Newborn Assessment Practice Questions and 100% Correct Answers

Physiologic Response of Newborn to Birth: 1. What is the most critical extra-uterine adjustment? 2. Circulatory changes after birth occur with the _________ and the __________. 3. The three ______ (______, _____, _______) functionally ______ during a newborns transition to extra-uterine life with the ________ 1. Establishment of respiratory function with the cutting of the umbilical cord is the most critical extra-uterine adjustment as air inflate the lungs with the first breath. 2. Circulatory changes after birth occur with the expulsion of the placenta and the cutting of the umbilical cord as a newborn begins breathing independently. 3. The tree shunts (Ductus arteriosus, Ductus Venosus, and Foramen Ovale) functionally close during a newborn's transition to extra-uterine life with the flow of oxygenated blood in the lungs and readjustment of atrial blood pressure in the heart Physical Assessment of Newborn Following Birth: 1. What is done within the first minute and again at 5 minutes immediately after birth? 2. What are the 5 categories this measures? What would indicate a 0, 1, or a 2? 3. Explain the scoring process and what ranges would indicate: Severe distress, Moderate Difficulty, and Minimal or no difficulty with adjusting to extra-uterine life 1. Apgar Scoring and a brief physical exam 2. 5 Categories of Apgar: - Heart Rate: 0=Absent, 1=Slow, less than 100, 2=Greater than 100/min - RR: 0=Absent, 1=Slow, weak cry, 2=Good cry - Muscle Tone: 0=Flaccid, 1=Some flexion of extremities, 2=Well-flexed - Reflex Irritability: 0=None, 1=Grimace, 2=Cry - Color: 0=Blue/Pale, 1=Pink body, cyanotic hands and feet (acrocyanosis), 3=Completely Pink 3. Scored on 5 categories from 0-3. - Severe Distress: 0-3 Total Score - Moderate Difficulty: 4-6 Total Score - Minimal or No Difficulty with adjusting to extra-uterine life: 7-10 Total Score Equipment For Newborn Assessment: 1. What is the Bulb Syringe used for? 2. What do we use to evaluate HR, breath sounds and bowel sounds? 3. What device do we use to measure temperature? What is avoided? 4. What size blood pressure cuff do we use? 5. How do we measure the newborn? Head circum, Length, Chest circum, Abd circum? 6. Weigh the newborn? 7. What is worn for all physical assessments until discharge? 1. Bulb syringe is used for suctioning excess mucus from the mouth (first) and nose of newborn