OB ATI: Ch 23-26: The "Normal" Newborn Exam
Questions And Accurate Answers
Apgar Scoring - ANSWER HeartRate, Respiratory Rate, Muscle Tone, Reflex Irritability,
and Color.
Each section receives a 0-2
0-3 indicates Severe Distress
4-6 indicates moderate distress
7-10 indicates no distress
Apgar Score 0 1 2
Heart Rate absent
Respiratory Rate absent
Muscle Tone flacid
Reflex Irritability none
Color blue/pale - ANSWER 1 2
< 100 > 200
slow, weak cry Good Cry
some flexion well flexed
grimace none
pink body, cyanotic completely pink
hands and feet
(acrocyanosis)
Expected Reference Ranges of Physical Assessment
Weight
Length
Head Circumference
Chest Circumference - ANSWER Weight: 2,000 to 4,000 grams
, Length: 45 to 44 cm (18 - 22 in)
Head: 32 to 36.8 cm (12.6 to 14.5 in)
Chest: 30 to 33 cm (12 to 13 in)
Term:
Preterm or premature:
posterm (post date):
post mature: - ANSWER - birth between 38 - 42 weeks
- born prior to completion of 37 weeks of gestation
- born after 42 weeks of gestation
- born after 42 weeks with evidence of placental insufficiency
Normal Newborn Vital Signs - ANSWER RR: 30 to 60 per minute
HR: 100 to 160 per minute
BP: 60 to 80 / over 40 to 50
Temp: 36.5 to 37.2 Celcius or 97.7 to 98.9 Farenhiet
Head should be ____ cm larger than chest circumference. If it is greater than ____ cm it
can indicate _________. - ANSWER 2.5 cm
4 cm
hydrocephalus
Anterior Fontanel should be _____ cm on average and ______ shaped. They should be
_____ and _____. - ANSWER 5 cm
diamond
flat and soft
sucking/ rooting reflex - ANSWER infant turns the head toward the side that is touched
and starts to suck
moro reflex - ANSWER while holding the infant allowing it to "fall" onto a flat surface the
arms and legs symmetrically extend and then abduct while fingers spread to form a "c"
tonic neck reflex - ANSWER newborn turns head to one side. newborn responds by
extending arms and leg on that side and flexing arm and leg on opposite side.
Urine specific gravity value in dehydration - ANSWER more than 1.015
Questions And Accurate Answers
Apgar Scoring - ANSWER HeartRate, Respiratory Rate, Muscle Tone, Reflex Irritability,
and Color.
Each section receives a 0-2
0-3 indicates Severe Distress
4-6 indicates moderate distress
7-10 indicates no distress
Apgar Score 0 1 2
Heart Rate absent
Respiratory Rate absent
Muscle Tone flacid
Reflex Irritability none
Color blue/pale - ANSWER 1 2
< 100 > 200
slow, weak cry Good Cry
some flexion well flexed
grimace none
pink body, cyanotic completely pink
hands and feet
(acrocyanosis)
Expected Reference Ranges of Physical Assessment
Weight
Length
Head Circumference
Chest Circumference - ANSWER Weight: 2,000 to 4,000 grams
, Length: 45 to 44 cm (18 - 22 in)
Head: 32 to 36.8 cm (12.6 to 14.5 in)
Chest: 30 to 33 cm (12 to 13 in)
Term:
Preterm or premature:
posterm (post date):
post mature: - ANSWER - birth between 38 - 42 weeks
- born prior to completion of 37 weeks of gestation
- born after 42 weeks of gestation
- born after 42 weeks with evidence of placental insufficiency
Normal Newborn Vital Signs - ANSWER RR: 30 to 60 per minute
HR: 100 to 160 per minute
BP: 60 to 80 / over 40 to 50
Temp: 36.5 to 37.2 Celcius or 97.7 to 98.9 Farenhiet
Head should be ____ cm larger than chest circumference. If it is greater than ____ cm it
can indicate _________. - ANSWER 2.5 cm
4 cm
hydrocephalus
Anterior Fontanel should be _____ cm on average and ______ shaped. They should be
_____ and _____. - ANSWER 5 cm
diamond
flat and soft
sucking/ rooting reflex - ANSWER infant turns the head toward the side that is touched
and starts to suck
moro reflex - ANSWER while holding the infant allowing it to "fall" onto a flat surface the
arms and legs symmetrically extend and then abduct while fingers spread to form a "c"
tonic neck reflex - ANSWER newborn turns head to one side. newborn responds by
extending arms and leg on that side and flexing arm and leg on opposite side.
Urine specific gravity value in dehydration - ANSWER more than 1.015
