NB Assessment

Question 1

newborns are ________ driven

Answer 1

respiratory

Question 2

what should newborns temp be

Answer 2

36.5-37.5 degrees celcius

Question 3

how soon after birth should apgar scale be taken

Answer 3

1st minute of life and at 5 minutes

Question 4

an apgar score of 0-3 is

Answer 4

great distress

Question 5

an apgar score of 4-6 is

Answer 5

moderate amount of difficulty transitioning

Question 6

an apgar score of 7-10 is

Answer 6

stable and you can do everything you need to do to baby while on moms chest

Question 7

what is apgar used to assess

Answer 7

adjustment to extrauterine life

Question 8

a term infant is considered

Answer 8

3-42 completed weeks of gestation

Question 9

a preterm infant is considered

Answer 9

less than 37 completed weeks of gestation

Question 10

a post term infant is considered

Answer 10

more than 42 completes weeks of gestation

Question 11

what are the general measurements that should be taken of a newborn

Answer 11

head, chest, and abdominal circumference

length and body weight

Question 12

what apical heart rate is within normal limits of a newborn

Answer 12

110-160bpm

Question 13

what is a normal respiratory rate of a newborn

Answer 13

30-60 breaths per minute WITH short periods of apnea

Question 14

the bigger the baby the ______ the heart rate

Answer 14

lower

Question 15

what general posture should a newborn have

Answer 15

flexion

Question 16

what should the texture of baby skin be

Answer 16

smooth
“puffy areas”
vernix
lanugo

Question 17

what color should baby be

Answer 17

acrocyanotic or pink with NO jaundice on the first day of life

Question 18

by what age should posterior fontanel be formed

Answer 18

2-4 months

Question 19

by what age should the anterior fontanel be formed

Answer 19

18 months

Question 20

is a murmur common at the left sternal border of an infant

Answer 20

yes

Question 21

bowel sounds within the first ___ minutes after birth

Answer 21

20

Question 22

what reflex is checked for toes to fan out after you swipe finger across

Answer 22

grasp and babinski

Question 23

what is moro reflex checking

Answer 23

flexion if startled

Question 24

what is a safe sleeping position to prevent SIDS

Answer 24

supine

Question 25

what is an important thing that should be done when baby is born

Answer 25

PT ID

Question 26

what is the "profile" of an abductor

Answer 26

woman emotionally disturbed had a loss of their own becomes friends w family

Question 27

what is used as a prophylaxis eye drop and given within an hour of birth

Answer 27

ophthalmia neonatorum

Question 28

where should all IM to all infants be given

Answer 28

vastus lateralis

Question 29

why is vitamin K administered within first hour of birth

Answer 29

helps with blood clotting

Question 30

when is HEP B administered

Answer 30

birth 1-2 mos 6-18 mos

Question 31

what should the parents know about umbilical care

Answer 31

dont submerge in water until umbilical has fallen off (7 days) until then just clean around base

Question 32

what are contraindications of circumcision

Answer 32

preterm babies GU effected risk for bleeding in resp. distress

Question 33

what are benefits of circumcision

Answer 33

decrease of UTIs and STDs

Question 34

after a circumcision what amount of blood should you notify doctor about

Answer 34

quarter size blood in diaper

Question 35

when should a baby void after circumcision

Answer 35

within 24hrs after procedure

Question 36

how should you bath a baby who had a circumcision

Answer 36

dont submerge in water until completely healed because this could cause an infection

Question 37

when breast feeding what position should a PREMIE be held

Answer 37

side lying

Question 38

what is demand feeding for

Answer 38

breast fed babies

Question 39

what are scheduled feedings for

Answer 39

formula fed babies

Question 40

when teaching a parent about bathing what should be important

Answer 40

bath the baby head to toe and then hair the very last

Question 41

neonates born at less than 32 weeks of gestation

Answer 41

very premature

Question 42

neonates born between 32 and 34 weeks gestation

Answer 42

premature

Question 43

neonates born between 34 and 37 weeks

Answer 43

late premature

Question 44

preterm newborns who are ill or fatigue easily are usually fed by

Answer 44

gavage

Question 45

as baby matures, gavage feeds are replaced with...

Answer 45

nipple feeds

Question 46

in order for gavage feeds to be replaced what are 3 signs of readiness the preterm baby shows

Answer 46

strong gag reflex presence of non-nutrituve sucking and rooting behavior

Question 47

if the baby's temp keeps dropping and nothing is helping what should be the nurses first response

Answer 47

the baby is getting septic

Question 48

if a baby is septic what will the CRP do

Answer 48

increase

Question 49

who is neonatal sepsis acquired

Answer 49

prenatally (during labor

Question 50

early sepsis=

Answer 50

1-3 days of age

Question 51

late sepsis=

Answer 51

1-3 weeks of age and most likely the hospitals fault

Question 52

if culture is positive for sepsis how long will baby be on ampicillin or gen

Answer 52

7-10 days

Question 53

if culture is negative for sepsis how long will baby be on abx

Answer 53

72hrs

Question 54

for IDMs how often should blood glucose be checked

Answer 54

hourly 4x | then every 4 hours during first 48hrs

Question 55

IDMs will have _____ blood sugar

Answer 55

low