NUR 220 (OB - Test 4) Questions with Correct Answers (Grade A+)
Question 1: What is the primary goal of immediate care after birth of a newborn?
Answer: Assisting the neonate to successfully transition to extrauterine life
Question 2: What is the first priority for providing immediate care after birth?
Answer: Establish effective respirations
Question 3: Apgar score
Answer: System of scoring an infant's physical condition at 1 and 5 minutes after birth
Question 4: The apgar score is based off of what 5 physiologic states of the neonate?
Answer: 1. Heart Rate 2. Respiratory Effects 3. Muscle Tone 4. Reflex Irritability 5. Generalized Skin Color
Question 5: The initial examination of the newborn looks at what 8 items?
Answer: 1. General Appearance 2. Respiratory System 3. Cardiovascular System 4. Neurologic System 5.
Gastrointestinal System 6. Eyes, Nose, and Mouth 7. Skin 8. Genitourinary System
Question 6: Apgar Score of 0-3:
Answer: Severe distress
Question 7: Apgar Score of 4-6:
Answer: Moderate difficulty
Question 8: Apgar Score of 7-10:
Answer: Minimal or no difficulty
Question 9: How long after birth should the physical assessment be performed on the newborn?
Answer: Within 12 to 18 hours
Question 10: What should the oxygen saturation be at by 10 minutes after birth?
Answer: 85% to 95%
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, Question 11: What is important to remember about suctioning an infant with a bulb syringe?
Answer: 1. Keep easily accessible to the crib 2. Suction mouth FIRST before nose 3. Compress bulb then
put into side of mouth not middle 4. Suction nasal passage one nostril at a time 5. Clean bulb after each time
using warm soapy water ensuring to thoroughly rinse the bulb 6. Stop suctioning until the infant's cry
sounds clear of mucus
Question 12: The immediate interventions of a newborn include:
Answer: 1. Airway maintenance 2. Maintaining an adequate oxygen supply 3. Maintaining body
temperature 4. Eye prophylaxis 5. Vitamin K prophylaxis 6. Promoting parent-infant interaction
Question 13: Erythromycin ointment is used to prevent what?
Answer: 1. Gonorrhea 2. Chlamydia
Question 14: Why is vitamin K given to newborns?
Answer: Promotes the formation of clotting factors in the liver and used for the prevention and treatment of
hemorrhagic disease
Question 15: Hyperbilirubinemia
Answer: Excessive levels of bilirubin (bile pigment) in the blood
Question 16: Major of newborns have which type of jaundice?
Answer: Physiological **Usually seen within 24 hours and requires no treatment
Question 17: How often should you assess a newborn for jaundice?
Answer: Every 8 to 12 hours
Question 18: What are some risk factors of Hyperbilirubinemia?
Answer: 1. Gestational age (less than 38 weeks) 2. Excessive breastfeeding 3. Significant jaundice in
siblings 4. Isoimmune/Hemolytic disease 5. Cephalhematoma 6. Significant bruising 7. East indian race
Question 19: What is the best and safest method of collecting temperature in a newborn?
Answer: Axillary
Question 20: Phototherapy
Answer: A therapy that involves repeated exposure to bright light
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Question 1: What is the primary goal of immediate care after birth of a newborn?
Answer: Assisting the neonate to successfully transition to extrauterine life
Question 2: What is the first priority for providing immediate care after birth?
Answer: Establish effective respirations
Question 3: Apgar score
Answer: System of scoring an infant's physical condition at 1 and 5 minutes after birth
Question 4: The apgar score is based off of what 5 physiologic states of the neonate?
Answer: 1. Heart Rate 2. Respiratory Effects 3. Muscle Tone 4. Reflex Irritability 5. Generalized Skin Color
Question 5: The initial examination of the newborn looks at what 8 items?
Answer: 1. General Appearance 2. Respiratory System 3. Cardiovascular System 4. Neurologic System 5.
Gastrointestinal System 6. Eyes, Nose, and Mouth 7. Skin 8. Genitourinary System
Question 6: Apgar Score of 0-3:
Answer: Severe distress
Question 7: Apgar Score of 4-6:
Answer: Moderate difficulty
Question 8: Apgar Score of 7-10:
Answer: Minimal or no difficulty
Question 9: How long after birth should the physical assessment be performed on the newborn?
Answer: Within 12 to 18 hours
Question 10: What should the oxygen saturation be at by 10 minutes after birth?
Answer: 85% to 95%
Page 1
, Question 11: What is important to remember about suctioning an infant with a bulb syringe?
Answer: 1. Keep easily accessible to the crib 2. Suction mouth FIRST before nose 3. Compress bulb then
put into side of mouth not middle 4. Suction nasal passage one nostril at a time 5. Clean bulb after each time
using warm soapy water ensuring to thoroughly rinse the bulb 6. Stop suctioning until the infant's cry
sounds clear of mucus
Question 12: The immediate interventions of a newborn include:
Answer: 1. Airway maintenance 2. Maintaining an adequate oxygen supply 3. Maintaining body
temperature 4. Eye prophylaxis 5. Vitamin K prophylaxis 6. Promoting parent-infant interaction
Question 13: Erythromycin ointment is used to prevent what?
Answer: 1. Gonorrhea 2. Chlamydia
Question 14: Why is vitamin K given to newborns?
Answer: Promotes the formation of clotting factors in the liver and used for the prevention and treatment of
hemorrhagic disease
Question 15: Hyperbilirubinemia
Answer: Excessive levels of bilirubin (bile pigment) in the blood
Question 16: Major of newborns have which type of jaundice?
Answer: Physiological **Usually seen within 24 hours and requires no treatment
Question 17: How often should you assess a newborn for jaundice?
Answer: Every 8 to 12 hours
Question 18: What are some risk factors of Hyperbilirubinemia?
Answer: 1. Gestational age (less than 38 weeks) 2. Excessive breastfeeding 3. Significant jaundice in
siblings 4. Isoimmune/Hemolytic disease 5. Cephalhematoma 6. Significant bruising 7. East indian race
Question 19: What is the best and safest method of collecting temperature in a newborn?
Answer: Axillary
Question 20: Phototherapy
Answer: A therapy that involves repeated exposure to bright light
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