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NUR 114 Exam 1 – Newborn Review Questions and Correct Answers
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What is the first thing done once a baby is born? maintaining thermoregulation -dry off -place under warmer -hat on head -wrap in blanket How does a neonate regulate temperature? brown fat = adipose tissue that generates heat -neonates don't have shivering thermogenesis What is cold stress? hypot...

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  • September 9, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nur 114 exam 1 newborn review questions and corr
  • what is the first thing done once a baby is born
  • how does a neonate regulate temperature brown fa

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  • NUR 114
  • NUR 114

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NUR 114 Exam 1 – Newborn Review
Questions and Correct Answers
What is the first thing done once a baby is born? ✅maintaining thermoregulation
-dry off
-place under warmer
-hat on head
-wrap in blanket

How does a neonate regulate temperature? ✅brown fat = adipose tissue that
generates heat
-neonates don't have shivering thermogenesis

What is cold stress? ✅hypothermia
-newborns burn energy to maintain heat when exposed to cooler temps

-blood sugar drops (hypoglycemia)
-resp distress = ↑ oxygen needs (tachypnea)
-risk for jaundice
-↓ surfactant
-metabolic acidosis

What is normal blood sugar for neonates? ✅>40

What is normal neonate respiratory rate? ✅40-60

How is cardiorespiratory function maintained? ✅crying baby = breathing baby
-wipe face, nose, mouth
-suction mouth completely before nose
-cord clamp 1 in. From stump

How do neonates breathe? ✅obligatory nose breathers
Abdominal muscles

What is acrocyanosis? ✅cyanosis of hands and feet
-somewhat normal

What are the signs of respiratory distress in infants? Gfr ✅g- grunting
F- flaring
R- retraction (substernal/intercostal)

-persistent cyanosis

, -tachypnea >60
-hr >160 or <110
-cyanosis/acrocyanosis
-seesaw resp (chest falls, abd rises vice versa)
-asymmetry

Apgar scores ✅1.) Skin/appearance
0= blue or pale all over
1= blue at extremities (acrocyanosis)
2= no cyanosis, pink

2.) Pulse
0= absent
1= < 100
2= > 100

3). Reflex
0= no rxn
1= low reaction
2= pulls away/reacts

4.) Muscle tone
0= none
1= some flexion
2= flexed position: head, knees, arms to chest

5.) Respiratory effort
0= none
1= weak, irregular
2= strong, steady cry

What is the apgar scoring system? ✅scoring system assessing status of a newborn for
abnormalities at 1 min after birth & 5 minutes
-assigned 0, 1, or 2
1. Heart rate
2. Rr effort
3. Muscle tone
4. Reflex
5. Skin color
-scores 7-10 = good

Where/how is the heart rate assessed (for apgar)? ✅umbilical stump
6sec x 10

What is the immediate care given at birth? ✅1. Observe urinary/bowel function
-meconium

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