NR 509 Final Questions with Correct Answers.

Childhood immunizations Correct Answer Birth- Hep B, Flu 1-2 mos- DTap, Hep B(2), HIB, Polio, Pneumococcal, Rotavirus 3-4 mos- DTap (2), HIB (2), Polio (2), Pneumo (2), Rotavirus (2) 5-6 mos- Dtap (3), HIB (3), polio (3), pneumo (3), Rotavirus (3), Flu 7-11 mos- flu 12-23 mos- Varicella, DTap (4), HIB (4), MMR (1), Polio (3), Pnuemo (4), Hep A, Hep B (3), Flu 2-3 years- Flu 4-6 years- DTap (5), Polio (4), MMR (2), Varicella (2), Flu 7-10 years- Flu, HPV 11-12 years- Mening, HPV (2), Tdap (1) 13-18 years- Mening (2), Serogroup B Mening (2) Apgar scale Correct Answer a standard measurement system that looks for a variety of indications of good health in newborns. Score at 1 min and again at 5 min 3 pt scale (0,1,2) score ranges 0-10 HR: absent- 100- 100 Resp: Absent- slow- good Color: Blue/pale- Pink body/blue arms- pink Muscle tone: Flaccid- Some flexion- Active Reflexes: None- Grimaces- Vigorous Cry Gestational Age Assessment Correct Answer Performed within 2 to 12 hr of birth Newborn Measurements and New Ballard Scale Gestational age estimation and baseline to assess growth and development. *Neonatal morbidity and mortality are related to gestational age and birth weight. Large gestational age Correct Answer above 90th percentile risk for hypoglycemia- s/s include jitteriness, irritability, cyanosis small gestational age Correct Answer 10th percentile babies who weigh substantially less than is normal for whatever their gestational age May be caused by fetal, placental, maternal factors, maternal smoking Preterm appropriate gestational age at risk for Correct Answer respiratory distress, apnea, patent ductus arteriosis (PDA) with left to right shunt and infection Preterm small gestation age at risk for Correct Answer asphyxia, hypoglycemia, hypocalcemia tremors after 4 days old suggest Correct Answer CNS disease, asphyxia, drug withdrawal, central or peripheral neurologic defect, or birth injuries