Winter'17: Nursing Care of the Newborn
Heart rate, respiratory effort, muscle tone, reflex irritability, generalized skin color - Answer-What are
the 5 Apgar Score areas?
Period of less than 20 seconds apnea is normal, more than 20 second apnea is abnormal - Answer-What
is normal and abnormal concerning apnea in newborn?
extremities flexed - Answer-What is the posture of newborn at birth supposed to look like?
Pink, may have acrocyanosis - Answer-What is the color of newborn at birth supposed to be?
30-60 for one minute - Answer-What is the respiratory rate for newborns at birth?
110-160 Apical for one minute (less if sleeping, sometimes higher if crying) - Answer-What is the heart
rate for newborns at birth?
erythromycin ointment, to prevent inflammation r/t gonorrheal or chlamydia infection - Answer-What is
eye prophylaxis for newborns?
They do not produce vitamin k the first 7 days of life, and it is used to prevent hemorrhage. - Answer-
What is the vitamin K injection given to newborns for?
, IM injection into vastus lateralis. - Answer-Where is the Vit K injection given?
From inner canthus to outer - Answer-How is the eye ointment for newborns applied?
Gestational age - Answer-What does the Ballard Score represent?
A thick cheesy like substance that was protecting the fetus' skin in the womb. (does not wash off easily
and can absorb on its own). - Answer-What is vernix?
A newborn rash that occurs the first 3 weeks after birth and may appear anywhere on the body. -
Answer-What is Erythema Toxicum?
port wine stain on the body that never fades
(commonly found on face and neck) - Answer-What is Naveus Flammeus?
Nevus Vasculosis- may remain until school age but can be removed. - Answer-What is also known as the
"strawberry birthmark"?
The diaper should fold under umbilical cord and keep cord clean and dry. Assess for signs of infection. -
Answer-What is important teaching about the umbilical cord area?
A mucous blood-tinged discharge related to maternal hormones (normal). - Answer-What is
pseudomenses?
Labia majora and minora should be present, may be edematous, urinary meatus located below clitoris. -
Answer-What should be found on a term newborn's female genitalia?
Consent - Answer-What should be obtained before performing a circumcision?