N122 Modules 1 and 2 Latest Updated 2024 With Complete Solutions
Four mechanisms that babies lose heat - answers-Evaporation, conduction,
convection, radiation
Glucose level checks - answers-Using a heel stick. All neonates should eat within
first hour of birth. Babies born to diabetic mothers need more frequent screening
to ensure their bodies have adapted to reliance of its own insulin. Use a heel
warmer!
Gross motor skills at 6 months - answers-Can turn over completely
Gross motor skills by 3 months - answers-Raise head and chest while on belly.
Roll from side to side.
Gross motor skills by 8 months - answers-Crawl, pull up, crusie
Hearing screen - answers-Auditory brainstem response, measuring the hearing
nerve's response to sound. Pass/fail, can retest once, then referred to audiology.
,How do you assess a newborn-abdomen to diaper? - answers-Bowel sounds:
auscultate all four quadrants
Palpate abdomen
Inspect umbilical stump: two arteries, one vein, s/s infection
Diaper area: females-labia majora covering, clitoris intact. Males- urethra in
proper place, palpate scrotum to determine if testes descended. Check for
patency of anus (first stool).
How do you assess a newborn's lower extremities? - answers-Check femoral
pulses bilaterally.
Ensure equal, bilateral movement of legs. Provider will perform Ortolani test for
hip dysplasia. Plantar grasp reflex. Babinski reflex. Count toes. Look for webbing.
How do you assess a newborn's upper extremities? - answers-Ensure equal
bilateral movement of arms (shoulder dystocia).
Moro reflex. Palmar grasp reflex. Palmar crease. Count fingers. Look for webbing.
How do you determine appropriate growth in kids? - answers-Growth charts
How do you inspect a newborn's back? - answers-Sit the baby up while supporting
the head with it leaning forward slightly.
,Observe spine all the way down (pull down diaper).
Identify any sacral dimples, ensure you can see the bottom of it, note any hair.
How do you inspect a newborn's neck and chest? - answers-Check head lag by
listing both arms simultaneously and raising baby off of surface slightly.
Palpate clavicles (intact, no crepitus).
Observe shape, position of nipples.
Respiratory effort: note location/severity if retractions present.
Lung sounds: count respiratory rate and listen for adventitious sounds.
Heart sounds: listen for rate and regularity, note any adventitious sounds.
Amount of blood in a full-term infant, amount of blood in a preterm infant -
answers-80-90 mL/kg , 90-105 mL/kg . Determined by the timing of the clamping
of the umbilical cord.
Anthropometric measurements - answers-Head circumference (until age 3)
Length/height
Weight
Body mass index after age 2.
, APGAR - answers-Appearance (color), pulse, reflex irritability, activity (muscle
tone), respiration
Do not wait for scoring to intervene if newborn needs help!
Assessing the chest and abdomen - answers-Assess shape, retractions
Lung assessment
Heart sounds
Bowel sounds (all four quadrants)
Genitalia
Buttocks and perineal area for rash
Assessment of the head and neck - answers-Head shape: fontanels and general
shape, cradle cap
Eyes: symmetry, swelling, discharge
Ears: was build-up, drainage, ask if child has been tugging on ear
Nose: mucus
Mouth: eruption of teeth, gums, throat
Four mechanisms that babies lose heat - answers-Evaporation, conduction,
convection, radiation
Glucose level checks - answers-Using a heel stick. All neonates should eat within
first hour of birth. Babies born to diabetic mothers need more frequent screening
to ensure their bodies have adapted to reliance of its own insulin. Use a heel
warmer!
Gross motor skills at 6 months - answers-Can turn over completely
Gross motor skills by 3 months - answers-Raise head and chest while on belly.
Roll from side to side.
Gross motor skills by 8 months - answers-Crawl, pull up, crusie
Hearing screen - answers-Auditory brainstem response, measuring the hearing
nerve's response to sound. Pass/fail, can retest once, then referred to audiology.
,How do you assess a newborn-abdomen to diaper? - answers-Bowel sounds:
auscultate all four quadrants
Palpate abdomen
Inspect umbilical stump: two arteries, one vein, s/s infection
Diaper area: females-labia majora covering, clitoris intact. Males- urethra in
proper place, palpate scrotum to determine if testes descended. Check for
patency of anus (first stool).
How do you assess a newborn's lower extremities? - answers-Check femoral
pulses bilaterally.
Ensure equal, bilateral movement of legs. Provider will perform Ortolani test for
hip dysplasia. Plantar grasp reflex. Babinski reflex. Count toes. Look for webbing.
How do you assess a newborn's upper extremities? - answers-Ensure equal
bilateral movement of arms (shoulder dystocia).
Moro reflex. Palmar grasp reflex. Palmar crease. Count fingers. Look for webbing.
How do you determine appropriate growth in kids? - answers-Growth charts
How do you inspect a newborn's back? - answers-Sit the baby up while supporting
the head with it leaning forward slightly.
,Observe spine all the way down (pull down diaper).
Identify any sacral dimples, ensure you can see the bottom of it, note any hair.
How do you inspect a newborn's neck and chest? - answers-Check head lag by
listing both arms simultaneously and raising baby off of surface slightly.
Palpate clavicles (intact, no crepitus).
Observe shape, position of nipples.
Respiratory effort: note location/severity if retractions present.
Lung sounds: count respiratory rate and listen for adventitious sounds.
Heart sounds: listen for rate and regularity, note any adventitious sounds.
Amount of blood in a full-term infant, amount of blood in a preterm infant -
answers-80-90 mL/kg , 90-105 mL/kg . Determined by the timing of the clamping
of the umbilical cord.
Anthropometric measurements - answers-Head circumference (until age 3)
Length/height
Weight
Body mass index after age 2.
, APGAR - answers-Appearance (color), pulse, reflex irritability, activity (muscle
tone), respiration
Do not wait for scoring to intervene if newborn needs help!
Assessing the chest and abdomen - answers-Assess shape, retractions
Lung assessment
Heart sounds
Bowel sounds (all four quadrants)
Genitalia
Buttocks and perineal area for rash
Assessment of the head and neck - answers-Head shape: fontanels and general
shape, cradle cap
Eyes: symmetry, swelling, discharge
Ears: was build-up, drainage, ask if child has been tugging on ear
Nose: mucus
Mouth: eruption of teeth, gums, throat
