NM717 Newborn Exam
Study online at https://quizlet.com/_iijuy0
1. What is normal newborn res- 30-60 breaths per minute
piratory rate?
2. Which disease has a typi- CMV
cal presentation of blueberry typically presents ike this in anewborn with intracranial cal-
rash? cifications, chorioretinitis, hepatosplenomegaly, microcephaly
and SGA
-a head CT is most appropriate as a scan to look for intracranial
calcifications
3. what is the difference be- gastroschisis involves the abdominal organs outside of the-
tween gastroschisis and om- body with no covering and often to the right of the umbilicus.
phalocele? omphalocele involves organs through the umbilicus, often cov-
ered
4. In physiological jaundice, TSB 3 days
peaks at
5. During a high-risk deliv- These findings suggest significant fetal acidosis; initiate a hy-
ery (meconium, nonreassur- poxic-ischemic encephalopathy (HIE) evaluation and neurolo-
ing tracing), the team collects gy/cooling pathway
umbilical cord, arterial, and The low arterial pH (d7.1), high base deficit (e10), and elevated
venous blood gases. The arte- lactate indicate significant intrapartum hypoxia and metabolic
rial gas returns pH 7.05, base acidosis. This places the neonate at risk for hypoxic-ischemic
deficit 12, and lactate is ele- encephalopathy (HIE), so the next step is to initiate an HIE
vated. What is the MOST ap- evaluation
propriate interpretation and
next step?
6. What contributes to frequent the incomplete closure of the cardiac sphincter. The stomach
regurgitation in the newborn? can only hold 30mls of fluid in a term newborn.
7.
, NM717 Newborn Exam
Study online at https://quizlet.com/_iijuy0
A newborn at 35 weeks ges- RDS (hyaline membrane disease) is caused by surfactant de-
tation is born with respira- ficiency and is most common in preterm infants. It presents
tory grunting, nasal flaring, with early onset respiratory distress, ground-glass appear-
and subcostal retractions at ance on CXR, and air bronchograms. TTN is more common in
30 minutes of life. The most term/late-preterm infants born by cesarean.
likely diagnosis is:
8. Which newborn reflexes palmar grasp
would be ABNORMAL if still
present at 12 months of age?
9. A newborn's capacity is most color perception
limited in what sense?
10. A mother is HIV-positive and Per DHHS guidelines, cesarean is recommended if viral load is
has been on antiretroviral >1000 copies/mL near delivery. With undetectable viral load,
therapy throughout pregnan- vaginal delivery is acceptable. All HIV-exposed neonates receive
cy with an undetectable viral zidovudine prophylaxis for 4-6 weeks regardless of maternal
load at 36 weeks. What is the viral load, and breastfeeding is contraindicated in the US.
recommended mode of deliv-
ery and neonatal prophylaxis?
11. Routine newborn screening PKU (phenylketonuria) was the first condition included in new-
(NBS) in the United States is born screening and is universal across all US states. Early
required in all states for what? detection allows dietary phenylalanine restriction, preventing
intellectual disability. Hepatitis B testing is done but is not part
of universal NBS panels.
12. How does the newborn main- 1. food
tain blood glucose? 2. glycogen stores
3. making glucose
13. congenital HYPOthyroidism
, NM717 Newborn Exam
Study online at https://quizlet.com/_iijuy0
same as adults
presents with a HIGH TSH and a LOW T4
14. What are ABNORMAL breath- grunting with expiration
ing patterns for the newborn? nasal flaring
visible suprasternal or subcostal retractions
15. What is normal systolic blood 63mmHg
pressure for the newborn?
16. What is normal axillary tem- 36.5-37.5 C or 97.7-99.0 F
perature for the newborn?
17. Primary immune protection passive maternal IgG
from the newborn comes
from?
18. Which behavior is most influ- newborn crying pattern
enced by environmental stim-
uli?
19. What acronym do we use Acronym: Vampire Baby AVA
to differentiate arteries and Two arteries (low pressure)
veins in maternal fetal circula- One vein (high pressure)
tion? Arteries to the adult
Vein to the vampire baby
20. subgaleal hemorrhage -crosses suture lines
-boggy scalp, pallor, tachycardia
-forward, lateral positioning of ears
-risk for jaundice, severe blood loss
21. Education for parents on car- -falls off in 7-14 days
ing for the umbilical cord: -WHO says delay bath for 6hrs
, NM717 Newborn Exam
Study online at https://quizlet.com/_iijuy0
22. Transient tachypnea of the retained lung fluid after birth
newborn is a syndrome pri-
marily of the term neonate
caused by:
23. How is TTN diagnosed? -diagnosis of exclusion by making sure tachypnea isnt caused
by other issues
-pulse oximeter used
-Chest xray done which shows over inflated lungs, streaks of
fluid and normal heart size
-goes away within 24-72hrs
24. persistent hypoglycemia in seizures, ADD, damage to the occipital area, intellectual disabil-
the newborn can lead to ity
25. Fetal circulation is an open, low pressure system
_________________
26. What kind of newborn is at A newborn with a cephalohematoma because there is more
highest risk for BIND (biliru- RBC breakdown which means an increased bilirubin load that
bin induced neurologic dys- the newborn cannot process quickly
function)?
27. What is the fetal circula- Umbilical VEIN to the ductus VENOSUS to the inferior VENA cava
tion adaptation of the ductus to the liVer
venosus? (Vein Venosus Vena Liver)
28. What is the fetal circulation right atrium to the foramen ovale to the left atrium
adaptation of the foramen (RIGHT OR LEFT)
ovale?
29. pulmonary ARTERY to the ductus ARTERIOSUS to the AortA
(Artery Arteriosus Aorta)
Study online at https://quizlet.com/_iijuy0
1. What is normal newborn res- 30-60 breaths per minute
piratory rate?
2. Which disease has a typi- CMV
cal presentation of blueberry typically presents ike this in anewborn with intracranial cal-
rash? cifications, chorioretinitis, hepatosplenomegaly, microcephaly
and SGA
-a head CT is most appropriate as a scan to look for intracranial
calcifications
3. what is the difference be- gastroschisis involves the abdominal organs outside of the-
tween gastroschisis and om- body with no covering and often to the right of the umbilicus.
phalocele? omphalocele involves organs through the umbilicus, often cov-
ered
4. In physiological jaundice, TSB 3 days
peaks at
5. During a high-risk deliv- These findings suggest significant fetal acidosis; initiate a hy-
ery (meconium, nonreassur- poxic-ischemic encephalopathy (HIE) evaluation and neurolo-
ing tracing), the team collects gy/cooling pathway
umbilical cord, arterial, and The low arterial pH (d7.1), high base deficit (e10), and elevated
venous blood gases. The arte- lactate indicate significant intrapartum hypoxia and metabolic
rial gas returns pH 7.05, base acidosis. This places the neonate at risk for hypoxic-ischemic
deficit 12, and lactate is ele- encephalopathy (HIE), so the next step is to initiate an HIE
vated. What is the MOST ap- evaluation
propriate interpretation and
next step?
6. What contributes to frequent the incomplete closure of the cardiac sphincter. The stomach
regurgitation in the newborn? can only hold 30mls of fluid in a term newborn.
7.
, NM717 Newborn Exam
Study online at https://quizlet.com/_iijuy0
A newborn at 35 weeks ges- RDS (hyaline membrane disease) is caused by surfactant de-
tation is born with respira- ficiency and is most common in preterm infants. It presents
tory grunting, nasal flaring, with early onset respiratory distress, ground-glass appear-
and subcostal retractions at ance on CXR, and air bronchograms. TTN is more common in
30 minutes of life. The most term/late-preterm infants born by cesarean.
likely diagnosis is:
8. Which newborn reflexes palmar grasp
would be ABNORMAL if still
present at 12 months of age?
9. A newborn's capacity is most color perception
limited in what sense?
10. A mother is HIV-positive and Per DHHS guidelines, cesarean is recommended if viral load is
has been on antiretroviral >1000 copies/mL near delivery. With undetectable viral load,
therapy throughout pregnan- vaginal delivery is acceptable. All HIV-exposed neonates receive
cy with an undetectable viral zidovudine prophylaxis for 4-6 weeks regardless of maternal
load at 36 weeks. What is the viral load, and breastfeeding is contraindicated in the US.
recommended mode of deliv-
ery and neonatal prophylaxis?
11. Routine newborn screening PKU (phenylketonuria) was the first condition included in new-
(NBS) in the United States is born screening and is universal across all US states. Early
required in all states for what? detection allows dietary phenylalanine restriction, preventing
intellectual disability. Hepatitis B testing is done but is not part
of universal NBS panels.
12. How does the newborn main- 1. food
tain blood glucose? 2. glycogen stores
3. making glucose
13. congenital HYPOthyroidism
, NM717 Newborn Exam
Study online at https://quizlet.com/_iijuy0
same as adults
presents with a HIGH TSH and a LOW T4
14. What are ABNORMAL breath- grunting with expiration
ing patterns for the newborn? nasal flaring
visible suprasternal or subcostal retractions
15. What is normal systolic blood 63mmHg
pressure for the newborn?
16. What is normal axillary tem- 36.5-37.5 C or 97.7-99.0 F
perature for the newborn?
17. Primary immune protection passive maternal IgG
from the newborn comes
from?
18. Which behavior is most influ- newborn crying pattern
enced by environmental stim-
uli?
19. What acronym do we use Acronym: Vampire Baby AVA
to differentiate arteries and Two arteries (low pressure)
veins in maternal fetal circula- One vein (high pressure)
tion? Arteries to the adult
Vein to the vampire baby
20. subgaleal hemorrhage -crosses suture lines
-boggy scalp, pallor, tachycardia
-forward, lateral positioning of ears
-risk for jaundice, severe blood loss
21. Education for parents on car- -falls off in 7-14 days
ing for the umbilical cord: -WHO says delay bath for 6hrs
, NM717 Newborn Exam
Study online at https://quizlet.com/_iijuy0
22. Transient tachypnea of the retained lung fluid after birth
newborn is a syndrome pri-
marily of the term neonate
caused by:
23. How is TTN diagnosed? -diagnosis of exclusion by making sure tachypnea isnt caused
by other issues
-pulse oximeter used
-Chest xray done which shows over inflated lungs, streaks of
fluid and normal heart size
-goes away within 24-72hrs
24. persistent hypoglycemia in seizures, ADD, damage to the occipital area, intellectual disabil-
the newborn can lead to ity
25. Fetal circulation is an open, low pressure system
_________________
26. What kind of newborn is at A newborn with a cephalohematoma because there is more
highest risk for BIND (biliru- RBC breakdown which means an increased bilirubin load that
bin induced neurologic dys- the newborn cannot process quickly
function)?
27. What is the fetal circula- Umbilical VEIN to the ductus VENOSUS to the inferior VENA cava
tion adaptation of the ductus to the liVer
venosus? (Vein Venosus Vena Liver)
28. What is the fetal circulation right atrium to the foramen ovale to the left atrium
adaptation of the foramen (RIGHT OR LEFT)
ovale?
29. pulmonary ARTERY to the ductus ARTERIOSUS to the AortA
(Artery Arteriosus Aorta)
