NR 509 Final
NR 509 Final Exam Containing 206
Questions and Answers/ Already
Graded A+ 2024.
Childhood immunizations - Answer: Birth- Hep B, Flu
1-2 mos- DTap, Hep B(2), HIB, Polio, Pneumococcal, Rotavirus
3-4 mos- DTap (2), HIB (2), Polio (2), Pneumo (2), Rotavirus (2)
5-6 mos- Dtap (3), HIB (3), polio (3), pneumo (3), Rotavirus (3), Flu
7-11 mos- flu
, NR 509 Final
12-23 mos- Varicella, DTap (4), HIB (4), MMR (1), Polio (3), Pnuemo (4), Hep A,
Hep B (3), Flu
2-3 years- Flu
4-6 years- DTap (5), Polio (4), MMR (2), Varicella (2), Flu
7-10 years- Flu, HPV
11-12 years- Mening, HPV (2), Tdap (1)
13-18 years- Mening (2), Serogroup B Mening (2)
Apgar scale - Answer: a standard measurement system that looks for a variety of
indications of good health in newborns. Score at 1 min and again at 5 min
3 pt scale (0,1,2) score ranges 0-10
HR: absent- <100- >100
Resp: Absent- slow- good
Color: Blue/pale- Pink body/blue arms- pink
Muscle tone: Flaccid- Some flexion- Active
Reflexes: None- Grimaces- Vigorous Cry
Gestational Age Assessment - Answer: Performed within 2 to 12 hr of birth
Newborn Measurements and New Ballard Scale
Gestational age estimation and baseline to assess growth and development.
*Neonatal morbidity and mortality are related to gestational age and birth weight.
, NR 509 Final
Large gestational age - Answer: above 90th percentile
risk for hypoglycemia- s/s include jitteriness, irritability, cyanosis
small gestational age - Answer: <10th percentile
babies who weigh substantially less than is normal for whatever their gestational
age
May be caused by fetal, placental, maternal factors, maternal smoking
Preterm appropriate gestational age at risk for - Answer: respiratory distress,
apnea, patent ductus arteriosis (PDA) with left to right shunt and infection
Preterm small gestation age at risk for - Answer: asphyxia, hypoglycemia,
hypocalcemia
tremors after 4 days old suggest - Answer: CNS disease, asphyxia, drug
withdrawal, central or peripheral neurologic defect, or birth injuries
s/s include asymmetric movements of arms or legs
failure to thrive - Answer: 1) growth <5th percentile
2) drop >2 quartiles in 6 months
3) weight for length <5th percentile
, NR 509 Final
Causes include environmental, psychosocial, GI, neurologic, cardiac, renal, and
endocrine diseases
Macrocephaly - Answer: >95th percentile or 2 standard deviations above mean
Hydrocephalus, subdural hematoma, brain tumor, inherited familial,
megaloencephaly
Causes of HTN in newborns - Answer: renal artery disease (stenosis, thrombosis),
congenital renal malformations, coarctation of aorta
Polycythemia - Answer: A disorder characterized by an abnormal increase in the
number of red blood cells in the blood
Ruddy complexion- reddish/purple
Cutis marmorata - Answer: Lattice-like, bluish mottled skin seen in premature
infants, hypothyroidism, down syndrome
Acrocyanosis - Answer: Temporary cyanotic condition, usually in newborns
resulting in a bluish color around the lips, hands and fingernails, feet and toenails.
May last for a few hours and disappear with warming.
If color doesn't return to normal in 8 hours consider congenital heart disease
NR 509 Final Exam Containing 206
Questions and Answers/ Already
Graded A+ 2024.
Childhood immunizations - Answer: Birth- Hep B, Flu
1-2 mos- DTap, Hep B(2), HIB, Polio, Pneumococcal, Rotavirus
3-4 mos- DTap (2), HIB (2), Polio (2), Pneumo (2), Rotavirus (2)
5-6 mos- Dtap (3), HIB (3), polio (3), pneumo (3), Rotavirus (3), Flu
7-11 mos- flu
, NR 509 Final
12-23 mos- Varicella, DTap (4), HIB (4), MMR (1), Polio (3), Pnuemo (4), Hep A,
Hep B (3), Flu
2-3 years- Flu
4-6 years- DTap (5), Polio (4), MMR (2), Varicella (2), Flu
7-10 years- Flu, HPV
11-12 years- Mening, HPV (2), Tdap (1)
13-18 years- Mening (2), Serogroup B Mening (2)
Apgar scale - Answer: a standard measurement system that looks for a variety of
indications of good health in newborns. Score at 1 min and again at 5 min
3 pt scale (0,1,2) score ranges 0-10
HR: absent- <100- >100
Resp: Absent- slow- good
Color: Blue/pale- Pink body/blue arms- pink
Muscle tone: Flaccid- Some flexion- Active
Reflexes: None- Grimaces- Vigorous Cry
Gestational Age Assessment - Answer: Performed within 2 to 12 hr of birth
Newborn Measurements and New Ballard Scale
Gestational age estimation and baseline to assess growth and development.
*Neonatal morbidity and mortality are related to gestational age and birth weight.
, NR 509 Final
Large gestational age - Answer: above 90th percentile
risk for hypoglycemia- s/s include jitteriness, irritability, cyanosis
small gestational age - Answer: <10th percentile
babies who weigh substantially less than is normal for whatever their gestational
age
May be caused by fetal, placental, maternal factors, maternal smoking
Preterm appropriate gestational age at risk for - Answer: respiratory distress,
apnea, patent ductus arteriosis (PDA) with left to right shunt and infection
Preterm small gestation age at risk for - Answer: asphyxia, hypoglycemia,
hypocalcemia
tremors after 4 days old suggest - Answer: CNS disease, asphyxia, drug
withdrawal, central or peripheral neurologic defect, or birth injuries
s/s include asymmetric movements of arms or legs
failure to thrive - Answer: 1) growth <5th percentile
2) drop >2 quartiles in 6 months
3) weight for length <5th percentile
, NR 509 Final
Causes include environmental, psychosocial, GI, neurologic, cardiac, renal, and
endocrine diseases
Macrocephaly - Answer: >95th percentile or 2 standard deviations above mean
Hydrocephalus, subdural hematoma, brain tumor, inherited familial,
megaloencephaly
Causes of HTN in newborns - Answer: renal artery disease (stenosis, thrombosis),
congenital renal malformations, coarctation of aorta
Polycythemia - Answer: A disorder characterized by an abnormal increase in the
number of red blood cells in the blood
Ruddy complexion- reddish/purple
Cutis marmorata - Answer: Lattice-like, bluish mottled skin seen in premature
infants, hypothyroidism, down syndrome
Acrocyanosis - Answer: Temporary cyanotic condition, usually in newborns
resulting in a bluish color around the lips, hands and fingernails, feet and toenails.
May last for a few hours and disappear with warming.
If color doesn't return to normal in 8 hours consider congenital heart disease
