NEWBORN ASSESSMENT AND CARE
STUDY EXAM
Initialkstepsktokestablishkankairwaykinkaknewbornk-
kCORRECTkANSWER-1.kprovidekwarmth
2.ksuctionkmouthkthenknose
3.kdrykthekskinkwithkwarmkblankets
Normalkbreathingkpatternkatkbirthk-kCORRECTkANSWER-
ShallowkandkIrregularkatkakratekofk30-
60ksecondskwithkbriefkapenakthatkshouldntklastklongerkthank
20kseconds
SymptomskofkRespiratorykDistresskinkaknewbornk-
kCORRECTkANSWER-
Nasalkflaring,kgrunting,kretractions,kRRk>60kork<30,klabored
kbreathing
Decreasedk____kwillkcausekank____kO2kdemandkandktheki
ncreasekinkthekutilizationkofk_____kleadsktok_________k___
_______.k-kCORRECTkANSWER-bodyktemperature
increased
glucose
metabolickacidosis
_____k___k_____kassistkinkthermoregulationkbutkpretermkba
bieskhaveknonek-kCORRECTkANSWER-brownkfatkstores
Convectionk-kCORRECTkANSWER-Heatklostktokcoldkair
, Radiationk-kCORRECTkANSWER-
Heatklostktokclosekproximitykofkcoldksurfaces
Evaporationk-kCORRECTkANSWER-
Heatklostkwithkdryingkofkmoisturekonkinfantskbody
Conductionk-kCORRECTkANSWER-
Heatklostkwithkdirectkcontactktokcoldksurfaces
InterventionskforkThermo-Regulationk-kCORRECTkANSWER-
Warmkblanketsktokdrykoffkinfant,kwarmkhat,kswaddle,kskinkto
kskinkcontact,kbassinetkfarkfromkwindowskorkdoors,kwarmer.
Scorekofk7-10konkApgark-kCORRECTkANSWER-Nokdistress
Scorekofk0-3konkApgark-kCORRECTkANSWER-
Severekdistress
Scorekofk2konkApgark-kCORRECTkANSWER-
Pink,kHRk>100,kactivekcrying,kstrongkcrying,kactivekmotions
Scorekofk1konkApgark-kCORRECTkANSWER-
Acrocyanotic,kHRk<100,kgrimacingkreflex,ksomekflexion,kwea
kkcry
Scorekofk0konkApgark-kCORRECTkANSWER-
Bluek/kPale,knokHR,knokreflexes,klimp,knokrespirations
Wherektokauscultatekthekapicalkpulsekonkaknewbornkandkho
wklongktoklistenkfor?k-kCORRECTkANSWER-
4thkork5thkintercostalkspacekoverkthekapexkandklistenkforkak
minute
Normalknewbornkbodykweightk-kCORRECTkANSWER-
5Ibsk5ozk-k8Ibsk8oz
Avg:k7.5kIbs
STUDY EXAM
Initialkstepsktokestablishkankairwaykinkaknewbornk-
kCORRECTkANSWER-1.kprovidekwarmth
2.ksuctionkmouthkthenknose
3.kdrykthekskinkwithkwarmkblankets
Normalkbreathingkpatternkatkbirthk-kCORRECTkANSWER-
ShallowkandkIrregularkatkakratekofk30-
60ksecondskwithkbriefkapenakthatkshouldntklastklongerkthank
20kseconds
SymptomskofkRespiratorykDistresskinkaknewbornk-
kCORRECTkANSWER-
Nasalkflaring,kgrunting,kretractions,kRRk>60kork<30,klabored
kbreathing
Decreasedk____kwillkcausekank____kO2kdemandkandktheki
ncreasekinkthekutilizationkofk_____kleadsktok_________k___
_______.k-kCORRECTkANSWER-bodyktemperature
increased
glucose
metabolickacidosis
_____k___k_____kassistkinkthermoregulationkbutkpretermkba
bieskhaveknonek-kCORRECTkANSWER-brownkfatkstores
Convectionk-kCORRECTkANSWER-Heatklostktokcoldkair
, Radiationk-kCORRECTkANSWER-
Heatklostktokclosekproximitykofkcoldksurfaces
Evaporationk-kCORRECTkANSWER-
Heatklostkwithkdryingkofkmoisturekonkinfantskbody
Conductionk-kCORRECTkANSWER-
Heatklostkwithkdirectkcontactktokcoldksurfaces
InterventionskforkThermo-Regulationk-kCORRECTkANSWER-
Warmkblanketsktokdrykoffkinfant,kwarmkhat,kswaddle,kskinkto
kskinkcontact,kbassinetkfarkfromkwindowskorkdoors,kwarmer.
Scorekofk7-10konkApgark-kCORRECTkANSWER-Nokdistress
Scorekofk0-3konkApgark-kCORRECTkANSWER-
Severekdistress
Scorekofk2konkApgark-kCORRECTkANSWER-
Pink,kHRk>100,kactivekcrying,kstrongkcrying,kactivekmotions
Scorekofk1konkApgark-kCORRECTkANSWER-
Acrocyanotic,kHRk<100,kgrimacingkreflex,ksomekflexion,kwea
kkcry
Scorekofk0konkApgark-kCORRECTkANSWER-
Bluek/kPale,knokHR,knokreflexes,klimp,knokrespirations
Wherektokauscultatekthekapicalkpulsekonkaknewbornkandkho
wklongktoklistenkfor?k-kCORRECTkANSWER-
4thkork5thkintercostalkspacekoverkthekapexkandklistenkforkak
minute
Normalknewbornkbodykweightk-kCORRECTkANSWER-
5Ibsk5ozk-k8Ibsk8oz
Avg:k7.5kIbs