UTA NURS5432 Midterm Exam 2025
Questions and Answers
What is the proper way to resuscitate a NB? - ....ANSWER ...-1. dry then heat.
2. Open and suction airway.
3. Assess for apnea, gasp, HR (<100BPM) (>100 ok) give O2 for cyanosis. Give
Surfactant is <26weeks.
4. Check tactile response, if none, bag/mask. If no peak pressure response in 30 secs =
intubate.
5. Delay cord clamp for 60 secs.
What is NB asphyxia? - ....ANSWER ...-The blood flow is interrupted because of
one of two things:
1. Hypoxia (low HR, High BP, apnea 30-60sec, gasp 3-6/min)
2. Secondary Apnea: low HR/low BP = organ injury
What is NB apnea? - ....ANSWER ...-Primary: physical stimulation is needed to
initiate breathing.
Secondary: +pressure ventilation is needed. For each minute of gasp = add 2 mins PPV.
There will be a delay in return of muscle tone and reflexes.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,What size laryngoscope is need for NB? Premie? - ....ANSWER ...-NB: Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
Hyaline Membrane Disorder - ....ANSWER ...-Patho: Deficiency of surfactant
resulting in respiratory distress.
S/S: accessory muscles/labored respirations, increased respirations, cyanosis, and
expiratory grunting.
How to treat hyaline membrane disorder - ....ANSWER ...-1. CXR - atelectasis with
ground glass and hypoexpansion
2. Give O2 via nasal CPAP
3. Give surfactant therapy: 2-3 doses, every 8-12 hours.
Feeding frequency of NB - ....ANSWER ...-On demand every 2-5 hours
NB feeding need - ....ANSWER ...-0.5-1oz/feed
1.5-2.0oz/feed by day 3
How much daily vitamin D should a NB receive? - ....ANSWER ...-400 IU daily
What additional supplement is needed if the breastfeeding mother is a vegetarian? -
....ANSWER ...-Zinc
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
,What medications are given at birth? - ....ANSWER ...-Erythromycin (to prevent
conjunctivitis)
1st dose Hepatitis B
Vitamin K (assist with clotting)
What is a premie-2 months old NB daily caloric need? - ....ANSWER ...-120
kcal/kg/day
*Goal is to gain weight*
When are apgar scores taken? - ....ANSWER ...-At 1 minute and 5 minute
*the higher the score, the better the health*
What does the APGAR assess? - ....ANSWER ...-1. Color
2. HR
3. Cry
4. Tone
5. Respiration
Newborn Reflexes - ....ANSWER ...-1. Root & Suck: NB will turn head toward side
of face that is stroked and is able to suck.
2. Moro (startle): "fake fall"; NB will initially extend limbs then quickly retract them.
3. Palmar Grasp: NB will grasp finger when it is placed in hand.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
, 4. Babinski: stroke the foot. A neg result = toes will curl. A +result = toes will fan out
(which is normal until age 2).
5. Tonic neck: In supine, head is turned to one side. The same side the head is turned,
the arm will be extended while the opposite is bent.
When does the Moro reflex disappear? - ....ANSWER ...-at 3-6 mos
It detects congenital MSK abnormalities or neural plexus injuries
When does the palmar grasp reflex disappear? - ....ANSWER ...-at 4-6 months
When does the Babinski reflex disappear? - ....ANSWER ...-age 2; if persists, it's a
sign of CNS injury
When does the tonic neck reflex disappear? - ....ANSWER ...-5-7 mos
Ages of well-baby appointments - ....ANSWER ...-2, 6, 9, 12-15, 24
Meds that shouldn't be taken until after the 1st trimester - ....ANSWER ...-ACES
Antineoplastics
Anti-thyroid
Warfarin
Lithium
Heart murmur Grades - ....ANSWER ...-I: barely heard
II: soft but heard
III: moderately loud, no thrill
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 4
Questions and Answers
What is the proper way to resuscitate a NB? - ....ANSWER ...-1. dry then heat.
2. Open and suction airway.
3. Assess for apnea, gasp, HR (<100BPM) (>100 ok) give O2 for cyanosis. Give
Surfactant is <26weeks.
4. Check tactile response, if none, bag/mask. If no peak pressure response in 30 secs =
intubate.
5. Delay cord clamp for 60 secs.
What is NB asphyxia? - ....ANSWER ...-The blood flow is interrupted because of
one of two things:
1. Hypoxia (low HR, High BP, apnea 30-60sec, gasp 3-6/min)
2. Secondary Apnea: low HR/low BP = organ injury
What is NB apnea? - ....ANSWER ...-Primary: physical stimulation is needed to
initiate breathing.
Secondary: +pressure ventilation is needed. For each minute of gasp = add 2 mins PPV.
There will be a delay in return of muscle tone and reflexes.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,What size laryngoscope is need for NB? Premie? - ....ANSWER ...-NB: Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
Hyaline Membrane Disorder - ....ANSWER ...-Patho: Deficiency of surfactant
resulting in respiratory distress.
S/S: accessory muscles/labored respirations, increased respirations, cyanosis, and
expiratory grunting.
How to treat hyaline membrane disorder - ....ANSWER ...-1. CXR - atelectasis with
ground glass and hypoexpansion
2. Give O2 via nasal CPAP
3. Give surfactant therapy: 2-3 doses, every 8-12 hours.
Feeding frequency of NB - ....ANSWER ...-On demand every 2-5 hours
NB feeding need - ....ANSWER ...-0.5-1oz/feed
1.5-2.0oz/feed by day 3
How much daily vitamin D should a NB receive? - ....ANSWER ...-400 IU daily
What additional supplement is needed if the breastfeeding mother is a vegetarian? -
....ANSWER ...-Zinc
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
,What medications are given at birth? - ....ANSWER ...-Erythromycin (to prevent
conjunctivitis)
1st dose Hepatitis B
Vitamin K (assist with clotting)
What is a premie-2 months old NB daily caloric need? - ....ANSWER ...-120
kcal/kg/day
*Goal is to gain weight*
When are apgar scores taken? - ....ANSWER ...-At 1 minute and 5 minute
*the higher the score, the better the health*
What does the APGAR assess? - ....ANSWER ...-1. Color
2. HR
3. Cry
4. Tone
5. Respiration
Newborn Reflexes - ....ANSWER ...-1. Root & Suck: NB will turn head toward side
of face that is stroked and is able to suck.
2. Moro (startle): "fake fall"; NB will initially extend limbs then quickly retract them.
3. Palmar Grasp: NB will grasp finger when it is placed in hand.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
, 4. Babinski: stroke the foot. A neg result = toes will curl. A +result = toes will fan out
(which is normal until age 2).
5. Tonic neck: In supine, head is turned to one side. The same side the head is turned,
the arm will be extended while the opposite is bent.
When does the Moro reflex disappear? - ....ANSWER ...-at 3-6 mos
It detects congenital MSK abnormalities or neural plexus injuries
When does the palmar grasp reflex disappear? - ....ANSWER ...-at 4-6 months
When does the Babinski reflex disappear? - ....ANSWER ...-age 2; if persists, it's a
sign of CNS injury
When does the tonic neck reflex disappear? - ....ANSWER ...-5-7 mos
Ages of well-baby appointments - ....ANSWER ...-2, 6, 9, 12-15, 24
Meds that shouldn't be taken until after the 1st trimester - ....ANSWER ...-ACES
Antineoplastics
Anti-thyroid
Warfarin
Lithium
Heart murmur Grades - ....ANSWER ...-I: barely heard
II: soft but heard
III: moderately loud, no thrill
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 4
