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 (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 (D)</p> Signup and view all the answers

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

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

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

<p>Oxygen saturation (C)</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 (A)</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. (A)</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. (B)</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. (B)</p> Signup and view all the answers

What is the normal weight range for a healthy newborn?

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

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

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

What does the Apgar score evaluate in a newborn?

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

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

<p>Vital signs monitoring. (A)</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. (D)</p> Signup and view all the answers

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

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

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

<p>Determine adaptation to extrauterine life (C)</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 (B)</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 (A)</p> Signup and view all the answers

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

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

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

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

At what times should the APGAR score be assessed?

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

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

<p>Asphyxiation (B)</p> Signup and view all the answers

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

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

Which color indicates a state of septicemia in neonates?

<p>Gray (B)</p> Signup and view all the answers

When does physiologic jaundice typically appear in term newborns?

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

What preventive measure is taken to avoid Ophthalmia Neonatorum?

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

What is the purpose of administering Vitamin K to newborns?

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

At what age is pathologic jaundice commonly noticed in newborns?

<p>Before 24 hours old (A)</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) (C)</p> Signup and view all the answers

Which vaccine is administered intradermally at the right deltoid muscle?

<p>BCG vaccine (B)</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 (A)</p> Signup and view all the answers

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

<p>Congenital Adrenal Hyperplasia (A)</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 (D)</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 (A)</p> Signup and view all the answers

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

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

What management is advised for a baby with G6PD deficiency?

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

Which of the following describes acrocyanosis in newborns?

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

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

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

What indicates physiologic jaundice in a newborn?

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

Which type of jaundice may indicate early hemolysis?

<p>Pathologic jaundice (A)</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 (D)</p> Signup and view all the answers

At what age do Mongolian spots typically disappear?

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

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

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

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

<p>Lanugo (D)</p> Signup and view all the answers

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

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

What does petechiae in a newborn indicate?

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

Flashcards

Significance of the First 24 Hours

The first 24 hours after birth are crucial for a newborn's transition from the womb to the outside world. This period is marked by significant physiological changes and adjustments.

Characteristics of a Normal Infant

A healthy baby born at full term, weighing between 2.5 and 4 kilograms, without any physical abnormalities or birth complications.

Newborn Care Overview

A comprehensive approach to newborn care, involving interventions immediately after birth, in the postnatal ward, and up to 28 days of life.

Purposes of Newborn Care

The purpose of newborn care is to detect and treat problems early, support mothers in meeting the baby's needs, initiate breastfeeding, educate mothers on care, and ensure ongoing monitoring.

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Characteristics of a Healthy Newborn

A newborn showing signs of good health, including crying immediately after birth, establishing independent breathing, and adapting to the new environment.

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Immediate Care of the Newborn

The initial care of a newborn focuses on ensuring a clear airway, maintaining body temperature, and providing comfort.

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APGAR Scoring

A standardized assessment performed at 1 and 5 minutes after birth to evaluate the newborn's health, using indicators such as heart rate, breathing, muscle tone, reflex irritability, and skin color.

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Care of the Newborn in the Nursery

Care provided in the nursery includes essential tasks like measuring the newborn's weight, bathing, cord care, dressing, eye prophylaxis, identification, vital signs monitoring, and vitamin K injection.

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Newborn Length

A newborn's normal length is between 48 to 53 cm, with an average of 50 cm.

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Newborn Head Circumference

A newborn's head circumference typically ranges from 33 to 37 cm, with an average of 35 cm.

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Newborn Chest Circumference

A newborn's chest circumference is about 3 cm less than their head circumference.

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Umbilical Cord Care

The umbilical cord stump should be kept clean and dry to prevent infection.

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Crede's Prophylaxis

Crede's prophylaxis is the use of ophthalmic ointment, usually in the form of erythromycin, to prevent ophthalmia neonatorum, a bacterial infection in the newborn's eyes.

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Vitamin K Administration

Vitamin K is administered to newborns to prevent bleeding due to a deficiency in clotting factors. The dosage is 1 mg IM for term infants and 0.5 mg IM for preterm infants.

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Newborn Temperature

A normal axillary temperature for a newborn falls within the range of 36.5 to 37.6 degrees Celsius.

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Newborn Pulse Rate

A newborn's pulse rate can vary depending on their activity level. A normal pulse rate is 120-160 bpm while awake, 100 bpm while asleep, and 180 bpm while crying.

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Meconium Aspiration Syndrome

A condition after birth where a newborn breathes in meconium (first stool) causing lung complications.

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Bulb Syringe

An instrument designed to remove mucus and fluids from a baby's nose or mouth.

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Skin-to-Skin Contact

A technique used to keep a newborn warm after birth involving direct skin-to-skin contact with the mother.

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Cold Stress in Newborns

A medical condition that can occur when a newborn's body temperature falls too low, leading to potential problems like acidosis.

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Umbilical Cord Clamping

The point at which the umbilical cord is clamped and cut off the supply of oxygen from the placenta, potentially leading to hypoxia and acidosis in a newborn.

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Stimulating Breathing in a Newborn

An important step in immediate newborn care involving checking that the baby breathes on its own. This can be stimulated by wiping the baby's face and back to trigger crying.

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Low Birth Weight (LBW) Newborn

A newborn baby with a birth weight less than 2500 grams.

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Physiologic Jaundice

A condition where a newborn's skin appears yellow, often caused by a buildup of bilirubin, a byproduct of red blood cell breakdown. It usually appears between the 3rd and 7th day for full-term babies and 2nd to 10th day for preterm babies.

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Pathologic Jaundice

Jaundice that appears at birth or within the first 24 hours, often caused by blood incompatibility between mother and baby.

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Cord Clamping

The process of clamping the umbilical cord when it stops pulsating, typically 1-3 minutes after birth.

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Cord Separation

The natural shedding of the umbilical cord, typically occurring between 7-10 days after birth.

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Initial Bath

The initial bath given to a newborn, ideally after vital signs are stable, usually 6 hours after birth.

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Vernix Caseosa

A white, cheesy substance that coats a newborn's skin, providing insulation and moisture. It is best not to remove it immediately.

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Oil Bath for Meconium-Stained Babies

A type of bath for newborns with meconium staining, using a small amount of oil to help remove the sticky substance.

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Acrocyanosis

A condition in which a newborn's hands and feet appear bluish due to reduced blood flow. This is normal within the first 24 hours after birth.

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Passive Natural Immunity through Breast Milk

The process of providing natural immunity to a newborn through breast milk.

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Phenylketonuria (PKU)

A genetic disorder that affects the body's ability to use phenylalanine, an amino acid found in food.

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Cyanosis

A condition characterized by a bluish discoloration of the skin, often a sign of low oxygen levels in the blood.

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Storing Breast Milk

Breast milk stored in labeled bags should be used according to the "first in, first out" principle, meaning the oldest milk is used first.

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Full-Term Newborn Posture

A newborn's posture with flexed extremities and hands tightly clenched is a sign of a full-term baby.

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Galactosemia

A genetic disorder that prevents the breakdown of galactose, a sugar found in milk.

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Lanugo

Fine, downy hair that often covers a newborn's body.

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Milia

Small, white bumps on a baby's face, caused by blocked oil glands.

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Mongolian Spots

Blue-green birthmarks that usually disappear by age 4.

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Caput Succedaneum

Swelling of the scalp that typically resolves within 3 days.

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Cephalhematoma

Blood collection on the scalp due to birth trauma, usually doesn't cross suture lines.

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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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