Newborn Care Fundamentals

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Questions and Answers

An infant is considered to be premature if it:

  • is born before 40 weeks' gestation or weighs less than 7 lb
  • is born before 38 weeks' gestation or weighs less than 6 lb
  • weighs less than 5.5 lbs or is born before 37 weeks' gestation
  • weighs less than 5 lbs or is born before 36 weeks' gestation (correct)

If a newborn's heart rate is less than 60 beats/min following delivery, you should:

  • begin chest compressions
  • flick the soles of his or her feet
  • provide ventilations for 30 seconds (correct)
  • resuscitation the mouth only

Spina bifida is a developmental defect in which:

  • an excessive amount of cerebrospinal fluid damages the spinal cord
  • a portion of the spinal cord or meninges protrudes outside of the vertebrae (correct)
  • nerve fibers that arise from the spinal cord do not function properly
  • the spinal column is severely deformed, resulting in permanent paralysis

Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should:

<p>attempt to slip the cord gently over the infant's head (D)</p> Signup and view all the answers

Which of the following is NOT a component of the Apgar score?

<p>Body size (A)</p> Signup and view all the answers

Which of the following is NOT generally considered an obstetrical emergency?

<p>Return of contractions following delivery of the baby (C)</p> Signup and view all the answers

Which of the following statements regarding suctioning of a newborn's mouth and oropharynx is correct?

<p>Suctioning is indicated prior to cutting the cord if respiratory distress is present (C)</p> Signup and view all the answers

Which of the following statements regarding twins is correct?

<p>Most twins are born within 45 minutes of each other (A)</p> Signup and view all the answers

You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. His Apgar score is:

<p>8 (A)</p> Signup and view all the answers

You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his heart rate is 90 beats/min. You should:

<p>keep him warm and ventilate with a BVM (A)</p> Signup and view all the answers

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Study Notes

Premature Infants

  • An infant is classified as premature if born before 36 weeks' gestation or weighs less than 5 lbs.

Newborn Resuscitation

  • If a newborn's heart rate drops below 60 beats per minute after delivery, initiate ventilations for 30 seconds before other interventions.

Spina Bifida

  • Spina bifida involves a developmental defect where part of the spinal cord or meninges protrudes outside the vertebrae.

Umbilical Cord Management

  • If the umbilical cord is wrapped around the infant's neck during delivery, gently attempt to slip it over the head.

Apgar Score Components

  • The Apgar score does not include body size; it evaluates pulse, grimace response, activity, and respiratory effort.

Obstetrical Emergencies

  • Return of contractions following delivery is not generally considered an obstetrical emergency.

Suctioning Newborns

  • Suctioning of a newborn's mouth and oropharynx is warranted if respiratory distress is present, even before cutting the cord.

Twin Births

  • Most twins are delivered within 45 minutes of each other; identical twins can be of the same gender, and fraternal twins typically have separate cords.

Apgar Scoring Example

  • A newborn displaying a pink body with blue extremities, a heart rate of 110 beats/min, rapid irregular breathing, weak cry, and resistance to limb straightening has an Apgar score of 8.

Care for Premature Babies

  • For a premature infant breathing adequately but with a heart rate of 90 beats/min, it is crucial to keep the baby warm and ventilate with a bag-valve-mask (BVM).

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