Exam 2 Newborn Assessment
What is the most critical extrauterine adjustment a newborn makes? - Answer-The establishment of
respiratory function with the cutting of the umbilical cord
When do circulatory changes occur in a newborn? - Answer-With the expulsion of the placenta and
cutting of the umbilical cord
What are the three shunts that close during the transition of the flow of oxygenated blood in the lungs
and readjustment of atrial blood pressure in the heart? - Answer-Ductus arteriosus, ductus venosus,
and foramen ovale
When is an APGAR score completed? - Answer-First 1 and 5 minutes of life
What is assessed in the APGAR assessment? - Answer-Heart rate, respiratory rate, muscle tone, reflex
irrability, color
What APGAR score indicates severe distress? - Answer-0-3
What APGAR score indicates moderate distress? - Answer-4-6
, What APGAR score indicates no distress? - Answer-7-10
If a baby had an APGAR score of 10 what would it be displaying? - Answer-HR > 100, good cry, well-
flexed, cry and completely pink
At one minute you assess a newborn that has a pulse of 140, has a slow, weak cry, is well flexed,
grimaces, and is cyanotic in its hands in feet. What would the APGAR score be? - Answer-2+1+2+1+1=7
No distress
Rectal temperature are appropriate for the newborn since its the most accurate place to assess
temperature. - Answer-False. Rectal temperatures should be avoided because they can injure the rectal
mucosa
Blood pressure can be taken from all four extremities. - Answer-True
What should be included in the nurses quick initial assesment? - Answer-External (skin), nasal patency,
meconium staining, breath sounds, heart, rounded abdomen, umbilical cord (1vein2arteries), muscle
tone, reflex, presence/size of fontanels/sutures
When is a gestational age assessment preformed? - Answer-Within 2-12 hrs of birth
What are the normal physical measurements of newborn? - Answer-Weight(2,500-4,000g), Length(18-
22in), Head circumference(12.6-14.5in), Chest circumference(12-13in)
What is the newborn maturity rating scale that assesses neuromuscular and physical maturity? -
Answer-New Ballard Scale
What is the most critical extrauterine adjustment a newborn makes? - Answer-The establishment of
respiratory function with the cutting of the umbilical cord
When do circulatory changes occur in a newborn? - Answer-With the expulsion of the placenta and
cutting of the umbilical cord
What are the three shunts that close during the transition of the flow of oxygenated blood in the lungs
and readjustment of atrial blood pressure in the heart? - Answer-Ductus arteriosus, ductus venosus,
and foramen ovale
When is an APGAR score completed? - Answer-First 1 and 5 minutes of life
What is assessed in the APGAR assessment? - Answer-Heart rate, respiratory rate, muscle tone, reflex
irrability, color
What APGAR score indicates severe distress? - Answer-0-3
What APGAR score indicates moderate distress? - Answer-4-6
, What APGAR score indicates no distress? - Answer-7-10
If a baby had an APGAR score of 10 what would it be displaying? - Answer-HR > 100, good cry, well-
flexed, cry and completely pink
At one minute you assess a newborn that has a pulse of 140, has a slow, weak cry, is well flexed,
grimaces, and is cyanotic in its hands in feet. What would the APGAR score be? - Answer-2+1+2+1+1=7
No distress
Rectal temperature are appropriate for the newborn since its the most accurate place to assess
temperature. - Answer-False. Rectal temperatures should be avoided because they can injure the rectal
mucosa
Blood pressure can be taken from all four extremities. - Answer-True
What should be included in the nurses quick initial assesment? - Answer-External (skin), nasal patency,
meconium staining, breath sounds, heart, rounded abdomen, umbilical cord (1vein2arteries), muscle
tone, reflex, presence/size of fontanels/sutures
When is a gestational age assessment preformed? - Answer-Within 2-12 hrs of birth
What are the normal physical measurements of newborn? - Answer-Weight(2,500-4,000g), Length(18-
22in), Head circumference(12.6-14.5in), Chest circumference(12-13in)
What is the newborn maturity rating scale that assesses neuromuscular and physical maturity? -
Answer-New Ballard Scale
