UTA NURS5432 Midterm UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What is the proper way to resuscitate a NB? - CORRECT 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? - CORRECT 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? - CORRECT 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.
What size laryngoscope is need for NB? Premie? - CORRECT ANSWER - NB: Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
Hyaline Membrane Disorder - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - On demand every 2-5 hours
NB feeding need - CORRECT ANSWER - 0.5-1oz/feed
1.5-2.0oz/feed by day 3
How much daily vitamin D should a NB receive? - CORRECT ANSWER - 400 IU daily
What additional supplement is needed if the breastfeeding mother is a vegetarian? - CORRECT
ANSWER - Zinc
What medications are given at birth? - CORRECT 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? - CORRECT ANSWER - 120
kcal/kg/day
*Goal is to gain weight*
,When are apgar scores taken? - CORRECT ANSWER - At 1 minute and 5 minute
*the higher the score, the better the health*
What does the APGAR assess? - CORRECT ANSWER - 1. Color
2. HR
3. Cry
4. Tone
5. Respiration
Newborn Reflexes - CORRECT 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.
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? - CORRECT ANSWER - at 3-6 mos
It detects congenital MSK abnormalities or neural plexus injuries
When does the palmar grasp reflex disappear? - CORRECT ANSWER - at 4-6 months
When does the Babinski reflex disappear? - CORRECT ANSWER - age 2; if persists, it's a
sign of CNS injury
When does the tonic neck reflex disappear? - CORRECT ANSWER - 5-7 mos
, Ages of well-baby appointments - CORRECT ANSWER - 2, 6, 9, 12-15, 24
Meds that shouldn't be taken until after the 1st trimester - CORRECT ANSWER - ACES
Antineoplastics
Anti-thyroid
Warfarin
Lithium
Heart murmur Grades - CORRECT ANSWER - I: barely heard
II: soft but heard
III: moderately loud, no thrill
IV: loud with palpable thrill
V. very loud
VI: extremely loud (without stethoscope)
Causes of Murmurs - CORRECT ANSWER - VSD, ASD, Patent ductus arteriosus
A NB has a murmur after 24 hours, what is next? - CORRECT ANSWER - 1. Take
bilateral BP (if different; >15mmHg); order an ECHO
to r/o possible coarctation of aorta
PEDS HX - CORRECT ANSWER - 1. Demographics
2. Problem list
3. Meds: chronic
4. Birth hx
5. birth screening results/developmental milestones
6. Vax hx
ACTUAL Exam Questions and CORRECT
Answers
What is the proper way to resuscitate a NB? - CORRECT 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? - CORRECT 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? - CORRECT 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.
What size laryngoscope is need for NB? Premie? - CORRECT ANSWER - NB: Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
Hyaline Membrane Disorder - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - On demand every 2-5 hours
NB feeding need - CORRECT ANSWER - 0.5-1oz/feed
1.5-2.0oz/feed by day 3
How much daily vitamin D should a NB receive? - CORRECT ANSWER - 400 IU daily
What additional supplement is needed if the breastfeeding mother is a vegetarian? - CORRECT
ANSWER - Zinc
What medications are given at birth? - CORRECT 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? - CORRECT ANSWER - 120
kcal/kg/day
*Goal is to gain weight*
,When are apgar scores taken? - CORRECT ANSWER - At 1 minute and 5 minute
*the higher the score, the better the health*
What does the APGAR assess? - CORRECT ANSWER - 1. Color
2. HR
3. Cry
4. Tone
5. Respiration
Newborn Reflexes - CORRECT 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.
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? - CORRECT ANSWER - at 3-6 mos
It detects congenital MSK abnormalities or neural plexus injuries
When does the palmar grasp reflex disappear? - CORRECT ANSWER - at 4-6 months
When does the Babinski reflex disappear? - CORRECT ANSWER - age 2; if persists, it's a
sign of CNS injury
When does the tonic neck reflex disappear? - CORRECT ANSWER - 5-7 mos
, Ages of well-baby appointments - CORRECT ANSWER - 2, 6, 9, 12-15, 24
Meds that shouldn't be taken until after the 1st trimester - CORRECT ANSWER - ACES
Antineoplastics
Anti-thyroid
Warfarin
Lithium
Heart murmur Grades - CORRECT ANSWER - I: barely heard
II: soft but heard
III: moderately loud, no thrill
IV: loud with palpable thrill
V. very loud
VI: extremely loud (without stethoscope)
Causes of Murmurs - CORRECT ANSWER - VSD, ASD, Patent ductus arteriosus
A NB has a murmur after 24 hours, what is next? - CORRECT ANSWER - 1. Take
bilateral BP (if different; >15mmHg); order an ECHO
to r/o possible coarctation of aorta
PEDS HX - CORRECT ANSWER - 1. Demographics
2. Problem list
3. Meds: chronic
4. Birth hx
5. birth screening results/developmental milestones
6. Vax hx
