Exam (elaborations)
Newborn Assessment Questions & Detailed Answers
- Course
- Newborn assessment
- Institution
- University Of Pennsylvania
Newborn Assessment Questions & Detailed Answers
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Newborn Assessment Questions & DetailedAnswers
Initial assessment of the newborn is performed at these time increments
1 minute, 5 minutes, within 2 hours, at discharge. Also ongoing while admitted.
The general appearance of the newborn is generally:
Large head
Prominent abdomen
Rounded chest with center of the body at the umbilicus
Flexed position.
How long should you could breathe and HR of a newborn during the head to toe
assessment?
1 min
Lanugo
fine, soft hair, especially that which covers the body and limbs of a human fetus or
newborn.
Physical maturity characteristics measured to determine gestational age
Resting posture
Skin appearance
Amount of lanugo
Development of plantar creases
Amount of breast bud tissue
Recount of the pinna and cartilage development
Development of the genitalia
Physical characteristics of the newborn are (objective/subjective) and (are/are not)
affected by labor and birth
,Objective
Are not
Neuromuscular characteristics of the newborn are not impacted by the birthing
process (T/F?)
False- these can be impacted by interventions during birthing process like
anesthesia or analgesia provided to the mom within 4 hours of birth, and by C
section or use of forceps or vacuum extraction
What should you do if the neuromuscular assessment and physical assessment of
the newborn are vastly different?
Complete a second neuromuscular assessment in 24 hours
Square window sign
Elicited by gently flexing the newborns hand toward the ventral forearm until
resistance is felt. The angle formed at the wrist is measured to assess gestational
age.
popliteal angle
Determined with the newborn flat on his back, flex the thigh on the abdomen and
chest and extend the lower leg till resistance is met, measure angle.
scarf sign
Drawing an arm across the chest toward the newborn's opposite shoulder until
resistance is met. Preterm will cross the midline of the chest, full term will not
cross midline.
Heel-to-Ear extension
, Gentlely drawing foot toward ear on the same side until resistance is felt. Knee can
bent during test. Assess proximity of closesness. With advancing gestational age
more resistance is felt.
What are the reflexes assessed of a newborn?
Moro
Sucking
Rooting
Babinski
Moro reflex
Infant reflex where a baby will startle in response to a loud sound or sudden
movement.
sucking reflex
Reflex that causes a newborn to make sucking motions when a finger or nipple if
placed in the mouth
rooting reflex
a baby's tendency, when touched on the cheek, to turn toward the touch, open
the mouth, and search for the nipple
Babinski reflex
Reflex in which a newborn fans out the toes when the sole of the foot is touched
What neuromuscular characteristics are assessed to determine infant maturity
Square window
Recoil of arms and legs
Popliteal angle
Scarf sign
Heel to ear extension
Ankle dorsiflexion
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