Newborn Care Basics Quiz
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Questions and Answers

What is the average head circumference for a newborn?

  • 45 cm
  • 40 cm
  • 30 cm
  • 35 cm (correct)

    • When is the first bath typically delayed after birth?

  • 12 hours
  • 24 hours
  • 6 hours (correct)
  • 3 hours

    • What is the correct dosage of Vitamin K for term infants?

  • 2 mg IM
  • 3 mg IM
  • 1 mg IM (correct)
  • 0.5 mg IM

    • What is the normal axillary temperature range for a newborn?

    <p>36.5 - 37.6°C</p> Signup and view all the answers

    What is the appropriate method for applying ophthalmic ointment to a newborn's eyes?

    <p>From inner to outer canthus</p> Signup and view all the answers

    Which site is recommended for the injection of Vitamin K in infants?

    <p>Vastus lateralis</p> Signup and view all the answers

    Which of the following is NOT a vital sign monitored in newborns?

    <p>Oxygen saturation</p> Signup and view all the answers

    What does a score of 4-6 indicate on the RDS score interpretation for a newborn?

    <p>Moderate RDS</p> Signup and view all the answers

    What is the significance of the first 24 hours of a newborn's life?

    <p>It marks a critical transition from fetal to neonatal life.</p> Signup and view all the answers

    Which of the following are characteristics of a normal infant?

    <p>Apgar score of 8 at 1 minute.</p> Signup and view all the answers

    What is one of the primary purposes of newborn care?

    <p>To support mothers in meeting their basic needs.</p> Signup and view all the answers

    What is the normal weight range for a healthy newborn?

    <p>2500 g to 4000 g.</p> Signup and view all the answers

    Which action is NOT part of the immediate care of the newborn?

    <p>Perform routine immunizations.</p> Signup and view all the answers

    What does the Apgar score evaluate in a newborn?

    <p>Overall physical appearance and vital signs.</p> Signup and view all the answers

    What is a common intervention performed in the nursery for newborns?

    <p>Vital signs monitoring.</p> Signup and view all the answers

    What should be done to ensure a newborn's temperature is properly managed immediately after birth?

    <p>Dry the infant and wrap them warmly.</p> Signup and view all the answers

    What is a primary focus area of daily care for newborns before discharge?

    <p>Nutrition/Feeding</p> Signup and view all the answers

    Which of the following is a step in immediate newborn care?

    <p>Determine adaptation to extrauterine life</p> Signup and view all the answers

    What should be the body temperature range for a newborn?

    <p>35.5°C to 36.5°C</p> Signup and view all the answers

    How should a healthcare professional manage a newborn's airway after birth?

    <p>Stimulate crying to ensure breathing</p> Signup and view all the answers

    What is the most reliable identification method for certifying a newborn's birth?

    <p>DNA/HLA compatibility</p> Signup and view all the answers

    What is the normal birth weight range for a healthy newborn?

    <p>2500 to 3500 grams</p> Signup and view all the answers

    At what times should the APGAR score be assessed?

    <p>1 minute and 5 minutes after birth</p> Signup and view all the answers

    What is a common cause of death in newborns without medical intervention?

    <p>Asphyxiation</p> Signup and view all the answers

    What is the normal range for chest and abdominal circumference in neonates?

    <p>31 - 33 cm</p> Signup and view all the answers

    Which color indicates a state of septicemia in neonates?

    <p>Gray</p> Signup and view all the answers

    When does physiologic jaundice typically appear in term newborns?

    <p>3rd to 7th day</p> Signup and view all the answers

    What preventive measure is taken to avoid Ophthalmia Neonatorum?

    <p>Application of silver nitrate</p> Signup and view all the answers

    What is the purpose of administering Vitamin K to newborns?

    <p>Promotes synthesis of prothrombin</p> Signup and view all the answers

    At what age is pathologic jaundice commonly noticed in newborns?

    <p>Before 24 hours old</p> Signup and view all the answers

    What is the correct initial procedure for clamping the umbilical cord?

    <p>Clamp when pulsating stops (1-3 minutes)</p> Signup and view all the answers

    Which vaccine is administered intradermally at the right deltoid muscle?

    <p>BCG vaccine</p> Signup and view all the answers

    What is the management for a newborn diagnosed with Galactosemia?

    <p>No animal source/milk; use soy formula</p> Signup and view all the answers

    What condition is characterized by decreased cortisol and severe salt loss?

    <p>Congenital Adrenal Hyperplasia</p> Signup and view all the answers

    Which of the following is NOT a recommended practice for bathing a newborn?

    <p>Bathe immediately after feeding</p> Signup and view all the answers

    What is the primary goal of the Newborn Screening Act of 2004?

    <p>Diagnose inborn errors in metabolism</p> Signup and view all the answers

    What is a normal skin color for a light-skinned newborn?

    <p>Pinkish red to pinkish brown</p> Signup and view all the answers

    What management is advised for a baby with G6PD deficiency?

    <p>Avoid triggers like beans and naphthalene</p> Signup and view all the answers

    Which of the following describes acrocyanosis in newborns?

    <p>Normal within the first 24 hours</p> Signup and view all the answers

    What physical assessment finding may indicate fractures or nerve injuries in a newborn?

    <p>Asymmetric posture</p> Signup and view all the answers

    What indicates physiologic jaundice in a newborn?

    <p>Peaks at 5-7 days</p> Signup and view all the answers

    Which type of jaundice may indicate early hemolysis?

    <p>Pathologic jaundice</p> Signup and view all the answers

    What is the maximum serum bilirubin level that should not be exceeded per day in physiologic jaundice?

    <p>5 mg/dl</p> Signup and view all the answers

    At what age do Mongolian spots typically disappear?

    <p>By 4 years</p> Signup and view all the answers

    Which condition involves swelling of the scalp that resolves within 3 days?

    <p>Caput succedaneum</p> Signup and view all the answers

    What skin feature is characterized by fine downy hair that disappears within 2 weeks?

    <p>Lanugo</p> Signup and view all the answers

    What is true regarding the duration of pathologic jaundice in preterm infants?

    <p>Lasts for 2 weeks</p> Signup and view all the answers

    What does petechiae in a newborn indicate?

    <p>Possible infection</p> Signup and view all the answers

    Study Notes

    Newborn Assessment and Reflexes

    • Essential Normal Newborn Care (First 24 Hours): Critical period for transition from womb to life outside.
    • Characteristics of a Normal Infant: Born at term, 1-minute Apgar score of 7 or more, no resuscitation needed.
    • Birth Weight: Between 2500g and 4000g, no signs of soft tissue wasting.
    • Physical Examination: Appears healthy, no congenital abnormalities, feeds well.
    • Newborn Care Overview: Improved newborn health through interventions immediately after birth, postnatal ward, and up to 28 days.
    • Purposes of Newborn Care: Detect problems/danger signs, support mothers, and prevent infection.

    Care of the Newborn in the Nursery

    • Components:
      • Anthropometric measurements (weight, length, head and chest circumference, abdominal circumference);
      • Bathing (oil bath or warm water bath);
      • Cord care;
      • Dressing/wrapping;
      • Eye prophylaxis (Crede's);
      • Footprinting/identification;
      • Vital signs monitoring;
      • Vitamin K injection

    APGAR Scoring

    • Standardized evaluation performed 1 and 5 minutes after birth
    • Indicators: Activity, Pulse, Grimace, Appearance, Respirations

    Cord Care

    • Keep umbilical cord stump clean and dry.
    • Topical antiseptics unnecessary unless contaminated.

    Wrapping the Newborn

    • Use warm blanket and cover head with stockinette cap.
    • Ensure baby is dry and wrapped adequately.

    Eye Prophylaxis

    • Crede’s Prophylaxis: Use ophthalmic ointment to prevent ophthalmia neonatorum.
    • Apply ointment from inner to outer canthus.

    Footprinting and Identification

    • Determine gender and take the baby's footprint.
    • Complete records and apply ID bracelet before transfer.

    Vitamin K Administration

    • Prevents neonatal hemorrhage.
    • Term infants: 1 mg IM.
    • Preterm infants: 0.5 mg IM.
    • Site: Vastus Lateralis

    Vital Signs Monitoring

    • Temperature: Normal range: 36.5-37.6°C.
    • Pulse: Awake (120-160 bpm), Asleep (100 bpm), Crying (180 bpm).
    • Respiration: Rate (30-60 cpm).

    Airway Management

    • Prevention of Asphyxiation and aspiration
    • Importance of prompt attention to newborns' airways.

    Newborn Screening Act of 2004

    • Purpose: Diagnose inborn errors in metabolism.
    • Conditions screened: Congenital adrenal hyperplasia, galactosemia, phenylketonuria.

    Newborn Care and Assessment

    • Score Interpretation: RDS (Respiratory Distress Syndrome) based on scores.
    • Blood Pressure: At birth (80/40 mmHg), After birth (65/41 mmHg).

    Cord Care

    • Keep umbilical cord clean and dry.
    • Topical antiseptics unnecessary unless contaminated.

    Wrapping

    • Use warm blanket, cover head with stockinette cap.
    • Ensure the baby is dry and adequately wrapped.

    Eye Prophylaxis - Crede's

    • Use ophthalmic ointment to prevent ophthalmia neonatorum (eye infection).
    • Apply ointment from inner to outer canthus of the eye.

    Footprinting and ID

    • Determine gender and take footprint
    • Apply ID bracelet before transfer.

    Vitamin K

    • Given IM to prevent neonatal hemorrhage.
      • Term infants: 1mg IM
      • Preterm infants: 0.5mg IM

    General Appearance

    • Full term: symmetric face, flexed extremities
    • Asymmetric: possible fractures or nerve injuries
    • Breech presentation: legs in frog position.

    Skin Assessment

    • Assess color, hair distribution, turgor, texture, pigmentation, and birthmarks.

    Skin and Head Assessment in Newborns

    • Normal skin color; velvety texture, especially in extremities.

    Jaundice Observation

    • Important for noting the timing of jaundice appearance.
    • Consider the child's age during observation.

    Eye Care (Crede’s Prophylaxis)

    • Purpose: Prevents Ophthalmia Neonatorum.
    • Procedure: Administer broad-spectrum antibiotics or povidone iodine eye drops.

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    NCM 109 Prelims: Newborn Assessment & Care PDF

    Description

    Test your knowledge on essential newborn care practices and guidelines with this quiz. Cover topics such as normal measurements, vital signs, and immediate care procedures. Perfect for healthcare students and professionals, this quiz will help reinforce important concepts in newborn health.

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