Nurs 351 Exam 1 questions & correct
answers graded A+
How often should you asses RR of a newborn immediately after birth - correct answer ✔✔at least once
every 30 minutes until the infant has been stable for 2 hours. Plus more if abnormalities noted
Normal RR for newborn - correct answer ✔✔30-60
normal HR for newborn - correct answer ✔✔120-160 bpm
normal temp for newborn - correct answer ✔✔36.5-37.5
Choanal atresia - correct answer ✔✔blockage or narrowing of one or both nasal passages by bone or
tissue
normal BP for newborns - correct answer ✔✔65 to 95 mm Hg systolic and 30 to 60 mm Hg diastolic
signs of coarctation of the aorta in a newborn - correct answer ✔✔A systolic BP in the upper extremities
that is greater than 20 mm Hg higher than in the lower extremities
caput succedaneum - correct answer ✔✔localized edema that appears over the vertex of the newborn's
head as a result of pressure against the cervix during labor. The pressure interferes with blood flow from
the area, causing localized edema at birth.
cephalohematoma - correct answer ✔✔bleeding between the periosteum and the skull, is the result of
pressure during birth. A cephalohematoma has clear edges that end at the suture lines. It does not cross
the suture lines, unlike a caput succedaneum, because the bleeding is held between the bone and its
covering, the periosteum.
, Head assessment of newborn - correct answer ✔✔assess for caput, cephalohematoma, assess sutures.
Assess for normal fine hair growth/pattern. If irregular could mean genetic abnormality. Assess for facial
symmetry, report abornmalities.
Neck and Clavicle assessment of newborn - correct answer ✔✔assess ROM of the neck, if excessive fat
(genetic abnorm), palpate clavicle to assess for crepitus (fracture). Should be even throughout. Note
abnormal arm movement (Can elicit with Moro reflex)
How many vessels in umbilical cord - correct answer ✔✔3, 2 small arteries and one large vein.
umbilical assessment - correct answer ✔✔assess for 3 vessels, amount of Wharton's jelly, no discharge
should be present. If a yellow-brown tinge infant may have released meconium in utero which could
been indicative of fetal compromise
Extremities assessment of newborn - correct answer ✔✔should move all extremities randomly, and be
slightly flexed and resist extension on exam.
Hands/feet assessment of newborn - correct answer ✔✔assess for polydactyly or syndactyly (webbing),
hip assessment of newborn - correct answer ✔✔Look for signs of congenital hip dislocation. Rotate leg
while legs flexed and feel for clicks (one leg at a time then both together). Also unequal knee hights or
folds can be a sign.
vertebral column assessment of newborn - correct answer ✔✔check to see if spine is straight or any
tuffs of hair as base of spine (spina bifida)
newborn measurements - correct answer ✔✔VS, weight, length, head circ, chest circ.
GI assessment of newborns - correct answer ✔✔meconium is first stool (tarry/green-black), must pass
by day 2 or problem, usually in first 12 hours, and consists of particles from amniotic fluid. Next stools
will be transitional stools mix of meconium and milk stools (yellow seedy stools)
answers graded A+
How often should you asses RR of a newborn immediately after birth - correct answer ✔✔at least once
every 30 minutes until the infant has been stable for 2 hours. Plus more if abnormalities noted
Normal RR for newborn - correct answer ✔✔30-60
normal HR for newborn - correct answer ✔✔120-160 bpm
normal temp for newborn - correct answer ✔✔36.5-37.5
Choanal atresia - correct answer ✔✔blockage or narrowing of one or both nasal passages by bone or
tissue
normal BP for newborns - correct answer ✔✔65 to 95 mm Hg systolic and 30 to 60 mm Hg diastolic
signs of coarctation of the aorta in a newborn - correct answer ✔✔A systolic BP in the upper extremities
that is greater than 20 mm Hg higher than in the lower extremities
caput succedaneum - correct answer ✔✔localized edema that appears over the vertex of the newborn's
head as a result of pressure against the cervix during labor. The pressure interferes with blood flow from
the area, causing localized edema at birth.
cephalohematoma - correct answer ✔✔bleeding between the periosteum and the skull, is the result of
pressure during birth. A cephalohematoma has clear edges that end at the suture lines. It does not cross
the suture lines, unlike a caput succedaneum, because the bleeding is held between the bone and its
covering, the periosteum.
, Head assessment of newborn - correct answer ✔✔assess for caput, cephalohematoma, assess sutures.
Assess for normal fine hair growth/pattern. If irregular could mean genetic abnormality. Assess for facial
symmetry, report abornmalities.
Neck and Clavicle assessment of newborn - correct answer ✔✔assess ROM of the neck, if excessive fat
(genetic abnorm), palpate clavicle to assess for crepitus (fracture). Should be even throughout. Note
abnormal arm movement (Can elicit with Moro reflex)
How many vessels in umbilical cord - correct answer ✔✔3, 2 small arteries and one large vein.
umbilical assessment - correct answer ✔✔assess for 3 vessels, amount of Wharton's jelly, no discharge
should be present. If a yellow-brown tinge infant may have released meconium in utero which could
been indicative of fetal compromise
Extremities assessment of newborn - correct answer ✔✔should move all extremities randomly, and be
slightly flexed and resist extension on exam.
Hands/feet assessment of newborn - correct answer ✔✔assess for polydactyly or syndactyly (webbing),
hip assessment of newborn - correct answer ✔✔Look for signs of congenital hip dislocation. Rotate leg
while legs flexed and feel for clicks (one leg at a time then both together). Also unequal knee hights or
folds can be a sign.
vertebral column assessment of newborn - correct answer ✔✔check to see if spine is straight or any
tuffs of hair as base of spine (spina bifida)
newborn measurements - correct answer ✔✔VS, weight, length, head circ, chest circ.
GI assessment of newborns - correct answer ✔✔meconium is first stool (tarry/green-black), must pass
by day 2 or problem, usually in first 12 hours, and consists of particles from amniotic fluid. Next stools
will be transitional stools mix of meconium and milk stools (yellow seedy stools)
