruses

Answer 47

Lactadherin

Question 48

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

Answer 48

Colostrum

Question 49

Enzyme in breastmilk that actively destroys bacteria by lysing their membranes

Answer 49

Lysozyme

Question 50

It interferes with the colonization of pathogenic bacteria in the GIT

Answer 50

Lactobacillus bifidus

Question 51

True or false Breastmilk has more linoleic acid, potassium, phosphorus and less sodium than milk formulas?

Answer 51

True

Question 52

Breastfeeding contraindications

Answer 52

-maternal alcoholism -cigarette smoke -caffeine -medications and illicit drugs -maternal illness

Question 53

Sign that newborns are getting enough milk

Answer 53

-atleast 6 wet diapers and 2 to 5 loose yellow stools daily -pale-yellow urine not deep yellow or orange -sleeping well, yet looks alert and healthy when awake

Question 54

True or false Before removing infant from the breast, we need to break the suction by inserting finger

Answer 54

True

Question 55

True or false Don’t burp the infant when changing breast and at the end of the breastfeeding session

Answer 55

False

Question 56

When are we allowed to bath the baby?

Answer 56

6 hours after birth