NUR 114 Exam 1 – Newborn Review Questions and Correct Answers
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Course
NUR 114
Institution
NUR 114
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...
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
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
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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