Women and Families NRSG 3302 Maternity Module 7 + 8
Questions With Complete Solutions
A mother who just delivered 24 hours ago notices a red rash
with yellow pustules on her newborn's face and asks the nurse if
she should be concerned. What would you tell the mother?
1. These spots are called stork bites and will disappear around
the time your baby is 2 years old.
2. The pediatrician should see the rash as it could indicate
infection
3. The rash is called erythema toxicum, and it is normal and
should disappear within a week.
4. That is a port-wine stain and your baby will have it for the
rest of its life. Correct Answers 3. The rash is called erythema
toxicum, and it is normal and should disappear within a week.
(port wine= nevus flammeus)
A-Activity Correct Answers muscle tone
0- absent
1- flexed arms and legs
2- active
A-Appearance Correct Answers 0-blue/pale, acrocyanotic
1-pink body, blue extremities
2-pink
Acrocyanosis Correct Answers blue extremities, pink body
Anterior Fontanelle Correct Answers diamond shaped
,closes after 18 months
APGAR scoring Correct Answers done 1 and 5 minutes after
birth
8-10 normal
4-7 may need resuscitation
<3 poor prognosis
Average Newborn Length Correct Answers 18-22 inches
crown to heel
Average Newborn Weight Range Correct Answers 2500 g-
4000 g
Babinski reflex Correct Answers stroke bottom of foot
toes curl, uncurl, fan out
NOT normal in adult
Ballard Tool Correct Answers estimate gestational age
do within 4 hours of birth for maximum reliability
Barlow Test Correct Answers for hip dysplasia
ADDUCT and push hips forward to body, should be smooth
transition
, Bilirubin >15 Correct Answers cause seizures, coma,
vegetative state, needs phototherapy
check with TcB (transcutaneous bilimeter) or total serum bili
level
Bottle feeding no-no's Correct Answers do not add extra water
or skimp on water
no propping, dental carries or can choke
keep air out of nipple
Breast milk jaundice Correct Answers late onset bilirubin rise,
may last several weeks
related to milk composition, free fatty acids compete at bilirubin
binding sites to inhibit conjugation
Breastfeeding jaundice Correct Answers decreased intake of
breastmilk and thus decreased meconium passage and
dehydration
breastfed infants have higher bili levels than bottle fed
Breastmilk Correct Answers fat content varies from feeding to
feeding depending how much baby feeds
IgG and proteins decrease
lactose, fat, calories increase
Questions With Complete Solutions
A mother who just delivered 24 hours ago notices a red rash
with yellow pustules on her newborn's face and asks the nurse if
she should be concerned. What would you tell the mother?
1. These spots are called stork bites and will disappear around
the time your baby is 2 years old.
2. The pediatrician should see the rash as it could indicate
infection
3. The rash is called erythema toxicum, and it is normal and
should disappear within a week.
4. That is a port-wine stain and your baby will have it for the
rest of its life. Correct Answers 3. The rash is called erythema
toxicum, and it is normal and should disappear within a week.
(port wine= nevus flammeus)
A-Activity Correct Answers muscle tone
0- absent
1- flexed arms and legs
2- active
A-Appearance Correct Answers 0-blue/pale, acrocyanotic
1-pink body, blue extremities
2-pink
Acrocyanosis Correct Answers blue extremities, pink body
Anterior Fontanelle Correct Answers diamond shaped
,closes after 18 months
APGAR scoring Correct Answers done 1 and 5 minutes after
birth
8-10 normal
4-7 may need resuscitation
<3 poor prognosis
Average Newborn Length Correct Answers 18-22 inches
crown to heel
Average Newborn Weight Range Correct Answers 2500 g-
4000 g
Babinski reflex Correct Answers stroke bottom of foot
toes curl, uncurl, fan out
NOT normal in adult
Ballard Tool Correct Answers estimate gestational age
do within 4 hours of birth for maximum reliability
Barlow Test Correct Answers for hip dysplasia
ADDUCT and push hips forward to body, should be smooth
transition
, Bilirubin >15 Correct Answers cause seizures, coma,
vegetative state, needs phototherapy
check with TcB (transcutaneous bilimeter) or total serum bili
level
Bottle feeding no-no's Correct Answers do not add extra water
or skimp on water
no propping, dental carries or can choke
keep air out of nipple
Breast milk jaundice Correct Answers late onset bilirubin rise,
may last several weeks
related to milk composition, free fatty acids compete at bilirubin
binding sites to inhibit conjugation
Breastfeeding jaundice Correct Answers decreased intake of
breastmilk and thus decreased meconium passage and
dehydration
breastfed infants have higher bili levels than bottle fed
Breastmilk Correct Answers fat content varies from feeding to
feeding depending how much baby feeds
IgG and proteins decrease
lactose, fat, calories increase
