The Normal Newborn

Question 1

The fetus exists in a unique environment that provides for what?

Answer 1

Gas exchange
Warmth
Protection
Hydration and Nutrition

Question 2

Throughout 40 wks of gestation, what movements does the fetus exhibit?

Answer 2

Breathing, swallowing, flexion/extension, thumb sucking

Question 3

The theory that such a memory prepares for acquisition of important survival skills needed ex-utero

Answer 3

Fetal Memory

Question 4

This encourages preparation for survival skills outside the womb

Answer 4

Practice Function

Question 5

When does fetal breathing begin?

Answer 5

10-11 wks AOG

Question 6

Eye movements of the fetus inside the womb

Answer 6

REM and non-REM

Question 7

True or False: It is very difficult to know if the baby is asleep inside the womb

Answer 7

True

Question 8

From what does the fetus develop its auditory memory?

Answer 8

Mother’s speech and heartbeat

Question 9

True or False: Mother’s diet affects the flavor of the breast milk only.

Answer 9

False. It also affects the flavor of the amniotic fluid

Question 10

When are risk factors for newborns usually best described (also considered a perinatal period)

Answer 10

28 days up to 2 months

Question 11

Fetal Memory includes…?

Answer 11

Auditory Memory
Gustatory Learning
Olfactory Learning

Question 12

Fetal Circulation

Answer 12

Oxygenated blood from mother -> umbilical veins -> ductus venosus -< IVC -< right side of heart -> shunt to ductus arteriosus -> aorta

Question 13

After delivery, what happens to fetal lung fluid?

Answer 13

Leaves alveoli

Question 14

After delivery, what happens to pulmonary arterioles

Answer 14

Dilate

Question 15

After delivery, what happens to blood oxygen levels?

Answer 15

Increase

Question 16

Where does the blood go after the ductus arteriosus closes up post-delivery?

Answer 16

Lungs

Question 17

What happens to the vessels in the lung tissue after delivery?

Answer 17

Relaxes

Question 18

How long after delivery before the baby undergoes resuscitation?

Answer 18

30 seconds

Question 19

What can you quickly check for after calling out the time of birth and drying the baby post-delivery?

Answer 19

Breathing and Tone (basis for resuscitation within 30 sec if not ok)

Question 20

True or False: PE is a bigger priority than Breastfeeding

Answer 20

False

Question 21

Normal Respiratory Rate

Answer 21

40-60 breaths/min

Question 22

Normal Heart Rate

Answer 22

100-160 bpm

Question 23

Categorizations of Growth

Answer 23

SGA, LGA, AGA

Question 24

Percentile range within which a newborn is considered AGA

Answer 24

10th to 90th

Question 25

Percentile range within which a newborn is considered SGA

Answer 25

<10th

Question 26

Percentile range within which a newborn is considered LGA

Answer 26

>90th

Question 27

An LGA may be indicative of what?

Answer 27

Diabetic mother whose metab. disorder takes a toll on her, while at the same time she was having hyperglycemia,heart disease, glucose handling problems

Question 28

What is the range of human hearing?

Answer 28

500-900 Hz

Question 29

True or False: Newborns respond to higher-pitched sound

Answer 29

True

Question 30

True or False: You must talk to the newborn all the time.

Answer 30

False. This could result in habituation.

Question 31

How are babies affected by Handling?

Answer 31

If the baby is handled unsurely/hesitantly, it will sense this and not feel safe with the handler.

Question 32

How are babies affected by Containment?

Answer 32

Babies are used to life in utero where they stretch out their limbs and meet resistance. This is why they like being wrapped in blankets. This goes hand-in-hand with Swaddling

Question 33

Approximate capacity of the newborn stomach

Answer 33

5-7 mL

Question 34

For how long are babies' circadian rhythms not yet set?

Answer 34

6-8 weeks

Question 35

How should the mouth, lower lip, chin, and sucking be during proper breastfeeding?

Answer 35

Mouth - open wide Lower lip - turned outwards Chin - in contact with mother's breast Sucking - slow, deep, with some pauses

Question 36

What is the Unang Yakap advocacy in preventive interventions?

Answer 36

Breastfeeding. It is the only preventive intervention with a 2-digit percentage reduction in child mortality. Yet, not enough emphasis is being given to it.

Question 37

How many out of 4 newborns die within the 1st week of life?

Answer 37

3 out of 4

Question 38

True or False: Waiting long after delivery to breastfeed does not increase the risk of infection

Answer 38

False. The longer you wait, the more you increase the risk of infection.

Question 39

What is EO 51?

Answer 39

The Milk Code: Physicians must NOT accept or request any gifts or pubmats from milk companies for endorsement