Nurs 133 final Exam Questions With
Complete Solutions
What is the apgar scale? - Answer--Assessment tool used to assess the newborn at 1
min interval and then again at 5 mins. If less than 7 then continue to assess every 5
mins until newborn is stable
/.APGAR components - Answer-Respiratory rate, HR, muscle tone, reflex irritability and
colour
/.how to calculate an APGAR score - Answer-Each component is evaluated out of 2
No pulse: 0, less than 100bpm: 1, steady and more than 100bpm: 2
/.when and why an RN uses APGAR - Answer-After 1 minute of life
Assesses transition to extrauterine life
/.what are the initial physiological needs of a newborn as they transition to extrauterine
life and what nursing assessments/interventions would you expect? - Answer--
Thermoregulation, providing warmth and drying the newborn -Assess and position
airway
-Palpating suture lines and fontanels in order to assess degree of moulding and any
head trauma
-Reflexes (rooting-touch side of cheek they will turn their head toward that touch,
sucking, grasping etc)
-Vitamin K
/.Palmar grasp reflex and when does it disappear - Answer-When stroking a finger
inside of baby palm, baby grips finger
Disappears around 4-6 months
/.Plantar grasp reflex and when does it disappear - Answer-when placing a finger under
toes, they curl
Disappears around 9 months to 1 year of age
/.Moro or startle reflex and when does it disappear - Answer-When laying infant down or
they hear a loud noise, they will extend their arms with palms facing up
Disappears around 6 months of age
/.Rooting reflex and when does it disappear - Answer-When infants cheek or side of
mouth is stroked, the head will turn towards it and open their mouth in attempt to suck
Disappears around 4 months
/.Sucking reflex and when does it disappear - Answer-When something touches the top
of the infant's mouth, they will begin to suck
, Disappears around 4 months
/.Babinski reflex and when does it disappear - Answer-When the bottom of the foot is
stroked from heel upwards, the big toe dorsiflexes (bends back) and the other toes fan
or spread out
Disappear around 1 year of age
/.Crawling reflex or bauer crawling reflex and when does it disappear - Answer-When
infant is placed on their stomach and pressure (such as a hand) is applied to the sole of
the foot, the infant will attempt to push against the hand and move the arms and legs in
a crawling like motion
Disappears a few weeks or months after birth
/.Step reflex and when does it disappear - Answer-When holding the infant upright with
legs and feet touching a surface, the infant will move the legs like taking steps or
walking.
Disappears about 3-4 months of age
/.Tonic neck reflex or fencing reflex and when does it disappear - Answer-When infant's
head is turned to a particular side, the leg and arm on that side will extend while the leg
and arm on the opposite side will flex.
Disappears around 4 months of age
/.Reflexes a baby has transitions into - Answer-more deliberate movements
/.Why are newborns administered Vitamin K? - Answer-To prevent hemorrhagic disease
/.Breastmilk vs formula? Frequency? - Answer--Breast milk is best if possible
-Antibodies
Breast milk 8-12 times a day
Formula every 3-4hrs
/.How would a new parent know that their baby is getting enough breastmilk or formula?
- Answer--Measuring wet diapers (output)
-soiled diapers
-Measuring weight gain
/.ways newborns can lose heat - Answer-Convection
Radiation
Conduction
Evaporation
/.Erikson's Psychosocial development of infants: trust VS mistrust - Answer--Positive
resolution of this stage is trust
Complete Solutions
What is the apgar scale? - Answer--Assessment tool used to assess the newborn at 1
min interval and then again at 5 mins. If less than 7 then continue to assess every 5
mins until newborn is stable
/.APGAR components - Answer-Respiratory rate, HR, muscle tone, reflex irritability and
colour
/.how to calculate an APGAR score - Answer-Each component is evaluated out of 2
No pulse: 0, less than 100bpm: 1, steady and more than 100bpm: 2
/.when and why an RN uses APGAR - Answer-After 1 minute of life
Assesses transition to extrauterine life
/.what are the initial physiological needs of a newborn as they transition to extrauterine
life and what nursing assessments/interventions would you expect? - Answer--
Thermoregulation, providing warmth and drying the newborn -Assess and position
airway
-Palpating suture lines and fontanels in order to assess degree of moulding and any
head trauma
-Reflexes (rooting-touch side of cheek they will turn their head toward that touch,
sucking, grasping etc)
-Vitamin K
/.Palmar grasp reflex and when does it disappear - Answer-When stroking a finger
inside of baby palm, baby grips finger
Disappears around 4-6 months
/.Plantar grasp reflex and when does it disappear - Answer-when placing a finger under
toes, they curl
Disappears around 9 months to 1 year of age
/.Moro or startle reflex and when does it disappear - Answer-When laying infant down or
they hear a loud noise, they will extend their arms with palms facing up
Disappears around 6 months of age
/.Rooting reflex and when does it disappear - Answer-When infants cheek or side of
mouth is stroked, the head will turn towards it and open their mouth in attempt to suck
Disappears around 4 months
/.Sucking reflex and when does it disappear - Answer-When something touches the top
of the infant's mouth, they will begin to suck
, Disappears around 4 months
/.Babinski reflex and when does it disappear - Answer-When the bottom of the foot is
stroked from heel upwards, the big toe dorsiflexes (bends back) and the other toes fan
or spread out
Disappear around 1 year of age
/.Crawling reflex or bauer crawling reflex and when does it disappear - Answer-When
infant is placed on their stomach and pressure (such as a hand) is applied to the sole of
the foot, the infant will attempt to push against the hand and move the arms and legs in
a crawling like motion
Disappears a few weeks or months after birth
/.Step reflex and when does it disappear - Answer-When holding the infant upright with
legs and feet touching a surface, the infant will move the legs like taking steps or
walking.
Disappears about 3-4 months of age
/.Tonic neck reflex or fencing reflex and when does it disappear - Answer-When infant's
head is turned to a particular side, the leg and arm on that side will extend while the leg
and arm on the opposite side will flex.
Disappears around 4 months of age
/.Reflexes a baby has transitions into - Answer-more deliberate movements
/.Why are newborns administered Vitamin K? - Answer-To prevent hemorrhagic disease
/.Breastmilk vs formula? Frequency? - Answer--Breast milk is best if possible
-Antibodies
Breast milk 8-12 times a day
Formula every 3-4hrs
/.How would a new parent know that their baby is getting enough breastmilk or formula?
- Answer--Measuring wet diapers (output)
-soiled diapers
-Measuring weight gain
/.ways newborns can lose heat - Answer-Convection
Radiation
Conduction
Evaporation
/.Erikson's Psychosocial development of infants: trust VS mistrust - Answer--Positive
resolution of this stage is trust
