OB: Newborn Assessment & Nursing Care UPDATED Actual Exam Questions and CORRECT Answers
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OB: Newborn Assessment
Institution
OB: Newborn Assessment
OB: Newborn Assessment & Nursing Care
UPDATED Actual Exam Questions and
CORRECT Answers
What is the nursing care of the neonate in the first 4 hours of life? - CORRECT
ANSWER- •Universal precautions
•D-A-B-C
•Temperature Regulation
•Support respirations
•Apgar score
•Vital si...
OB: Newborn Assessment & Nursing Care
UPDATED Actual Exam Questions and
CORRECT Answers
What is the nursing care of the neonate in the first 4 hours of life? - CORRECT
ANSWER✔✔- •Universal precautions
•D-A-B-C
•Temperature Regulation
•Support respirations
•Apgar score
•Vital signs
•Identification
•Measurements/Classification
•Neonatal assessment
•Gestational age assessment
•Administer medications (Vitamin K, E-mycin opthalmic ointment, hepatitis B)
•Labs
•Bath
•Establish feeding
Promote parent- infant attachment
How do we dry and stimulate a newborn at delivery? - CORRECT ANSWER✔✔- •If stable
may be done on maternal abdomen
•Head first then body
•Promotes warmth and respirations
•Remove wet linens
•Cover with warm dry blankets and hat
How do we promote skin to skin after delivery? - CORRECT ANSWER✔✔- •Newborn
placed directly on maternal abdomen after delivery
•Kangaroo reflex- mom increases her temp until newborn's temp normalizes
,•Olfactory stimulation so newborn can find nipple
When using a bulb syringe to clear a newborn's airway, do you clear the nares or mouth first?
- CORRECT ANSWER✔✔- Mouth 1st, nares 2nd.
Mouth is always suctioned first because neonate may gasp and draw secretions into airway if
you suction the nose first.
An APGAR of _____ or above =good. - CORRECT ANSWER✔✔- 7
APGAR scores are done at ___ and ____ minutes after birth. - CORRECT ANSWER✔✔- 1
and 5
APGAR scores need to be repeated if baby has a score less than _____. - CORRECT
ANSWER✔✔- 7
How do we prevent/treat cold stress in newborns? - CORRECT ANSWER✔✔- •Keep
newborn warm or rewarm newborn
•Skin-to-skin contact
•Radiant warmer
•Warm blankets
•Increase room temperature
•Keep newborn dry
•Avoid exposure to cold surfaces
•Warm hands
•Pre-warm surfaces
The BEST way to warm up a baby is: - CORRECT ANSWER✔✔- Skin to skin with mom
, What is average weight of a newborn? - CORRECT ANSWER✔✔- 2500-4000g (5 lbs. 8
oz.- 8 lbs. 13 oz.)
True or false: In the first 3-4 days of life baby may lose up to 10% of birth weight. -
CORRECT ANSWER✔✔- True! This is totally normal.
What is the average length of a newborn? - CORRECT ANSWER✔✔- 18-22 inches (48-52
cm)
They will grow about 1 inch a month for first six months of life.
What is a normal temperature for a newborn? Where do we obtain a temp? - CORRECT
ANSWER✔✔- 36.5-37.2 C (97.7-99 F)
Axillary
What is a normal respiratory rate for a newborn? - CORRECT ANSWER✔✔- 30-60
True or false: Irregular respirations are common in a newborn. - CORRECT ANSWER✔✔-
True, various factors affect the rate. Periodic breathing is common and may last up to 20
seconds. They are primarily diaphragmatic breathers.
What is a normal pulse in a newborn? - CORRECT ANSWER✔✔- 110-160 and irregular
ALWAYS count for 1 full minute
It is common to hear a murmur that should go away within a few days.
What is the purpose of administering erythromycin eye ointment to a newborn? - CORRECT
ANSWER✔✔- Legally required for prevention of gonorrhea and chlamydia ophthalmic
infections within the first hour of life
What is the purpose of administering Vitamin K to a newborn? - CORRECT ANSWER✔✔-
Prevention of hemorrhage
Lacks gut bacterial flora necessary for synthesizing vitamin K
MUST get this if the family wants circumsicion.
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