NEWBORN ASSESSMENT AND CARE EXAM
QUESTIONS & DETAILED 100% CORRECT
SOLUTIONS
1. Changes in the heart that is The "Ductus Arteriosus" is still open providing a
connection between
normal in a newborn the aorta and the pulmonary artery. Within a few days the ductus
closes off completely.
"Foramen Ovale" allows blood to pass between the left and right
atriums (LA & RA). Within a few days the ductus closes off
completely. The Foramen Ovale closes gradually over several
weeks or months, sometimes remaining open as a tiny slit
into adolescence or beyond. May hear murmur if it remains
patent
2. Surfactant maintains respiratory stability by lowering surface tension in
the alveolus at the end of expiration, thus preventing
collapse
3. When can bowel sounds be 1 hour after birth
heard after birth?
4. Neonate ¬IgG provides the neonate with antibodies to bacterial and
immunologlobu- lins
viral agents
¬IgM in high levels indicates a nonspecific infection
¬IgA limits bacterial growth in the GI tract
5. Why is vitamin K
Prevent bleeding and hemorrhage
given to newborns?
1/
21
,NEWBORN ASSESSMENT AND CARE EXAM
QUESTIONS & DETAILED 100% CORRECT
SOLUTIONS
¬Levels of vitamin K are lower than normal: risk of clotting deficiency
6. Newborn Transition ØFirst few hours after birth represent critical adjustment
period for
the newborn
ØTransition
phase
2/
21
, NEWBORN ASSESSMENT AND CARE EXAM
QUESTIONS & DETAILED 100% CORRECT
SOLUTIONS
ØRN must monitor newborn's transition to extrauterine life -
Assess- ment every 15 minutes
Immediate initiation of respiration and changes in circulatory
pat- terns essential for extrauterine life
ØFactors attecting newborn adaptation
7. Apgar scoring system a standard scoring system that allows physicians to evaluate
an
infant's health status quickly and objectively.
ØThere are five specific categories: heart rate, respiratory
ettort, muscle tone, reflex irritability and color.
ØScores assigned at 1 minute and again at 5 minutes after
birth, then every 15 minutes for the first 2 hours.
Scores:
Ø0-4: prognosis for newborn is grave
Ø5-7: newborn need specialized, intensive care
Ø8 or above: newborn should do well in normal newborn
nursery
3/
21
QUESTIONS & DETAILED 100% CORRECT
SOLUTIONS
1. Changes in the heart that is The "Ductus Arteriosus" is still open providing a
connection between
normal in a newborn the aorta and the pulmonary artery. Within a few days the ductus
closes off completely.
"Foramen Ovale" allows blood to pass between the left and right
atriums (LA & RA). Within a few days the ductus closes off
completely. The Foramen Ovale closes gradually over several
weeks or months, sometimes remaining open as a tiny slit
into adolescence or beyond. May hear murmur if it remains
patent
2. Surfactant maintains respiratory stability by lowering surface tension in
the alveolus at the end of expiration, thus preventing
collapse
3. When can bowel sounds be 1 hour after birth
heard after birth?
4. Neonate ¬IgG provides the neonate with antibodies to bacterial and
immunologlobu- lins
viral agents
¬IgM in high levels indicates a nonspecific infection
¬IgA limits bacterial growth in the GI tract
5. Why is vitamin K
Prevent bleeding and hemorrhage
given to newborns?
1/
21
,NEWBORN ASSESSMENT AND CARE EXAM
QUESTIONS & DETAILED 100% CORRECT
SOLUTIONS
¬Levels of vitamin K are lower than normal: risk of clotting deficiency
6. Newborn Transition ØFirst few hours after birth represent critical adjustment
period for
the newborn
ØTransition
phase
2/
21
, NEWBORN ASSESSMENT AND CARE EXAM
QUESTIONS & DETAILED 100% CORRECT
SOLUTIONS
ØRN must monitor newborn's transition to extrauterine life -
Assess- ment every 15 minutes
Immediate initiation of respiration and changes in circulatory
pat- terns essential for extrauterine life
ØFactors attecting newborn adaptation
7. Apgar scoring system a standard scoring system that allows physicians to evaluate
an
infant's health status quickly and objectively.
ØThere are five specific categories: heart rate, respiratory
ettort, muscle tone, reflex irritability and color.
ØScores assigned at 1 minute and again at 5 minutes after
birth, then every 15 minutes for the first 2 hours.
Scores:
Ø0-4: prognosis for newborn is grave
Ø5-7: newborn need specialized, intensive care
Ø8 or above: newborn should do well in normal newborn
nursery
3/
21
