Podcast
Questions and Answers
What is the maximum suction pressure used to clear a blocked airway in newborns?
What is the maximum suction pressure used to clear a blocked airway in newborns?
The APGAR score does not assess the color of the newborn.
The APGAR score does not assess the color of the newborn.
False
What is indicated by a heart rate of less than 100 in the APGAR scoring system?
What is indicated by a heart rate of less than 100 in the APGAR scoring system?
Score 1
Newborns are physiologically hypoprothrombinemic due to a lack of __________ in the intestines.
Newborns are physiologically hypoprothrombinemic due to a lack of __________ in the intestines.
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Match the following APGAR criteria with their score definitions:
Match the following APGAR criteria with their score definitions:
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Which of the following is NOT a sign of respiratory distress in newborns?
Which of the following is NOT a sign of respiratory distress in newborns?
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Vitamin K administration in newborns is primarily to prevent infections.
Vitamin K administration in newborns is primarily to prevent infections.
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What score in the Silverman Anderson Index indicates severe respiratory distress (RDS)?
What score in the Silverman Anderson Index indicates severe respiratory distress (RDS)?
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What is a primary purpose of administering Vitamin K to newborns?
What is a primary purpose of administering Vitamin K to newborns?
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The Silverman Anderson Index is used to assess the heart rate of newborns.
The Silverman Anderson Index is used to assess the heart rate of newborns.
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What is the normal range for a newborn's heart rate?
What is the normal range for a newborn's heart rate?
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Newborns are placed in a __________ position to maintain a clear airway.
Newborns are placed in a __________ position to maintain a clear airway.
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Match the following interventions with their purposes:
Match the following interventions with their purposes:
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Which score on the APGAR indicates good muscle tone?
Which score on the APGAR indicates good muscle tone?
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Acrocyanosis is characterized by all parts of the body being blue.
Acrocyanosis is characterized by all parts of the body being blue.
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The first period after birth consists of the newborn being __________, with rapid respiratory and heart rates.
The first period after birth consists of the newborn being __________, with rapid respiratory and heart rates.
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Study Notes
First 24 Hours of Life
- Transition from intrauterine to extrauterine life
- APGAR scoring used to assess newborn
- Physical adjustments to extrauterine life
Physical Adjustment to Extrauterine Life
-
First Period (15-30 minutes):
- Alert state
- Rapid respiratory rate (RR) and heart rate (HR)
- Sucking sounds
-
Resting Period (30-120 minutes):
- Slow respiratory rate (RR) and heart rate (HR)
- Periods of sleep
-
Second Period (2-6 hours):
- Wakes up again
- Responsive to stimuli
- Mucus, gagging, or choking
- Airway maintenance important, suction-blocked not more than 5 sec. (100 mmHg max)
Newborn ABCs
- Airway
- Breathing
- Circulation
APGAR Scoring
- Criteria are evaluated
- Scoring 0-2 for each criterion
-
Criteria include
- Heart rate assessment
- Respiration assessment
- Muscle tone
- Reflex assessment
- Color assessment
Non-Time Bound Interventions
-
Immunizations given
- BCG (tuberculosis)
- Hep B
- Eye care
-
Vitamin K administration
-
Prevention of bleeding/hemorrhage
-
Promote blood coagulation/clotting, with injection into vastus lateralis.
-
Other information like delayed bathing.
HRMRC
-
1-minute and 5-minute heart rate:
- Most important factor
- Color: Least important
Silverman Anderson Index
- Evaluation of respiratory status of premature infants
- RDS/Hyaline membrane disease evaluation
Signs of Respiratory Distress
- Three types of signs need to be noted:
- Chest lag
- Retractions
- Nasal flaring
- Respiratory grunting
- Scoring classification:
- 0-3 = normal or no RDS
- 4-6 = moderate RDS
- 7-8 = severe RDS
Anthropometric Measurements
- Head circumference (33-35 cm)
- Eyebrow to head circumference
- Chest Circumference (31-33 cm)
- Nipple line to chest circumference
- Abdomen circumference (31-33 cm)
- Umbilicus to abdomen circumference
- Length (average 50 cm, 45-55 cm)
- Weight (2.5-3.5 kg)
- Physiological weight loss (5-10% loss)
- Dehydration (more than 10%)
Heart Rate
- 120-160 is the standard rate
Blood Pressure
- 80/46 mmHg
- Congenital heart disease (CHD) bp to be taken regularly.
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Description
This quiz covers essential topics regarding the transition of newborns from intrauterine to extrauterine life within the first 24 hours. It includes the APGAR scoring system, physical adjustments that newborns undergo, and vital interventions and the ABCs of newborn care. Test your knowledge on how to assess and care for a newborn in those critical moments.
