Maternal Newborn Exam 3 Questions with
Accurate Answers
acrocyanosis correct answer - bluish tint to the hands and feet, particularly when
cold, due to immature circulation
-care considerations: a common normal finding during the first 7-10 days
postpartum
acute bilirubin encephalopathy? (ABE) correct answer lethargic, fever, irritability,
jittery, hypotonia (arching of back/neck, poor apnea, seizures, increased pitched
cry)
AGA infants correct answer appropriate for gestational age
-between the 10th and 90th percentiles
-presumed to have grown at a normal rate
atrial septal defect correct answer a hole in the wall between the atria
-occurs most commonly at the foramen ovale which is part of the fetal circulation
that usually closes at birth
-an atrial septal. defect, when it occurs independently of other congenital defects
creates a left to right shunt
babinski reflex correct answer when an infants foot is stroked along the lateral
aspect and then across the ball of the foot, the toes fan outward (toes flex up to 2
years of age)
bilirubin-induced neurologic dysfunction? (BIND) correct answer crosses the
blood brain barrier
,Care for a newly circumsized infant? correct answer -Petroleum jelly on diaper,
NOT directly on the penis
-Monitor for S/S of infection
-Gauze replaced every 3-5 days
-Yellow crust can develop and should not be wiped off
-Blood of the size of quarter or lack of urination should be reported
-do not wash with soapy water, alcohol, or peroxide
cystic fibrosis correct answer an autosomal recessive, multisystem disease
-one allele (H) carries the normal gene
-other allele (h) carries the defect gene
-need both defective genes to get the disease
describe the breathing pattern of the newborn correct answer -pauses (less than
20 seconds) apnea
-fine crackles (rales) in the 1st few hours
-transient period of tachypnea
developmental dysplasia of the hips correct answer -hip is easy to dislocate on
exam
-occurs more often in females in breech position and those with family history
Do's for NAS baby correct answer -swaddle with legs flexed
-position infants hands midline with arms at the side
,-carry infant in flexed position (use soft pack)
-introduce 1 stimuli at a time
-watch their gaze (time outs)
-rock in slow, rhythmic fashion
-offer pacifiers
-sitting position with chin tucked down for feedings
-small amounts of feedings at a high frequency
Dont's for NAS baby correct answer -extra stimulation
-eye contact/talking with baby during feeding
early signs and symptoms of infection? correct answer -lethargic
-poor feeders
-vomiting
-diarrhea
-pale
-modeled skin
-changes in their HR or RR
-any type of rash
erthythema toxicum neonatorum correct answer - a red rash with white papules
and red macules that may occur over any part of the body but most commonly
occurs on the trunk
-care considerations: appears between 24 hours and 2 weeks postpartum, benign,
may last up to 3 weeks, does not appear to be uncomfortable for the infant, no
treatment is indicated
, extrusion correct answer when the tip of the tongue is touched, the infant sticks
out the tongue
galactosemia correct answer cannot turn galactose into glucose and instead it
turns it into galactitol which kills the liver and can give you cataracts
-remove breast milk from diet, give soy milk
how do infants produce heat? correct answer by metabolizing brown fat stores
how do we measure bilirubin levels in baby? correct answer transcutaneous scan
of baby forehead to see what levels are
How do you correctly suction an infant with the bulb syringe? correct answer
suction mouth first then nose
How does an infant with hypothermia appear? correct answer -Cool to touch
-Display acrocyanosis
-Pale, mottled, cyanotic, & cool to touch
How is a fractured clavicle treated? correct answer heals spontaneously with no
long term consequences
-handle the newborn with care
Accurate Answers
acrocyanosis correct answer - bluish tint to the hands and feet, particularly when
cold, due to immature circulation
-care considerations: a common normal finding during the first 7-10 days
postpartum
acute bilirubin encephalopathy? (ABE) correct answer lethargic, fever, irritability,
jittery, hypotonia (arching of back/neck, poor apnea, seizures, increased pitched
cry)
AGA infants correct answer appropriate for gestational age
-between the 10th and 90th percentiles
-presumed to have grown at a normal rate
atrial septal defect correct answer a hole in the wall between the atria
-occurs most commonly at the foramen ovale which is part of the fetal circulation
that usually closes at birth
-an atrial septal. defect, when it occurs independently of other congenital defects
creates a left to right shunt
babinski reflex correct answer when an infants foot is stroked along the lateral
aspect and then across the ball of the foot, the toes fan outward (toes flex up to 2
years of age)
bilirubin-induced neurologic dysfunction? (BIND) correct answer crosses the
blood brain barrier
,Care for a newly circumsized infant? correct answer -Petroleum jelly on diaper,
NOT directly on the penis
-Monitor for S/S of infection
-Gauze replaced every 3-5 days
-Yellow crust can develop and should not be wiped off
-Blood of the size of quarter or lack of urination should be reported
-do not wash with soapy water, alcohol, or peroxide
cystic fibrosis correct answer an autosomal recessive, multisystem disease
-one allele (H) carries the normal gene
-other allele (h) carries the defect gene
-need both defective genes to get the disease
describe the breathing pattern of the newborn correct answer -pauses (less than
20 seconds) apnea
-fine crackles (rales) in the 1st few hours
-transient period of tachypnea
developmental dysplasia of the hips correct answer -hip is easy to dislocate on
exam
-occurs more often in females in breech position and those with family history
Do's for NAS baby correct answer -swaddle with legs flexed
-position infants hands midline with arms at the side
,-carry infant in flexed position (use soft pack)
-introduce 1 stimuli at a time
-watch their gaze (time outs)
-rock in slow, rhythmic fashion
-offer pacifiers
-sitting position with chin tucked down for feedings
-small amounts of feedings at a high frequency
Dont's for NAS baby correct answer -extra stimulation
-eye contact/talking with baby during feeding
early signs and symptoms of infection? correct answer -lethargic
-poor feeders
-vomiting
-diarrhea
-pale
-modeled skin
-changes in their HR or RR
-any type of rash
erthythema toxicum neonatorum correct answer - a red rash with white papules
and red macules that may occur over any part of the body but most commonly
occurs on the trunk
-care considerations: appears between 24 hours and 2 weeks postpartum, benign,
may last up to 3 weeks, does not appear to be uncomfortable for the infant, no
treatment is indicated
, extrusion correct answer when the tip of the tongue is touched, the infant sticks
out the tongue
galactosemia correct answer cannot turn galactose into glucose and instead it
turns it into galactitol which kills the liver and can give you cataracts
-remove breast milk from diet, give soy milk
how do infants produce heat? correct answer by metabolizing brown fat stores
how do we measure bilirubin levels in baby? correct answer transcutaneous scan
of baby forehead to see what levels are
How do you correctly suction an infant with the bulb syringe? correct answer
suction mouth first then nose
How does an infant with hypothermia appear? correct answer -Cool to touch
-Display acrocyanosis
-Pale, mottled, cyanotic, & cool to touch
How is a fractured clavicle treated? correct answer heals spontaneously with no
long term consequences
-handle the newborn with care
