Newborn Assessment and Care

NEWBORN ASSESSMENT AND CARE
EXAM WITH COMPLETE SOLUTIONS




Most bcritical band bimmediate bphysiological bchange bto bextrauterine blife? b-
bcorrect banswers b-Respiratory

___: bcommon bin bneonates; bpersistent bblue bor bcyanotic bdiscoloration bof bthe
bextremities, bmost bcommonly boccurring bin bthe bhands, balthough bit balso boccurs
bin bthe bfeet band bdistal bparts bof bface b- bcorrect banswers b-Acrocyanosis

Thermoregulatory bSystem

1. bNeonate bresponses bto btemperature bchanges bare b___ bfor bthe bfirst bfew
bweeks

, 2. bHeat bloss bis bexaggerated bby bevaporation bwhen b___ b- bcorrect banswers b-1.
bDelayed
2. bWet

Thermoregulatory bSystem b- bCold bStress

1. bMetabolic brate b___
2. bMuscle bactivity b___
3. bPeripheral b___
4. bMetabolism bof b___ b- bcorrect banswers b-1. b↑ bIncreases
2. b↑ bIncreases
3. bVasoconstriction
4. bBrown bfat b(dense band bvascular badipose btissue bin bnewborns)

Thermoregulatory bSystem b- bCold bStress

1. b___ bneed bfor boxygen
2. bDecreased bproduction bof b___
3. bIncreases brisk bfor: b(give bmultiple banswers) b- bcorrect banswers b-1. b↑
bIncreased
2. bSurfactant
3. bRespiratory bdistress, bhypoglycemia, bmetabolic bacidosis, bjaundice; bmay bcause
breturn bto bfetal bcirculatory bpathways

Risk bfactors bfor b___

-Prematurity
-Small bfor bgestational bage
-Hypoglycemia
-Prolonged bresuscitation
-Sepsis
-Neurological, bendocrine, bcardiorespiratory bproblems b- bcorrect banswers b-Cold
bstress

Signs band bsymptoms bof b___

Axillary btemp b36.5° bC b(97.6° bF); bSkin bcool
Lethary, bPallor
Tachypnea, bGrunting
Hypoglycemia, bJitteriness
Weak bsuck b- bcorrect banswers b-Cold bstress

Preventing bCold bStress

1. b___ bthoroughly band bimmediately
2. bRemove b___ blinens