What is the normal range for a newborn's heart rate? Temp? respirations?
a. HR: 80-120, T: 97.4-97.7; Resp: 12-20
b. HR: 110-160, T: 97.7-99.5; Respirations: 30-60
c. HR: 100-150; T: 97.0-98.0; Resp: 20-40 - b. HR: 110-160, T: 97.7-99.5; Respirations: 30-60
The "First Period of Reactivity" begins after delivery and lasts approximately
a. 30 min
b. 2hrs
c. 8hrs - a. 30 min
The most critical step in newborn transition from intrauterine to extrauterine life is:
a. Increase in HR
b. Initiation of respirations
c. First meconium stool - b. Initiation of respirations
A way to prevent neonatal heat loss from conduction would be to:
a. Move the bassinette away from the window
b. Put a blanket on the scale prior to weighing
c. Put a cap on baby's head immediately after delivery. - b. Put a blanket on the scale prior to weighing
Pathologic jaundice may be:
a. Present at birth
b. Only in preemies
c. Seen after 24hrs of life - a. Present at birth
Vitamin K must be given to infants within one hour after birth because:
,a. An infant's gut is sterile
b. It is the first immunization on the newborn schedule
c. It is necessary to produce first stool - a. An infant's gut is sterile
When should an APGAR score be assessed in a newborn?
a. Within first 12 hours of life
b. Prior to discharge home
c. At 1 minute and 5 minutes after birth - c. At 1 minute and 5 minutes after birth
A caput succedaneum:
a. Should be worn immediately after delivery
b. Does not cross cranial suture lines
c. Crosses cranial suture lines - c. Crosses cranial suture lines
What is the purpose of the Newborn Screen before the infant is discharged home?
a. It screens for potential child abuse
b. It screens for genetic metabolic diseases
c. It screens for potential breastfeeding success. - b. It screens for genetic metabolic diseases
Which reflex is stimulated on an infant's foot?
a. Moro
b. Galant
c. Babinski - c. Babinski
Newborns are most susceptible to cold stress in the period shortly after birth.
TRUE or FALSE? - TRUE
Nonshivering thermogenesis results in heat production for the newborn by:
A. releasing glycogen from the liver.
,B. increasing muscle activity.
C. producing vasoconstriction.
D. metabolizing brown fat. - D. metabolizing brown fat.
A newborn placed by a nursery door in an open crib is subjected to cool air currents each time the door
is opened. This produces heat loss primarily by:
a. radiation.
b. evaporation.
c. convection.
d. conduction. - c. convection.
Hypothermia increases the newborn's risk for hypoglycemia, jaundice and sepsis.
TRUE or FALSE? - TRUE
Which of the following is considered a normal newborn axillary temperature, according to guidelines of
the World Health Organization?
a. 37.8°C (100°F)
b. 36.5°C (97.7°F)
c. 36.2°C (97.1°F)
d. 35.6°C (96°F) - b. 36.5°C (97.7°F)
Heat loss by evaporation is most effectively prevented by:
A. keeping the newborn's crib away from a cold wall.
B. warming the surface of the scale before placing the newborn on it.
C. thoroughly drying the newborn immediately after birth.
D. putting a T-shirt and diaper on the newborn. - C. thoroughly drying the newborn immediately after
birth.
Skin-to-skin contact with the mother is an effective way to prevent cold stress for the healthy, term
newborn.
, TRUE or FALSE? - TRUE
Preterm newborns are at high risk for cold stress due to all of the following EXCEPT:
A. high ratio of surface area to body mass.
B. immature temperature-control mechanisms.
C. poor muscle tone.
D. increased glycogen stores. - D. increased glycogen stores.
The priority intervention for a healthy, term newborn with mild hypothermia is to:
A. put an extra blanket over the newborn in the open crib.
B. feed 2 ounces of glucose water.
C. re-warm slowly in an incubator or radiant warmer.
D. do nothing, and re-check the temperature in one hour. - C. re-warm slowly in an incubator or radiant
warmer.
Hypothermia in the newborn results in which of the following physiologic changes?
A. Increased oxygen needs and decreased metabolic rate
B. Increased oxygen needs and metabolic rate
C. Decreased oxygen needs and increased metabolic rate
D. Decreased oxygen needs and metabolic rate - B. Increased oxygen needs and metabolic rate
Spontaneous recovery of arm function following BPI is most likely with which of the following types of
nerve injury?
a. rupture
b. avulsion
c. neuropraxia
d. neuroma - c. neuropraxia
The most common type of BPI is Erb's palsy.
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