Newborn

Question 1

What is considered the NEONATAL PERIOD?

Answer 1

The neonatal period is from birth through day 28 of life

Question 2

What is the NEWBORN TRANSISITION PERIOD?

Answer 2

The newborn transition period is the adjustment to extra-uterine life and lasts 6-8 HOURS immediately after birth

Question 3

Newborn Transition: Stage 1

Answer 3

Newborn Transition:

Stage 1 is the FRIST PERIOD OF REACTIVITY and lasts up to 30 MINUTES immediately after birth.

Question 4

STAGE 1 of the newborn transition is characterized

Answer 4

STAGE ONE of the newborn transition is characterized by:
baby alert and awake
heart rate stabilizes
baby cries and moves

Question 5

During stage 1 of the newborn transition, it is important to initiate __________

Answer 5

During stage 1 of the newborn transition, it is important to initiate BREASTFEEDING & BONDING

Question 6

Newborn Transition: Stage 2

Answer 6

Newborn Transition:

Stage 2 is the PERIOD OF DECREASED RESPONSIVENESS and lasts 60-100 MINUTES

Question 7

Newborn Transition: Stage 3

Answer 7

Newborn Transition:

Stage 3 is the 2ND PERIOD OF REACTIVITY and occurs between 4-8 HOURS after birth and lasts UP TO SEVERAL HOURS

Question 8

What is meconium & when is it passed?

Answer 8

• Meconium is the first stool

- Meconium is usually passed during 3RD STAGE of the newborn transition

Question 9

The newborn transition ends at __________ and when the newborn has stabilized to extra uterine life

Answer 9

The newborn transition ends at EIGHT HOURS and when the newborn has stabilized to extra uterine life

Question 10

APGAR

_________ is positive
__________ needs intervention
__________ needs resuscitation

Answer 10

APGAR

7-10 is positive
4-6 needs intervention
0-3 needs resuscitation

Question 11

For an APGAR score of 0 - 6, the nurse:

Answer 11

CALL THE NEWBORN RESUSCITATION TEAM!!!

Question 12

Weight less than or equal to __________ is SGA

Answer 12

Weight less than or equal to 2500g is SGA (SMALL FOR GESTATIONAL AGE)

Question 13

Weight greater than or equal to __________ is LGA

Answer 13

Weight greater than or equal to 4000 g is LGA (LARGE FOR GESTATIONAL AGE)

Question 14

Newborn assessment:

Head circumference is usually __________ taken at the __________

Answer 14

Newborn assessment:

Head circumference is usually 33-35 cm taken at the FRONT OCCIPITAL DIAMETER

Question 15

Newborn assessment:

Chest circumference is usually __________ taken at the _________

Answer 15

Newborn assessment:

Chest circumference is usually 30-33 cm taken at the NIPPLE LINE

**chest should be smaller than head!

Question 16

What is CAPUT SUCCEDANEUM?

Answer 16

CAPUT SUCCEDANEUM is an edematous area on the scalp that may extend across the suture lines. It is harmless and will resolve on its own.

Question 17

What is CEPHALAHEMATOMA?

Answer 17

CEPHALAHEMATOMA is collections of blood between the skull and periosteum and does NOT cross the cranial suture line. It may appear 2-3 days after birth as a soft, fullness that does not pulsate or bulge when the baby cries.

Question 18

What does a stool pattern look like in a newborn?

Answer 18

Meconium occurs in the first 24-48 hours
Transitional stools occur by the 3rd day of life
Milk stools occur after the 3rd or 4th day of life

Question 19

Newborn voiding:

__________ voidings in first 2 days of life

__________ wet diapers/day by day 3

Answer 19

Newborn voiding:

2-6 voidings in first 2 days of life

6-8 wet diapers/day by day 3

Question 20

Newborn’s can lose __________ of their birth weight in the 1st week.

Answer 20

Newborn’s can lose 7 - 10% of their birth weight in the 1st week.

Question 21

In the __________, the toes spread out and the great toe comes forward.

Answer 21

In the BABINSKI REFLEX, the toes spread out and the great toe comes forward. (ok in babies)

Question 22

What is TRUNCAL INCURVATION?

Answer 22

TRUNCAL INCURVATION is a newborn reflex that makes the baby curve toward the side that is being touched on their back

Question 23

What is passive immunity? How is it recieved?

Answer 23

Passive immunity is immunity gained not made

The newborn receives PASSIVE IMMUNITY through placental transfer of IgG throughout pregnancy

Question 24

Normal blood glucose range for newborn assessment is:

__________ mg/dl; then __________ by day 3 after birth

Answer 24

Normal blood glucose range for newborn assessment is:

55-60 mg/dl; then GREATER THAN 70 by day 3 after birth

Question 25

The first period of reactivity in newborn transition extends to 8 hours after birth and is characterized by stabilization to extrauterine life. True or false.

Answer 25

False The first period of reactivity lasts up to 30 minutes after birth and is characterized by alertness. Interventions include initiating breastfeeding and facilitating bonding

Question 26

At 1 minute after birth an infant has a heart rate of 94, weak cry, some flexion of extremities, grimace, and pink body with blue extremities. What is the priority action of the nurse? - Place the infant skin to skin with the mother - Reassess the infant at 5 minutes after birth - Apply the infant safety monitor - Call for the neonatal resuscitation team

Answer 26

At 1 minute after birth an infant has a heart rate of 94, weak cry, some flexion of extremities, grimace, and pink body with blue extremities. What is the priority action of the nurse? Call for the neonatal resuscitation team

Question 27

Slight nasal flaring with a respiratory rate of 24 are expected findings in the term neonate. True or false.

Answer 27

False Nasal flaring is a sign of respiratory distress. The respiratory rate of 24 is also too low for the neonate and also indicates distress

Question 28

The nurse's assessment of an infant 1 hour after birth reveals a fluid filled area on the scalp that crosses suture lines. What education does the nurse provide the parents? Select all that apply. - Your baby will need a blood test to determine bilirubin levels - This swelling may take up to 6 weeks to completely resolve - The baby's scalp has a small amount of swelling - The swelling is caused by the baby's head resting on the cervix during birth - This swelling typically resolves without causing problems

Answer 28

The nurse's assessment of an infant 1 hour after birth reveals a fluid filled area on the scalp that crosses suture lines. What education does the nurse provide the parents? Select all that apply. - The baby's scalp has a small amount of swelling - The swelling is caused by the baby's head resting on the cervix during birth - This swelling typically resolves without causing problems

Question 29

A short lingual frenulum is an expected finding in the term neonate. True or false.

Answer 29

False A short lingual frenulum can significantly interfere with breastfeeding and bottle feeding. A surgical procedure may be required. Promptly notifying the health care provider is required.

Question 30

By the third day of life, the term neonate should have 6-8 wet diapers per day. True or false.

Answer 30

True During the first 2 days of life, the newborn should have 2-6 voidings on each day. For each day after the second day of life, the infant should have 6-8 wet diapers

Question 31

The term neonate is expected to lose up to what percentage of weight following birth? 5% 15% 10% 20%

Answer 31

The term neonate is expected to lose up to what percentage of weight following birth? 10%

Question 32

What reflexes are expected in the term infant? Select all that apply. ``` Mittelshmerz Moro Sleep Rooting Bicycle Plantar Babinski ```

Answer 32

What reflexes are expected in the term infant? Select all that apply. Moro Rooting Plantar Babinski

Question 33

Physiological jaundice of the newborn is a common finding in term newborns and is visible during the first 24 hours after birth. True or false.

Answer 33

False Physiological jaundice occurs in approximately 60% of term newborns but occurs on days 2-3 after birth. It typically subsides within 2-4 weeks.

Question 34

What comfort measures are appropriate for the infant experiencing a circumcision procedure? Select all that apply. - Provide oral sucrose solution on a pacifier. - Apply a warming pack to the diaper after the procedure. - Prepare supplies for lidocaine injection by the provider of care. - Swaddle the upper body. - Clean the area with alcohol every 4 hours. - Apply topical lidocaine before the procedure as ordered.

Answer 34

What comfort measures are appropriate for the infant experiencing a circumcision procedure? Select all that apply. - Provide oral sucrose solution on a pacifier. - Prepare supplies for lidocaine injection by the provider of care. - Swaddle the upper body. - Apply topical lidocaine before the procedure as ordered.