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NARM NEWBORN EXAM QUESTIONS

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NARM NEWBORN EXAM QUESTIONS

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NARM: NEWBORN EXAM QUESTIONS

Normal newborn heart rate - Answer -110-150 bpm

Apgar scale - Answer -appearance, pulse, grimace, activity, respiration

Appearance - Answer -color of skin : red,pink,blue,white

Activity - Answer -vigorous
Limp

How many newborn signs are ranked when doing the APGAR - Answer -5 signs

What are the 5 signs that are ranked during an APAR score - Answer -Heart rate
Respirations
Reflex response
Muscle tone
Color

Heart Rate - Answer -abscent-0
Below 100-1
Above 100-2

Respiration - Answer -abscent-0
Weak cry-1
Strong cry-2

Reflex response - Answer -abscent-0
Grimace-1
Cough sneeze-3

Muscle tone - Answer -limp-0
Some flexion-1
Well flexed-2

Color - Answer -pale/blue-0
Body pink/ext. Blue-1
All pink-2

When do you preform an APGAR - Answer -1 minute and 5 minutes

General apperance - Answer -pink to red
Breathing well
Flexion good

, Head circumference - Answer -32-38 cm (13-15 inches)

Cephalhematoma - Answer -collection of blood between periosteum and skull bone that
it covers
Does not cross suture line
Results from trauma during birth

Caput succedaneum - Answer -diffuse edema of the fetal scalp that crosses the suture
lines. Reabsorbes within 1 to 3 days

Neck - Answer -supple with full range of motion

Eyes - Answer -no pus or discharge
Redness or tiny hemmorhage is normal

Ears - Answer -position of ears between eyes and mouth
Low lying ears is sign of congential abnormalities

Nose - Answer -open nostriles

Mouth - Answer -check cleft lip
Cleft palate
Sucking reflexes
Protruding tongue down syndrome

Chest - Answer -check respiratory rate
Retractions should not be present

Normal respirtation range is - Answer -40-60
As low as 30 when sleeping

Lungs - Answer -breathing sounds should be bilateral
And clear no grunting

Heart - Answer -regular rhythm
No abnormalities

Breasts - Answer -may see enlargement

Abdomen - Answer -palpate
Liver and spleen should not feel enlarged
Umbilical cord should have three vessels
No masses
Listen for bowel sounds

Genitalia - Answer -edema in both sexes is normal

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