Newborn And Young Infant Assessment

Front 1

Part of the health assessment of a newborn is observing it's breathing pattern.

breathing should be..

Back 1

abdominal with synchronous chest movements.

Breathing is shallow an irregular

Front 2

Breathing with nasal flaring is a sign of

Back 2

respiratory distress

Front 3

Diaphragmatic breathing with chest retraction is a sign of

Back 3

respiratory distress

Front 4

the average apical pulse range for a quiet and alert newborn is

Back 4

120-160 bpm

Front 5

a newborns heart while sleeping may be

Back 5

85-100 bpm

Front 6

a typical heart rate when an infant cries is

Back 6

150-180

Front 7

a newborn is placed under a radiant heat warmer because the newborn is susceptible to..

Back 7

cold stress

Front 8

cold stress results in

Back 8

increased respiratory rate and vasoconstriction

Front 9

a Mongolian spot is

Back 9

a bluish area that may appear over any part of the infants body. It is more commonly noted on the back and buttocks of African, Latin American, Mediterranean or asian

Front 10

Lanugo is

Back 10

fine downy hair seen on a term newborn

Front 11

a vascus nevus commonly called a strawberry mark

Back 11

is a type of capillary hemangioma.

Front 12

a nevus flammeus commonly called a port wine stain is

Back 12

frequently found on the face.

Front 13

while examining the newborn the nurse notices uneven skin folds on the buttocks and a click when performing the ortolani maneuver the nurse recognizes this to be

Back 13

hip dysplasia

Front 14

polydactyly

Back 14

is the presence of extra digits

Front 15

taplipis equanovaris

Back 15

is club foot deformity when the foot turns inward and is fixed in a plantar flexion position.

Front 16

syndactyly

Back 16

is webbed fingers or toes

Front 17

acrocyanosis

Back 17

a temporary condition when the babies hands and feet are blue, it's normal and appears intermittently over the first 7-10 days

Front 18

acrocyanosis is causes by

Back 18

vasomotor instability, capillary stasis and a high hemoglobin level

Front 19

Erythema toxicum also called erythema neonactorim

Back 19

is a transient newborn rash that resembles fleabites

Front 20

the harlequin sign is a

Back 20

is a benign transient color change in newborns half the body is pale and the other is ruddy or bluish red with a line of demarcation

Front 21

vernix caseosa

Back 21

is a cheese like whitish substance that serves as a protective coating

Front 22

the nurse assessing the newborn knows that the most critical physiologic change required is

Back 22

initiation and maintenance of respirations

Front 23

the cardiovascular system changes markedly after birth as the result of

Back 23

fetal respiration

Front 24

respiration of the new born

Back 24

reduces pulmonary vascular resistance to the pulmonary blood flow and initiates a chain of cardiovascular changes that support the cardiovascular system

Front 25

the infants relies on what kind of immunity for the first three months of life?

Back 25

passive immunity (from the mother-breast feed)

Front 26

After establishment of respirations _________ is critical to newborn survival

Back 26

heat regulation

Front 27

how much can the newborn see?

Back 27

infants can track their parents eyes and distinguish complex patterns, they prefer complex patterns, the clearest distance for newborns is 19cm

Front 28

infants prefer to look at

Back 28

complex patterns regardless of color

Front 29

moro reflex

Back 29

Allow head to fall or startle with abrupt noise.

symmetric abduction and extension of arms are seen, fingers fan out and form a C with thumb and forefinger, slight tremor may be noted are adducted in embracing motion and return to returned to a relaxed flexion and movement. A cry may accompany or follow motor movement, legs may follow similar pattern of response.

Front 30

Glabellar reflex

Back 30

tapping the infants head while eyes are open, characteristic response is blinking for the first few taps

Front 31

Babinski reflex

Back 31

occurs when the sole of the foot in stroked upward along the lateral aspect of the sole of the foot and across the ball of the foot. A positive response occurs when all the toes hyperextend with dorsiflexion of the big toe

Front 32

a newborn rash that resembles flea bites

Back 32

erythema toxicum-normal finding

Front 33

meconium

Back 33

black sticky stuff, baby's first stool. It's normal

Front 34

transitional stool

Back 34

greenish brown to yellowish brown, appears third day after initial feeding

Front 35

the transition period between intrauterine and extrauterine lasts

Back 35

lasts 28 days

Front 36

the transition period has three phases

Back 36

first reactivity, decreased response and second reactivity

Front 37

first phase of transition

Back 37

lasts no longer than 30 minutes, marked by spontaneous tremors, crying and head movements, includes the passage of meconium. the newborn also produces saliva

Front 38

the first breath

Back 38

is an exaggerated respiratory movement within one minute of birth

Front 39

newborns expel fluid for the

Back 39

first hour of life

Front 40

newborn are natural ______ breathers

Back 40

nose, they might not have mouth breathing response to nasal blocking for 3 weeks

Front 41

seesaw respirations

Back 41

are not normal instead of normal abdominal respirations and should be reported

Front 42

the newborns thin chest wall allow for

Back 42

point of maximum impulse to be visible

Front 43

heart murmurs through the first few days of life have

Back 43

no pathologic significance

Front 44

persistent tachycardia may indicate

Back 44

respiratory distress syndrome

Front 45

bradycardia may be a sign of

Back 45

congenital heart blockage

Front 46

an early wbc count is ....

Back 46

normal at birth and should decrease rapidly

Front 47

a platelet count is essentially

Back 47

the same for newborns and adults

Front 48

delayed clamping of the cord

Back 48

results in an increase in hemoglobin and rbc count

Front 49

if the infant gets cold the respiratory rate may

Back 49

rise to stimulate muscular activity to generate heat

Front 50

in regards to the renal system the pediatrician should be notified if the newborn

Back 50

has not voided in 24 hours

Front 51

brick dust or blood on the diaper

Back 51

may be uric acid crystals, blood spotting could be caused by withdrawal of maternal hormones. normal

Front 52

regurgitation from the first day or two

Back 52

may be reduced by burping the infant and slightly elevating the babies head

Front 53

jaundice in the first 24 hours or after 7 days

Back 53

should be cause for concern

Front 54

breast fed babies have an increased incidence of

Back 54

jaundice

Front 55

a collection blood between bone and periosteum and may occur after

Back 55

cephlahematoma-a vaginal birth

Front 56

cephlahematoma usually disappears over

Back 56

2-3 weeks

Front 57

the visual system continues to develop for the first

Back 57

6 months

Front 58

petechiae scattered over the infants body

Back 58

should be reported to the pediatrician because it may indicate an underlying problem

Front 59

one reason the brain is vulnerable to deficiencies and trauma in early infancy

Back 59

cerebellum growth spurt

Front 60

newborns cheeks are full because

Back 60

of overdeveloped sucking pad

Front 61

the apgar scale is performed

Back 61

twice 1 minute and 5 minutes after birth

Front 62

ilotrycin opthalmic ointment is

Back 62

is put in baby's eyes to prevent gonorrheal and chlamydial infection it's installed in the eyes of all neonates prophylactically

Front 63

a flexed posture is

Back 63

consistent of a gestational age of 40 weeks

Front 64

abundant laguno is usually seen

Back 64

on preterm infants

Front 65

new born is receiving phototherapy via uv light the nurse would put

Back 65

eye shields over the newborns closed eyes

Front 66

under the phototherapy light the infant

Back 66

should be turned every two hours

Front 67

after circumcision how are the parents taught to take care of the infant

Back 67

clean the penis with water and put petroleum jelly around the glans

Front 68

yellow exudate covers the glans penis

Back 68

24 hours after circumcision

Front 69

when a nurse is getting to give a hep b vaccine it should be admin with

Back 69

a 25 gauge syringe and a 5/8 inch needle

Front 70

at apgar score of 10 one minute after birth indicates

Back 70

sign of a healthy adaption but must be repeated at the five minute mark

Front 71

with regard to umbilical care the nurse should be aware

Back 71

that the umbilical cord is a great medium for bacterial growth

Front 72

if the umbilical cord is bleeding the nurse should

Back 72

first check the clamp or tie and apply a second one. if the bleeding does not stop the nurse calls for assistance

Front 73

during the complete physical exam 24 hours after birth the nurse will be looking at

Back 73

skin color, alertness, head size, cries and other feature

Front 74

when the nurse listens to the heart s1 and s2

Back 74

the second sound is higher and sharper than the first

Front 75

the nurse notices the infant has excess saliva and knows this may be a sign of

Back 75

tracheoesophageal fistula or esophageal atresia

Front 76

for better breathing and to prevent sids

Back 76

lay baby on back, prevent people with upper respiratory infections from contact w/baby, avoid loose bedding, waterbeds and beanbag chairs, and put baby in supine position

Front 77

before suctioning the nares of the infant

Back 77

the mouth should be suctioned first

Front 78

the syringe bulb should

Back 78

remain in the crib

Front 79

if baby is indicating physiologic or pain cues

Back 79

swaddling, non nutritive sucking, skin to skin contact with mother, and sucrose

Front 80

the umbilical cord should fall off by

Back 80

10-14 days

Front 81

the nurse is performing blood glucose test on a newborn born to a diabetic mother

Back 81

every 4 hours

Front 82

nurse will be concerned if bg falls below

Back 82

36 mg/dl