OB Exam 2 UAMS CON UPDATED
ACTUAL Questions and CORRECT
Answers
When is the transition period for newborns? - CORRECT ANSWER The first 6-8 hours of
life;When is the first period of reactivity? - CORRECT ANSWER birth to 30
minutes;When is the best time bonding and breastfeeding? - CORRECT ANSWER First
period of reactivity (1st 30 minutes of life);What is important to monitor during the newborn's
transition period? - CORRECT ANSWER thermoregulation (temp);What is normal to find
on an assessment of a newborn that would usually be abnormal? - CORRECT
ANSWER Irregular respirations, crackles, acrocyanosis;What are the two period after the
first period of reactivity? - CORRECT ANSWER -sleep/period of inactivity
-second period of reactivity;What are the 3 categories of respiratory stimuli? - CORRECT
ANSWER Mechanical
Chemical
Sensory;Type of respiratory stimuli that involves:
-compression/recoil of chest during birth
-tactile stimulation during and after birth
-suctioning - CORRECT ANSWER Mechanical stimuli;Type of respiratory stimuli that
involves changes in pressure from changes in oxygen, CO2, and pH - CORRECT
ANSWER Chemical stimuli;Type of respiratory stimuli that involves temperature, noise,
and light - CORRECT ANSWER Sensory stimuli;What kind of breathers are babies? -
CORRECT ANSWER Nose breathers :);What are some respiratory warning signs with
newborns? - CORRECT ANSWER Nasal flaring, intercostal respirations, grunting with
expiration, bradypnea or tachypnea;What is the normal respiration rate for newborns? -
CORRECT ANSWER 30-60/minute;What fetal cardiovascular structures close
postnatally? - CORRECT ANSWER Foramen ovale
Ductus arteriosus
Ductus venosus;Temperature below 97.7F; can be noted by cyanosis and tachypnea - CORRECT
ANSWER Hypothermia;How many times should an infant void in the first 24 hours? -
CORRECT ANSWER At least once;What is considered hypoglycemic for a term infant? -
CORRECT ANSWER Blood sugar level of less than 40mg/dl;Benign form of jaundice;
very common in newborns; S/S appear after 24 hours of age - CORRECT
, ANSWER Physiologic jaundice;Form of jaundice that appears in the 1st 24 hours; due to
abnormalities causing excessive destruction of RBCs - CORRECT ANSWER Pathologic
jaundice;Assessment that gives a score about baby's current condition; not a predictor of how
they will continue to do - CORRECT ANSWER APGARs;When is APGAR performed? -
CORRECT ANSWER At 1 and 5 minutes of life;What is APGAR based on? - CORRECT
ANSWER Heart rate
Resp. Effort
Muscle tone
Reflex irritability
Color;Normal newborn heart rate - CORRECT ANSWER 120-160bpm;test used to
estimate gestational age, Most accurate at 12-20 hrs and is based on sum of neuromuscular and
physical maturity score the higher the number the more mature. - CORRECT
ANSWER Ballard score;LGA - CORRECT ANSWER large for gestational
age;SGA - CORRECT ANSWER small for gestational age;AGA - CORRECT
ANSWER appropriate for gestational age;What will LGA babies require monitoring of? -
CORRECT ANSWER Glucose monitoring;What method of heat loss is water loss? -
CORRECT ANSWER Evaporation;What method of heat loss is air? - CORRECT
ANSWER Convection;What method of heat loss is indirect contact? - CORRECT
ANSWER Radiation;What method of heat loss is direct contact? - CORRECT
ANSWER Conduction;Why is vitamin K given to newborns? - CORRECT
ANSWER To help infant's ability to clot;Why is erythromycin ointment given to
newborns? - CORRECT ANSWER Given in each eye to prevent transmission of infection
from mom's genital tract (given to all babies even if c/section);What vaccine is given to babies
with mom's who are Hep B+? - CORRECT ANSWER HBIG; reduces chances of infant
contraction the disease; must be given within 12 hours of life;Thick dark sticky poo - CORRECT
ANSWER Meconium;Cheesy stuff on newborn's skin - CORRECT
ANSWER Vernix;Mucous that reduces alveolar tension - CORRECT
ANSWER Surfactant;Blue hands and feet in newborn - CORRECT
ANSWER Acrocyanosis;Why do babies of diabetic mothers have a higher risk for
HYPOglycemia? - CORRECT ANSWER Because the baby is used to having an excess of
glucose in mom's uterus and then when they are removed their body needs time to adjust for
management of insulin/glucose;When is the liver mature for the fetus? - CORRECT
ANSWER 40weeks gestation;What often causes pathologic jaundice? - CORRECT
ANSWER Rh incompatibility;What is the average newborn BP? - CORRECT
ANSWER 70/45;Collection of blood between a skill bone and periosteum; does NOT
cross cranial suture line - CORRECT ANSWER Cephalhematoma;Edematous area of the
scalp; most common area is the occipital; disappears 3-4 days after birth - CORRECT
ACTUAL Questions and CORRECT
Answers
When is the transition period for newborns? - CORRECT ANSWER The first 6-8 hours of
life;When is the first period of reactivity? - CORRECT ANSWER birth to 30
minutes;When is the best time bonding and breastfeeding? - CORRECT ANSWER First
period of reactivity (1st 30 minutes of life);What is important to monitor during the newborn's
transition period? - CORRECT ANSWER thermoregulation (temp);What is normal to find
on an assessment of a newborn that would usually be abnormal? - CORRECT
ANSWER Irregular respirations, crackles, acrocyanosis;What are the two period after the
first period of reactivity? - CORRECT ANSWER -sleep/period of inactivity
-second period of reactivity;What are the 3 categories of respiratory stimuli? - CORRECT
ANSWER Mechanical
Chemical
Sensory;Type of respiratory stimuli that involves:
-compression/recoil of chest during birth
-tactile stimulation during and after birth
-suctioning - CORRECT ANSWER Mechanical stimuli;Type of respiratory stimuli that
involves changes in pressure from changes in oxygen, CO2, and pH - CORRECT
ANSWER Chemical stimuli;Type of respiratory stimuli that involves temperature, noise,
and light - CORRECT ANSWER Sensory stimuli;What kind of breathers are babies? -
CORRECT ANSWER Nose breathers :);What are some respiratory warning signs with
newborns? - CORRECT ANSWER Nasal flaring, intercostal respirations, grunting with
expiration, bradypnea or tachypnea;What is the normal respiration rate for newborns? -
CORRECT ANSWER 30-60/minute;What fetal cardiovascular structures close
postnatally? - CORRECT ANSWER Foramen ovale
Ductus arteriosus
Ductus venosus;Temperature below 97.7F; can be noted by cyanosis and tachypnea - CORRECT
ANSWER Hypothermia;How many times should an infant void in the first 24 hours? -
CORRECT ANSWER At least once;What is considered hypoglycemic for a term infant? -
CORRECT ANSWER Blood sugar level of less than 40mg/dl;Benign form of jaundice;
very common in newborns; S/S appear after 24 hours of age - CORRECT
, ANSWER Physiologic jaundice;Form of jaundice that appears in the 1st 24 hours; due to
abnormalities causing excessive destruction of RBCs - CORRECT ANSWER Pathologic
jaundice;Assessment that gives a score about baby's current condition; not a predictor of how
they will continue to do - CORRECT ANSWER APGARs;When is APGAR performed? -
CORRECT ANSWER At 1 and 5 minutes of life;What is APGAR based on? - CORRECT
ANSWER Heart rate
Resp. Effort
Muscle tone
Reflex irritability
Color;Normal newborn heart rate - CORRECT ANSWER 120-160bpm;test used to
estimate gestational age, Most accurate at 12-20 hrs and is based on sum of neuromuscular and
physical maturity score the higher the number the more mature. - CORRECT
ANSWER Ballard score;LGA - CORRECT ANSWER large for gestational
age;SGA - CORRECT ANSWER small for gestational age;AGA - CORRECT
ANSWER appropriate for gestational age;What will LGA babies require monitoring of? -
CORRECT ANSWER Glucose monitoring;What method of heat loss is water loss? -
CORRECT ANSWER Evaporation;What method of heat loss is air? - CORRECT
ANSWER Convection;What method of heat loss is indirect contact? - CORRECT
ANSWER Radiation;What method of heat loss is direct contact? - CORRECT
ANSWER Conduction;Why is vitamin K given to newborns? - CORRECT
ANSWER To help infant's ability to clot;Why is erythromycin ointment given to
newborns? - CORRECT ANSWER Given in each eye to prevent transmission of infection
from mom's genital tract (given to all babies even if c/section);What vaccine is given to babies
with mom's who are Hep B+? - CORRECT ANSWER HBIG; reduces chances of infant
contraction the disease; must be given within 12 hours of life;Thick dark sticky poo - CORRECT
ANSWER Meconium;Cheesy stuff on newborn's skin - CORRECT
ANSWER Vernix;Mucous that reduces alveolar tension - CORRECT
ANSWER Surfactant;Blue hands and feet in newborn - CORRECT
ANSWER Acrocyanosis;Why do babies of diabetic mothers have a higher risk for
HYPOglycemia? - CORRECT ANSWER Because the baby is used to having an excess of
glucose in mom's uterus and then when they are removed their body needs time to adjust for
management of insulin/glucose;When is the liver mature for the fetus? - CORRECT
ANSWER 40weeks gestation;What often causes pathologic jaundice? - CORRECT
ANSWER Rh incompatibility;What is the average newborn BP? - CORRECT
ANSWER 70/45;Collection of blood between a skill bone and periosteum; does NOT
cross cranial suture line - CORRECT ANSWER Cephalhematoma;Edematous area of the
scalp; most common area is the occipital; disappears 3-4 days after birth - CORRECT
