Exam 2 Newborn Assessment Practice Questions and Correct Answers

What is the most critical extrauterine adjustment a newborn makes? The establishment of respiratory function with the cutting of the umbilical cord When do circulatory changes occur in a newborn? With the expulsion of the placenta and cutting of the umbilical cord What are the three shunts that close during the transition of the flow of oxygenated blood in the lungs and readjustment of atrial blood pressure in the heart? Ductus arteriosus, ductus venosus, and foramen ovale When is an APGAR score completed? First 1 and 5 minutes of life What is assessed in the APGAR assessment? Heart rate, respiratory rate, muscle tone, reflex irrability, color What APGAR score indicates severe distress? 0-3 What APGAR score indicates moderate distress? 4-6 What APGAR score indicates no distress? 7-10 If a baby had an APGAR score of 10 what would it be displaying? HR > 100, good cry, well-flexed, cry and completely pink At one minute you assess a newborn that has a pulse of 140, has a slow, weak cry, is well flexed, grimaces, and is cyanotic in its hands in feet. What would the APGAR score be? 2+1+2+1+1=7 No distress Rectal temperature are appropriate for the newborn since its the most accurate place to assess temperature. False. Rectal temperatures should be avoided because they can injure the rectal mucosa Blood pressure can be taken from all four extremities. True What should be included in the nurses quick initial assesment? External (skin), nasal patency, meconium staining, breath sounds, heart, rounded abdomen, umbilical cord (1vein2arteries), muscle tone, reflex, presence/size of fontanels/sutures