Uworld- Maternal And Newborn Health- Newborn Exam Questions And Answers

UWORLD- MATERNAL AND
NEWBORN HEALTH- NEWBORN
EXAM QUESTIONS AND ANSWERS
neonatal abstinence syndrome - ANSWERS-CNS
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- irritability
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- restlessness
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- high pitched crying
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- abnormal sleep pattern
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-increased muscle tone gv gv


- hyperactive primitive reflexes
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ANS
- nasal congestion
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-sweating
- frequent yawning
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- sneezing
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- tachypnea
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GI
-poor feeding
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- vomiting
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-diarrhea

meconium ileus - ANSWERS-cystic fibrosis
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floppy muscle tone - ANSWERS-down syndrome
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microcephaly and cleft palate - ANSWERS-- gv gv gv gv gv


early prenatal exposure to teratogenic agents like:
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-alcohol
-cytomegalovirus
- valproic acid
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childcare practices that reduce the risk of SIDS - ANSWERS--
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place infant on back to sleep on a firm surface
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- avoid objects in the bed- pacifier is okay
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- avoid bumper pads on the crib
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-maintain a smoke free environment
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- avoid overheating- sleep sack is good
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-breastfeed and ensure immunizations are updated
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normal glucose range for a newborn < 24 hours - ANSWERS-40-60 mg/dL
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low BG in a newborn <24 hours - ANSWERS-<40-45
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, - if newborn is asymptomatic-
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immediate feeding with formula or breast milk should begin to increase BG and pr
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event further hypoglycemia
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- if BG remains low and newborn is symptomatic-
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call HCP and prepare to administer IV glucose
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acryocyanosis - ANSWERS--peripheral cyanosis of the hands and feet gv gv gv gv gv gv gv gv


-benign
-common during first 24 hours of life if newborn is cold
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-promote thermoregulation by placing skin to skin with parents
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care of the umbilical cord - ANSWERS--keep clean and dry
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- keep open to air
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- do not apply antiseptics- potential for skin irritation
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- report skins of infection like redness, purulent drainage, swelling
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- remaining cord stump will turn black and shrivel in 2-3 days
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- will fall off 1-2 weeks after birth
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green vomit - ANSWERS-gv gv gv


represents bile from the intestine and could indicate a bowel obstruction
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ptosis at birth - ANSWERS-may have a cranial nerve deficit
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- abnormal and warrants concern
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undescended testes at birth - ANSWERS-- not concerning gv gv gv gv gv gv gv


- most descend by age 6 months
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weight loss during the first 3-4 days of life - ANSWERS-- about 5-
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6% of birth weight lost
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- usually ceases by day 5
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-return to birth weight by 7-14 days of life
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- >7% of birth weight lost warrant evaluation
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epstein pearls - ANSWERS-white cysts found on the hard palate of the newborn
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-common findings gv


- disappear within a few weeks after birth
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hirschsprung disease - ANSWERS--distended abdomen gv gv gv gv


- will not pass meconium stool in the expected 24-48 hours
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- vomit green bile
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-difficulty feeding gv




APGAR - ANSWERS--appearance/ color
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0- completely blue/ pale
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1- body pink- extremities blue
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2- completely pink
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-pulse
0- absent
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