Physical Assessment of Newborn

Question 1

newborn

Answer 1

0- 28 days

Question 2

Ballard Score

Answer 2

to asses gestational maturity of newborn.

Question 3

APGAR

Answer 3

Activity, Pulse, Grimace(reflex irritability), Appearance(skin color), Respiration, highest point is 2

Question 4

a newborn should be birth weight by how many weeks?

Answer 4

2

Question 5

visual and hearing for 1 month old

Answer 5

can focus 8-12 inches away, eyes wander, black and white, hearing is mature, turns toward familiar sounds

Question 6

how big are Anterior Fontanels and what shape

Answer 6

2-3cm-diamond shape

Question 7

how big are posterior fontanels and what shape

Answer 7

1 cm, triangular shaped

Question 8

when do posterior fontanels close?

Answer 8

by 1-2 months

Question 9

caput succedaneum, what is it and when does it go away?

Answer 9

edema of fetal scalp that crosses suture lines, swelling reabsorbs within 1-3 days

Question 10

cephalohematoma, what is it and when does it go away?

Answer 10

blood between the periosteum and skull of newborn. reabsorbs within weeks-months

Question 11

Micro/macrocephaly, what is it and what virus can cause this?

Answer 11

abnormally small/large head, zika virus is a concern with this

Question 12

will a newborn have the red reflex?

Answer 12

yes

Question 13

cephalohematoma complications

Answer 13

defective blood clotting, skull fracture, jaundice

Question 14

when does a cephalohematoma appear?

Answer 14

AFTER birth

Question 15

Caput vs Hematoma

Answer 15

Edema/blood collection

Question 16

head circumference should be taken how many times during visit?

Answer 16

3, take the highest of all 3

Question 17

what happens to the Philtrum with fetal alcohol syndrome?

Answer 17

its flat

Question 18

Is it normal for newborns to have nipple discharge?

Answer 18

yes

Question 19

normal heart sounds on a newborn?

Answer 19

S1, split S2, no murmurs

Question 20

where is PMI located on a newborn?

Answer 20

4th ICS

Question 21

SBP for newborn

Answer 21

<96

Question 22

newborn umbilical cord consists of which 3 vessels?

Answer 22

2 arteries, 1 vein

Question 23

liver diameter on newborn?

Answer 23

1-2 cm

Question 24

are testes in scrotal sac with newborn?

Answer 24

yes

Question 25

do you retract foreskin?

Answer 25

no

Question 26

when are umbilical hernias repaired?

Answer 26

5 year old

Question 27

if clitoris is enlarged what are you concerned for?

Answer 27

thyroid

Question 28

Babinski reflex

Answer 28

dorsiflexion of great toe when sole of foot stimulated

Question 29

when does babinski disapear

Answer 29

up to 2 yrs old

Question 30

moro reflex

Answer 30

rapid abduction and extension of arms then adduction of arms

Question 31

rooting reflex

Answer 31

infant turns mouth toward stimulus when cheek is stroked

Question 32

tonic neck reflex

Answer 32

ipsilateral extension and contralateral flexion of infants extremities when head is turned to one side (arm goes out when head turned to that side, opposite knee goes up)