Newborn / Antepartum Rationales

Question 1

_____ _____ is due to an incompatibility between maternal & fetal blood.

Answer 1

erythroblastosis fetalis

Question 2

______ is an ultrasound-guided test used in the detection of fetal abnormalities. A thin needle is inserted into the amniotic sac to remove a sample of amniotic fluid.

Answer 2

Amniocentesis

Question 3

Amniocentesis is utilized to detect fetal ____ ____ defects as well as ______ abnormalities.

Answer 3

fetal neural tube defects as well as chromosomal abnormalities

Question 4

Can you determine the gender of a fetus from an amniocentesis?

Answer 4

yes

Question 5

Metabolic _____ would develop due to cold stress b/c of the lack of glucose would cause fat to be the fuel source.

Answer 5

Metabolic Acidosis

Question 6

Small for gestational age (SGA) is used when the infants are smaller than normal for the number of ____ ____ _____.

Answer 6

weeks of pregnancy

Question 7

A low birth weight is defined as an infant with a weight that is less than ______ grams.

Answer 7

2500 grams

Question 8

Tachycardia is an early finding for newborns with ___ ____.

Answer 8

cold stress

Question 9

A VLBW is defined as an infant with a weight less than _____ grams at the time of birth.

Answer 9

1500 grams

Question 10

Manifestations of hypoglycemia in an infant include ____ ____ ____ and a ____ _____ _____.

Answer 10

poor muscle tone and a weak, jittery cry.

Question 11

The average temp at birth is ____ to ____ celsius.

Answer 11

36.5 to 37.5 (97.7 to 99.5)

Question 12

A high-pitched cry is an ____ finding in a newborn.

Answer 12

irregular

Question 14

An expected HR in a newborn is _____ to ____.

Answer 14

120 to 160

Question 15

An expected HR in a crying newborn is _____.

Answer 15

180 bpm

Question 16

_____ is the intense emotional bonding & attachment that occurs between a parent shortly after birth.

Answer 16

engrossment

Question 17

engrossment is characterized as direct ____ ____, showing _____, and intense _____ on the newborn.

Answer 17

direct eye contact, showing affection, and intense focus.

Question 18

____ - ___ (also known as claiming) is a standard psychosocial process where the mother links the newborn’s facial features to other family members.

Answer 18

Binding-in

Question 19

_____ refers to the rhythmic synchronization of behaviors, such as the infant’s movements & sounds, with those of the caregiver.

Answer 19

Entrainment

Question 20

SIDS occurs higher in ____ & ____.

Answer 20

males & twins

Question 21

The peak incidence is between ___ & ___ months.

Answer 21

2 & 4 months

Question 22

Name 2 mitigating factors of SIDS

Answer 22

1. a cool sleeping environment
2. room-sharing
3. supine sleeping

Question 23

With ectopic pregnancy you will see ____ pain, ____ bleeding and a positive ____ ____.

Answer 23

pelvic pain, vaginal bleeding, and a positive pregnancy test.

Question 24

After a circumcision should you remove the scab?

Answer 24

no

Question 25

Assymetrical gluteal folds are not an ____ ____. It suggests ____ of the hip.

Answer 25

expected finding / dysplasia

Question 26

A normal head circumference of a newborn is ____ to ____ cm.

Answer 26

32 to 38 cm

Question 27

The chest of a newborn should be ___ to ___ cm smaller than the head.

Answer 27

2 to 3 cm

Question 28

_____ is a genetic disorder that results in central nervous system damage.

Answer 28

PKU

Question 29

What are some common assessments in PKU. (3)

Answer 29

1. musty odor 2. urine smell 3. hypo pigmentation of the hair

Question 30

What are common withdrawal symptoms? (3)

Answer 30

1. Tachypneic (88) 2. Diaphoresis 3. Hyperactive reflexes

Question 31

if indicated you should suction the ____ first.

Answer 31

mouth

Question 32

A ____ ___ is often observed in a wide range of chromosomal defects.

Answer 32

simian line (simian crease)

Question 34

Failure to pass meconium within 48 hours of life should raise suspicions for? (4)

Answer 34

1. Cystic fibrosis 2. Hirschprung's disease 3. Anorectal malformations 4. Meconium plug syndrome

Question 36

Clients with severe preeclampsia have ____ pain.

Answer 36

epigastric pain

Question 37

In pregnancy there is an _____ in heart size, _____ metabolic rate, ____ esophageal size.

Answer 37

1. increase in heart size 2. increased metabolic rate 3. decreased esophageal size

Question 38

_____ is an infection that may be bacterial, fungal, or viral.

Answer 38

chorioamnionitis

Question 39

Manifestations of chorioamnionitis are maternal fever, maternal & fetal _____, uterine tenderness etc...

Answer 39

tachycardia

Question 40

distended abdomen, hypoactive bowel sounds, increased gastric residual are all consistent with _______.

Answer 40

NEC

Question 41

A third ____ ____ sound is expected during pregnancy because of increased BV.

Answer 41

S3 heart sound

Question 42

Is HEP C transmitted in breast milk?

Answer 42

no

Question 43

_____ is a pattern of reddish or purplish discoloration on the skin caused by changes in blood flow.

Answer 43

Mottling

Question 44

Newborn jaundice is often caused by the baby's liver being ______.

Answer 44

immature

Question 45

Which seat in the back should the baby's car seat be in?

Answer 45

The middle back seat

Question 46

A birth weight between ____ and ___ Ib is normal.

Answer 46

5.5 and 8.2

Question 47

Infants with (NAS) should be swaddled in a ______ position.

Answer 47

flexed

Question 48

Decreased CO in infants usually results in ____.

Answer 48

tachycardia

Question 49

Breastfeeding should be ____ - ____ minutes.

Answer 49

15-20

Question 50

The quad screen test is done the ____ trimester of pregnancy.

Answer 50

2nd trimester

Question 51

The quad screen measures if the fetus has ____ ____ , _____ ___ , and _____ _____.

Answer 51

Down syndrome, trisomy 18, and spina bifida.

Question 52

_______ heat loss is transferred by direct contact from one object to another.

Answer 52

conduction heat loss

Question 53

______ heat loss happens when the heat is transferred from an object/body to the surrounding air.

Answer 53

Convective

Question 54

Drying an infant with a towel would help prevent _____ heat loss.

Answer 54

evaporative heat loss

Question 55

Placing a newborn on a padded, covered surface would prevent _____ heat loss.

Answer 55

conductive heat loss

Question 56

Ultrasounds typically require a _____ _____.

Answer 56

full bladder

Question 57

Women infected with rubella are more likely to have an infant suffer from ____ ____ and _____.

Answer 57

growth restriction and hydrocephaly