Week 05

Question 1

newborn care equipment and supplies

Answer 1

• cord clamp
• bulb syringe
• infant warmer with timer
• warmed blankets and infant hat
• medications
• syringes and needles
• ID bracelets
• infant scale
• tape measure
• thermometer
• infant BP cuff
• pulse oximeter
• stethoscope
• O2 source
• suction

Question 2

immediate newborn assessment

Answer 2

airway, breathing, circulation, thermorgluation

Question 3

circulation

Answer 3

• can immediately assess FHR by palpating at the base of the cord
• trunk and lips should be pink

Question 4

thermoregulation

Answer 4

• convection: dry infant
• radiation: window and walls
• conduction: surface
• evaporation: dry infant

Question 5

APGAR

Answer 5

• appearance (color)
• pulse (HR)
• grimace (reflex irritability)
• activity (muscle tone)
• respiratory effort

Question 6

APGAR score: appearance- blue or pale

Answer 6

0

Question 7

APGAR score: appearance- body pink, hands/feet blue

Answer 7

1

Question 8

APGAR score: appearance- completely pink

Answer 8

2

Question 9

APGAR score: pulse- absent

Answer 9

0

Question 10

APGAR score: pulse- <100 BPM

Answer 10

1

Question 11

APGAR score: pulse- >100 BPM

Answer 11

2

Question 12

APGAR score: grimace- no responce to stimulation

Answer 12

0

Question 13

APGAR score: grimace- no change in crying with stimulation

Answer 13

1

Question 14

APGAR score: grimace- good cry and active movement with stimulation

Answer 14

2

Question 15

APGAR score: activity- flaccid

Answer 15

0

Question 16

APGAR score: activity- some flexion of extremities

Answer 16

1

Question 17

APGAR score: activity- well flexed

Answer 17

2

Question 18

APGAR score: respiratory effort- absent

Answer 18

0

Question 19

APGAR score: respiratory- slow, weak cry

Answer 19

1

Question 20

APGAR score: respiratory- good cry

Answer 20

2

Question 21

newborn RR

Answer 21

30-60

Question 22

newborn HR

Answer 22

110-160

Question 23

newborn temp

Answer 23

97.7-99.4

Question 24

newborn vital signs

Answer 24

RR, HR, temp, weight, head/chest/abdominal circumference

Question 25

ID bracelets

Answer 25

- 4: 1 mother, 1 support person, 2 infant - placed before leaving the delivery room

Question 26

security alarm is checked..

Answer 26

every shift

Question 27

slick sheet

Answer 27

infants feet prints and mothers finger prints placed on sheet

Question 28

erythromycin

Answer 28

- conjunctivitis in infants causes blindness - apply in the first hour after delivery - dry eyes, apply from inner canthus to outer

Question 29

vitamin K

Answer 29

- 0.5 mg IM injection within 1 hour after delivery - infants do not produce enough - inadequate supply in breast milk

Question 30

hep B vaccine

Answer 30

- can be refused before discharge - mother with hep B, infant has to receive shot

Question 31

amount of wet diapers and BM per day

Answer 31

- 6-8 wet diapers - 3 BMs

Question 32

breastfeeding contrainsications

Answer 32

HIV, chemo (methotrexate), litium, TB, herpes on breast, varicella, hep B and C, drug abuse, exposure (isotopes), infants with galactosemia

Question 33

bathing a newborn considerations

Answer 33

- check temp before and after bath - wait until 12 hours old - hospital policy determines location - cold stress

Question 34

additional newborn care

Answer 34

- blood glucose monitoring - temperature - swaddled - circumcision - CCHD - phenol ketone urea (PKU)

Question 35

car seat safety considerations

Answer 35

- car seat test - positive asphyxiation - over the bone - pinch test - rear facing for 2+ years

Question 36

ABCs of sleep

Answer 36

- alone - back - crib - danger

Question 37

how long do you have to administer vitamin K and erythromycin after birth

Answer 37

1 hour

Question 38

after birth listen to _ & _ for how long

Answer 38

lungs and apical heart rate for 1 minute

Question 39

where is vitamin K administered

Answer 39

half-way point between side of thigh and top of thigh

Question 40

when APGAR is less than score of 5 check again when

Answer 40

now and 5 mins

Question 41

at what HR is O2 given

Answer 41

160

Question 42

at what HR is CPR started

Answer 42

60