Newborn Physiological and Behavioral Responses

Question 1

Expected findings for term neonate:

Posture

(what should be happening w/ extremeties)

Answer 1

Extremities should be flexed.

Question 2

What is the regular RR of a newborn

Answer 2

30 to 60 breaths per min

Question 3

Expected findings for term neonate:

Weight

Answer 3

2500 to 4000 g

(5lb 8oz to 8 lb 13oz)

Question 4

what is acrocyanosis

Answer 4

Hands and/or feet are blue

Question 5

What are mongolian spots?

Answer 5

Flat, blush discolored area on the lower back and/or back

resolves on its own

Question 6

What is lanugo?

Answer 6

Fine, downy hair that may be seen on neonates back, shoulders and forehead

assists on estimating gestational age, often a sign of prematurity

Question 7

What is milia?

Answer 7

white papules on the face;
more frequently seen on the bridge of the nose and chin

Resolves on their own

Question 8

What is vernix caseosa?

Answer 8

white, creamy, naturally occurring biofilm covering the skin of the fetus during the last trimester of pregnancy

assist on estimating gestational age

Question 9

What is a caput succedaneum?

Answer 9

swelling (edema) of the scalp in a newborn.
Can cross suture lines.

Results from prolonged labor, forceps delivery, or use of vacuum

Question 10

What is a cephalohematoma?

Answer 10

Blood swelling under the scalp of neonate

Question 11

What characterstic is unique of caput succedaneum compared to cephalohematoma?

Answer 11

caput succedaneum can cross suture lines

cephalohematoma is unilateral

Question 12

What are epstein’s pearls?

Answer 12

white, pearl-like cysts in a neonates gum margins and palate

Question 13

What is the moro (startle) reflex?
How is it initated?

Answer 13

Hold the baby in a semi-sitting position and the let head slightly drop back

Question 14

What is the tonic neck reflex?
How is it initated?

Answer 14

with the neonate in the supine position, turn the head to the side so that chin is over the shoulder

Question 15

What is the rooting reflex?

How is it initated?

Answer 15

Neonate turns the head toward direction of stimulus and opens the mouth

Brush the side of a cheek or corner of the mouth

Question 16

What is the sucking reflex?

How is it initated?

Answer 16

Sucking motion

gloved finger in neonate mouth

Question 17

What is the palmer grasp?

How is it initated?

Answer 17

Neonate grasps fingers tightly

place a finger in the palm of neonates hands

Question 18

What is the plantar grasp?

How is it initated

Answer 18

Toes flex tightly down in grasping motion

Place a thumb firmly agianst the ball of the infants foot

Question 19

What is the neonate babinski reflex?

How is it initated

Answer 19

Hyperextension and fanning of toes

Stroke the lateral surface of the sole in an upward motion

Question 20

What is the stepping reflex?

How is it initated

Answer 20

The neonate steps up and down in place

Hold the neonate upright w/ feet touching a flat surface

Question 21

What is the purpose of ballard maturational assessment?

Answer 21

estimate babies gestational age

Question 22

What are the two screening tests for neonates before discharge?

Answer 22

1. Phenylketonuria (PKU)
2. Hearing test

pku = heel stick blood test

Question 23

What medication is given as a prophylaxis for gonoccocal and chalmydial eye infections upon birth?

Answer 23

Erythromycin

Question 24

How many doses is Heb B given?

Answer 24

3

(before discharge, 1 to 2 months, & 6 to 8 months)

Question 25

# Nursing Interventions Transition period of newborn | (4)

Answer 25

1. Maintain respiratory function 2. Mantain body heat 3. Decrease risk of infection 4. Assist parents in providing nutrition, hydration, and newborn care.

Question 26

Why is a neutral thermal environment needed to support newborn transition?

Answer 26

Neutral thermal environment is needed to support and prevent cold stress to newborn | cold stress leads to hypothermia

Question 27

# Nursing Intervention Hypoglycemia in newborn | (4)

Answer 27

1. Maintain neutral thermal environment 2. Regularly check blood glucose levels. 3. Establish feeding 4. Assess for s&s of hypoglycemia

Question 28

What is the purpose of the Vitamin K injection for the neonate?

Answer 28

prophylaxis to decrease the risk of bleeding related to vitamin K deficiency

Question 29

What is considered appropriate weight loss for an infant in the first week of life?

Answer 29

Newborns usually lose **5 to 10% of birth weight** during the first week of life due to diuresis.

Question 30

What newborn assessment is used to assess for congenital hip dislocation?

Answer 30

Barlow’s and Ortolani’s maneuvers

Question 31

What is the newborn change in **stools** for the first 4 days?

Answer 31

Day 1 = one stool Day 2 to 4 = three stools

Question 32

What is the newborn change in urine output in the first 4 days

Answer 32

Day 1 = one wet diaper Day 2 = two wet diapers Day 3 = five to six wet diapers Day 4 = six wet diapers

Question 33

By what day does meconium stool usually change to transitional greenish black/brown?

Answer 33

Day 3