Newborn Assessment and Care Exam Questions and Correct Answers

Newborn Assessment and Care




Most critical and immediate physiological change to extrauterine life? - Answer-Respiratory



___: common in neonates; persistent blue or cyanotic discoloration of the extremities, most commonly
occurring in the hands, although it also occurs in the feet and distal parts of face - Answer-Acrocyanosis



Thermoregulatory System



1. Neonate responses to temperature changes are ___ for the first few weeks

2. Heat loss is exaggerated by evaporation when ___ - Answer-1. Delayed

2. Wet



Thermoregulatory System - Cold Stress



1. Metabolic rate ___

2. Muscle activity ___

3. Peripheral ___

4. Metabolism of ___ - Answer-1. ↑ Increases

, 2. ↑ Increases

3. Vasoconstriction

4. Brown fat (dense and vascular adipose tissue in newborns)



Thermoregulatory System - Cold Stress



1. ___ need for oxygen

2. Decreased production of ___

3. Increases risk for: (give multiple answers) - Answer-1. ↑ Increased

2. Surfactant

3. Respiratory distress, hypoglycemia, metabolic acidosis, jaundice; may cause return to fetal circulatory
pathways



Risk factors for ___



-Prematurity

-Small for gestational age

-Hypoglycemia

-Prolonged resuscitation

-Sepsis

-Neurological, endocrine, cardiorespiratory problems - Answer-Cold stress



Signs and symptoms of ___



Axillary temp 36.5° C (97.6° F); Skin cool

Lethary, Pallor