Uworld- Maternal And Newborn Health- Newborn Exam Questions And Answers

UWORLD- MATERNAL AND
NEWBORN HEALTH- NEWBORN
EXAM QUESTIONS AND ANSWERS
neonatal abstinence syndrome - ANSWERS-CNS
vx vx vx vx


- irritability
vx


- restlessness
vx


- high pitched crying
vx vx vx


- abnormal sleep pattern
vx vx vx


-increased muscle tone vx vx


- hyperactive primitive reflexes
vx vx vx




ANS
- nasal congestion
vx vx


-sweating
- frequent yawning
vx vx


- sneezing
vx


- tachypnea
vx




GI
-poor feedingvx


- vomiting
vx


-diarrhea

meconium ileus - ANSWERS-cystic fibrosis
vx vx vx vx




floppy muscle tone - ANSWERS-down syndrome
vx vx vx vx vx




microcephaly and cleft palate - ANSWERS-- vx vx vx vx vx


early prenatal exposure to teratogenic agents like:
vx vx vx vx vx vx


-alcohol
-cytomegalovirus
- valproic acid
vx vx




childcare practices that reduce the risk of SIDS - ANSWERS--
vx vx vx vx vx vx vx vx vx


place infant on back to sleep on a firm surface
vx vx vx vx vx vx vx vx vx vx


- avoid objects in the bed- pacifier is okay
vx vx vx vx vx vx vx vx


- avoid bumper pads on the crib
vx vx vx vx vx vx


-maintain a smoke free environment
vx vx vx vx


- avoid overheating- sleep sack is good
vx vx vx vx vx vx


-breastfeed and ensure immunizations are updated
vx vx vx vx vx




normal glucose range for a newborn < 24 hours - ANSWERS-40-60 mg/dL
vx vx vx vx vx vx vx vx vx vx vx




low BG in a newborn <24 hours - ANSWERS-<40-45
vx vx vx vx vx vx vx vx

, - if newborn is asymptomatic-
vx vx vx vx


immediate feeding with formula or breast milk should begin to increase BG and pr
vx vx vx vx vx vx vx vx vx vx vx vx vx vx


event further hypoglycemia
vx vx




- if BG remains low and newborn is symptomatic-
vx vx vx vx vx vx vx vx


call HCP and prepare to administer IV glucose
vx vx vx vx vx vx vx vx




acryocyanosis - ANSWERS--peripheral cyanosis of the hands and feetvx vx vx vx vx vx vx vx


-benign
-common during first 24 hours of life if newborn is cold
vx vx vx vx vx vx vx vx vx vx


-promote thermoregulation by placing skin to skin with parents
vx vx vx vx vx vx vx vx




care of the umbilical cord - ANSWERS--keep clean and dry
vx vx vx vx vx vx vx vx vx


- keep open to air
vx vx vx vx


- do not apply antiseptics- potential for skin irritation
vx vx vx vx vx vx vx vx


- report skins of infection like redness, purulent drainage, swelling
vx vx vx vx vx vx vx vx vx


- remaining cord stump will turn black and shrivel in 2-3 days
vx vx vx vx vx vx vx vx vx vx vx


- will fall off 1-2 weeks after birth
vx vx vx vx vx vx vx




green vomit - ANSWERS- vx vx vx


represents bile from the intestine and could indicate a bowel obstruction
vx vx vx vx vx vx vx vx vx vx




ptosis at birth - ANSWERS-may have a cranial nerve deficit
vx vx vx vx vx vx vx vx vx


- abnormal and warrants concern
vx vx vx vx




undescended testes at birth - ANSWERS-- not concerning vx vx vx vx vx vx vx


- most descend by age 6 months
vx vx vx vx vx vx




weight loss during the first 3-4 days of life - ANSWERS-- about 5-
vx vx vx vx vx vx vx vx vx vx vx vx


6% of birth weight lost
vx vx vx vx


- usually ceases by day 5
vx vx vx vx vx vx


-return to birth weight by 7-14 days of life
vx vx vx vx vx vx vx vx


- >7% of birth weight lost warrant evaluation
vx vx vx vx vx vx vx




epstein pearls - ANSWERS-white cysts found on the hard palate of the newborn
vx vx vx vx vx vx vx vx vx vx vx vx


-common findings vx


- disappear within a few weeks after birth
vx vx vx vx vx vx vx




hirschsprung disease - ANSWERS--distended abdomen vx vx vx vx


- will not pass meconium stool in the expected 24-48 hours
vx vx vx vx vx vx vx vx vx vx


- vomit green bile
vx vx vx


-difficulty feeding vx




APGAR - ANSWERS--appearance/ colorvx vx vx


0- completely blue/ pale
vx vx vx


1- body pink- extremities blue
vx vx vx vx


2- completely pink
vx vx




-pulse
0- absent
vx