MCN EXAM 2 2026 NEONATAL
ASSESSMENT RESUSCITATION AND
NEWBORN WARNING SIGNS PRACTICE
SET
◉ •Length: 18-22 inches
•Weight: 2500-4000g (5.5-8.75lbs)
Answer: Newborn Assessment: *Length & Weight*
◉ •Head circumference: 33-35cm
Answer: Newborn Assessment: *Head Circumference*
◉ •Bones of skull not fused - sutures are palpable and may be
overlapping because of head molding
Answer: Newborn Assessment: *Fused Skull Bones*
◉ Red reflex present, can follow object to the midline, PERRLA,
symmetrical and clear; newborns don't have tears when they cry
*don't want white reflex, that means cancer*
,**will follow a light or finger but do not cross midline.**
Answer: Newborn Assessment: *Eyes*
◉ Symmetrical, if low set to eyes could be a sign of down syndrome,
renal anomalies, or other genetic or chromosomal syndromes
Answer: Newborn Assessment: *Ears*
◉ Nares should NOT flare, they are obligated nose breathers so do
not obstruct nose
Answer: Newborn Assessment: *Nose*
◉ Pink, moist, palates present, uvula midline, able to swallow, look
for thrush (white patchy spots on tongue or gums - painful)
Answer: Newborn Assessment: *Mouth*
◉ Milky secretions normal from nipples, breast tissue present,
chest/abdominal rise and fall synchrony in seesaw pattern
Answer: Newborn Assessment: *Chest*
◉ Lanugo (fine hair), milia (small white dots) , acrocyanosis (blue
tinged extremities, is normal!!!)
Answer: Newborn Assessment: *Skin*
,◉ Umbilical cord (3 vessels), noted bleeding or drainage, monitor
for meconium
Answer: Newborn Assessment: *Abdomen*
◉ Girls may be swollen and have bloody discharge
Males' testes are descended, locate meatus for abnormalities
Answer: Newborn Assessment: *Genitals*
◉ assess for hair tuft or dimple - could be spine bifida
Answer: Newborn Assessment: *Spine*
◉ creases on 2/3 of foot, flexed major gluteal folds even
Answer: Newborn Assessment: *Extremities*
◉ vitamin k
Answer: •Given in *vastus lateralis*
•Helps with clotting factors
•IM injection
◉ •Vernix caseosa - cheesy milky substance on entire body
*•1/3 of sole of foot covered with creases*
•Irregular respirations
, •Body temperature below normal
•Does not maintain flexion
•Undescended testes
•Lanugo is present in woolly patches
Answer: Preterm baby physical differences
◉ •Vernix caseosa- mild
*•2/3 sole of foot covered with creases*
Answer: Term baby physical differences
◉ •Vernix caseosa - absent possibly
*•Majority of sole of foot covered with creases*
*•Dry and cracked skin without lanugo*
•Long fingernails
•Meconium staining possibly present
Answer: Postterm baby physical differences
**Exam**
◉ •Irritability
•Tremors
•High-pitch cry
ASSESSMENT RESUSCITATION AND
NEWBORN WARNING SIGNS PRACTICE
SET
◉ •Length: 18-22 inches
•Weight: 2500-4000g (5.5-8.75lbs)
Answer: Newborn Assessment: *Length & Weight*
◉ •Head circumference: 33-35cm
Answer: Newborn Assessment: *Head Circumference*
◉ •Bones of skull not fused - sutures are palpable and may be
overlapping because of head molding
Answer: Newborn Assessment: *Fused Skull Bones*
◉ Red reflex present, can follow object to the midline, PERRLA,
symmetrical and clear; newborns don't have tears when they cry
*don't want white reflex, that means cancer*
,**will follow a light or finger but do not cross midline.**
Answer: Newborn Assessment: *Eyes*
◉ Symmetrical, if low set to eyes could be a sign of down syndrome,
renal anomalies, or other genetic or chromosomal syndromes
Answer: Newborn Assessment: *Ears*
◉ Nares should NOT flare, they are obligated nose breathers so do
not obstruct nose
Answer: Newborn Assessment: *Nose*
◉ Pink, moist, palates present, uvula midline, able to swallow, look
for thrush (white patchy spots on tongue or gums - painful)
Answer: Newborn Assessment: *Mouth*
◉ Milky secretions normal from nipples, breast tissue present,
chest/abdominal rise and fall synchrony in seesaw pattern
Answer: Newborn Assessment: *Chest*
◉ Lanugo (fine hair), milia (small white dots) , acrocyanosis (blue
tinged extremities, is normal!!!)
Answer: Newborn Assessment: *Skin*
,◉ Umbilical cord (3 vessels), noted bleeding or drainage, monitor
for meconium
Answer: Newborn Assessment: *Abdomen*
◉ Girls may be swollen and have bloody discharge
Males' testes are descended, locate meatus for abnormalities
Answer: Newborn Assessment: *Genitals*
◉ assess for hair tuft or dimple - could be spine bifida
Answer: Newborn Assessment: *Spine*
◉ creases on 2/3 of foot, flexed major gluteal folds even
Answer: Newborn Assessment: *Extremities*
◉ vitamin k
Answer: •Given in *vastus lateralis*
•Helps with clotting factors
•IM injection
◉ •Vernix caseosa - cheesy milky substance on entire body
*•1/3 of sole of foot covered with creases*
•Irregular respirations
, •Body temperature below normal
•Does not maintain flexion
•Undescended testes
•Lanugo is present in woolly patches
Answer: Preterm baby physical differences
◉ •Vernix caseosa- mild
*•2/3 sole of foot covered with creases*
Answer: Term baby physical differences
◉ •Vernix caseosa - absent possibly
*•Majority of sole of foot covered with creases*
*•Dry and cracked skin without lanugo*
•Long fingernails
•Meconium staining possibly present
Answer: Postterm baby physical differences
**Exam**
◉ •Irritability
•Tremors
•High-pitch cry
