UTA NURS5432 Midterm Exam 2026
Questions and Answers
What is the proper way to resuscitate a NB? - Correct answer-1. dry then heat.
2. Open and suction airway.
3. Assess for apnea, gasp, HR (<100BPM) (>100 ok) give O2 for cyanosis. Give
Surfactant is <26weeks.
4. Check tactile response, if none, bag/mask. If no peak pressure response in 30
secs = intubate.
5. Delay cord clamp for 60 secs.
What is NB asphyxia? - Correct answer-The blood flow is interrupted because of
one of two things:
1. Hypoxia (low HR, High BP, apnea 30-60sec, gasp 3-6/min)
2. Secondary Apnea: low HR/low BP = organ injury
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,What is NB apnea? - Correct answer-Primary: physical stimulation is needed to
initiate breathing.
Secondary: +pressure ventilation is needed. For each minute of gasp = add 2 mins
PPV.
There will be a delay in return of muscle tone and reflexes.
What size laryngoscope is need for NB? Premie? - Correct answer-NB: Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
Hyaline Membrane Disorder - Correct answer-Patho: Deficiency of surfactant
resulting in respiratory distress.
S/S: accessory muscles/labored respirations, increased respirations, cyanosis, and
expiratory grunting.
How to treat hyaline membrane disorder - Correct answer-1. CXR - atelectasis
with ground glass and hypoexpansion
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,2. Give O2 via nasal CPAP
3. Give surfactant therapy: 2-3 doses, every 8-12 hours.
Feeding frequency of NB - Correct answer-On demand every 2-5 hours
NB feeding need - Correct answer-0.5-1oz/feed
1.5-2.0oz/feed by day 3
How much daily vitamin D should a NB receive? - Correct answer-400 IU daily
What additional supplement is needed if the breastfeeding mother is a vegetarian? -
Correct answer-Zinc
What medications are given at birth? - Correct answer-Erythromycin (to prevent
conjunctivitis)
1st dose Hepatitis B
Vitamin K (assist with clotting)
What is a premie-2 months old NB daily caloric need? - Correct answer-120
kcal/kg/day
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, *Goal is to gain weight*
When are apgar scores taken? - Correct answer-At 1 minute and 5 minute
*the higher the score, the better the health*
What does the APGAR assess? - Correct answer-1. Color
2. HR
3. Cry
4. Tone
5. Respiration
Newborn Reflexes - Correct answer-1. Root & Suck: NB will turn head toward
side of face that is stroked and is able to suck.
2. Moro (startle): "fake fall"; NB will initially extend limbs then quickly retract
them.
3. Palmar Grasp: NB will grasp finger when it is placed in hand.
4. Babinski: stroke the foot. A neg result = toes will curl. A +result = toes will fan
out (which is normal until age 2).
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Questions and Answers
What is the proper way to resuscitate a NB? - Correct answer-1. dry then heat.
2. Open and suction airway.
3. Assess for apnea, gasp, HR (<100BPM) (>100 ok) give O2 for cyanosis. Give
Surfactant is <26weeks.
4. Check tactile response, if none, bag/mask. If no peak pressure response in 30
secs = intubate.
5. Delay cord clamp for 60 secs.
What is NB asphyxia? - Correct answer-The blood flow is interrupted because of
one of two things:
1. Hypoxia (low HR, High BP, apnea 30-60sec, gasp 3-6/min)
2. Secondary Apnea: low HR/low BP = organ injury
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,What is NB apnea? - Correct answer-Primary: physical stimulation is needed to
initiate breathing.
Secondary: +pressure ventilation is needed. For each minute of gasp = add 2 mins
PPV.
There will be a delay in return of muscle tone and reflexes.
What size laryngoscope is need for NB? Premie? - Correct answer-NB: Size 0, 1.
Premie: Size 00 (if <1000g)
ET 2.5-3.5mm in diameter
Hyaline Membrane Disorder - Correct answer-Patho: Deficiency of surfactant
resulting in respiratory distress.
S/S: accessory muscles/labored respirations, increased respirations, cyanosis, and
expiratory grunting.
How to treat hyaline membrane disorder - Correct answer-1. CXR - atelectasis
with ground glass and hypoexpansion
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,2. Give O2 via nasal CPAP
3. Give surfactant therapy: 2-3 doses, every 8-12 hours.
Feeding frequency of NB - Correct answer-On demand every 2-5 hours
NB feeding need - Correct answer-0.5-1oz/feed
1.5-2.0oz/feed by day 3
How much daily vitamin D should a NB receive? - Correct answer-400 IU daily
What additional supplement is needed if the breastfeeding mother is a vegetarian? -
Correct answer-Zinc
What medications are given at birth? - Correct answer-Erythromycin (to prevent
conjunctivitis)
1st dose Hepatitis B
Vitamin K (assist with clotting)
What is a premie-2 months old NB daily caloric need? - Correct answer-120
kcal/kg/day
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, *Goal is to gain weight*
When are apgar scores taken? - Correct answer-At 1 minute and 5 minute
*the higher the score, the better the health*
What does the APGAR assess? - Correct answer-1. Color
2. HR
3. Cry
4. Tone
5. Respiration
Newborn Reflexes - Correct answer-1. Root & Suck: NB will turn head toward
side of face that is stroked and is able to suck.
2. Moro (startle): "fake fall"; NB will initially extend limbs then quickly retract
them.
3. Palmar Grasp: NB will grasp finger when it is placed in hand.
4. Babinski: stroke the foot. A neg result = toes will curl. A +result = toes will fan
out (which is normal until age 2).
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
