56 Questions
What does the term 'well baby' refer to?
An infant or young child who is considered healthy
Which section of the report provides information about the family's medical history?
Family History
What does Gordon’s Typology of Functional Health Pattern include?
Health Perception/Health Management Pattern and Nutritional/Metabolic Pattern
Where can information about the patient's sleep patterns be found?
Sleep-Rest Pattern
Which section provides details about the patient's physical characteristics and measurements?
Anthropometric Measurement
What does the term 'evidence-based nursing' refer to?
Nursing practices based on research and evidence
Where can the list of prioritized problems for the patient be found?
List of Prioritized problems
Which section provides information about the patient's ongoing evaluation and health teaching plan?
Ongoing Appraisal
What is the recommended duration for exclusive breastfeeding?
6 months
How often should newborns be expected to breastfeed?
Every 3 hours
What is the expected weight pattern for newborns initially?
Slight decrease
What does the clear-colored urine of the newborn indicate?
Proper hydration
What does the occasional seedy yellow wet stool indicate?
Gastrointestinal system adaptation
What is the recommended frequency for diaper change in newborns?
5-6 times a day
What is the recommended sleep duration for newborns?
4 hours
What is the source of water supply for the family?
Maynilad
How do they dispose of waste?
Plastic bags
What is the family's source of electricity?
Meralco
What type of residence does the family live in?
Bungalow
What is the patient's city of residence?
Muntinlupa
What is the main reason for the irregular sleep patterns in newborns?
Small stomach capacity and rapid growth needs
Why do newborns experience shorter sleep cycles with frequent awakenings?
Hunger, discomfort, or parental care
What does the presence of lanugo indicate in newborns?
Normal feature in newborns
What is the significance of the newborn's skin color being light brown, evenly distributed, and free from lesions?
Indicates normalcy
What is the purpose of assessing the newborn's vital signs?
To ensure they are within normal range
Why may the newborn's skin color change over time?
Normal developmental process
What is the condition of the newborn's fingernails?
Soft, smooth, and extend over the fingertips
Why do newborns have an erratic sleep cycle in the early stages?
Due to underdeveloped sleep-wake cycles
What is the significance of the newborn's hair being lustrous and silky?
Indicates healthy hair
Why is it important to assess the newborn's posture and body built?
To ensure normal body development
What is the significance of the newborn's head being normocephalic and symmetric?
Indicates normal head shape and symmetry
Why is the presence of soft fontanels in a newborn important?
Indicates normal head development
What is the main purpose of the soft spots on a baby's skull?
Allow for skull molding during birth
What is the normal response of a newborn to loud sounds?
Startle reflex
What are milia, which are commonly found in newborns?
Small white papules on the nose, forehead, and chin
What is the significance of newborns being obligatory nose breathers?
Nasal obstruction causes significant distress
What is the common characteristic of Epstein pearls in newborns?
Small yellow-white retention cysts on the hard palate and gums
What is the duration for which drooling in newborns typically persists?
A few months
What is the usual state of tonsils and adenoids in relation to body size at birth?
Small
What is the expected condition of the neck of a newborn?
Symmetric, with no bulging masses
What is the usual state of lymph nodes in infants?
Non-palpable, with no swelling
What maternal problem during the first trimester of gestation can impair a newborn's hearing?
Rubella
What is the typical response of newborns to nasal obstruction?
Significant distress
What is the usual outcome of Epstein pearls in newborns?
Disappear in the first few weeks of life
What was the reason for Patient B.G.C's delayed discharge on October 4, 2023?
Billing delays
What vaccinations did Patient B.G.C receive upon admission?
Erythromycin eye ointment, BCG, Hepa B, and Vitamin K
What was the basis for determining Patient B.G.C's condition?
Physical assessments and chart information
What was the top nursing diagnosis for Patient B.G.C?
Readiness for enhanced nutrition
What was the family history of Patient B.G.C?
Maternal grandfather's death due to a heart attack and maternal grandmother's death due to leukemia
What was the patient's developmental history aligned with?
Appropriate stages
What type of delivery did Patient B.G.C experience?
Non-institutional
What test did Patient B.G.C have upon admission, the results of which were not released during her stay?
Newborn Hearing Test (NBHT)
What was the focus of the health teaching plan for Patient B.G.C?
Newborn care discharge instructions
What was the condition of Patient B.G.C's vital signs and physical examinations?
Normal results without complications or abnormalities
What did Patient B.G.C not have as she was delivered outside the institution?
APGAR score
What were the top three nursing diagnoses for Patient B.G.C?
Readiness for enhanced nutrition, readiness for enhanced comfort, and risk for child falls
Study Notes
Newborn Infant Assessment
- Newborn infant's sleep schedule described as sporadic with alternating short naps and longer sleep periods
- Newborns have irregular sleep patterns due to small stomach capacity and rapid growth needs
- Erratic sleep cycle is typical for infants in early stages due to underdeveloped sleep-wake cycles
- Newborns experience shorter sleep cycles with frequent awakenings for hunger, discomfort, or parental care
- Physical assessment reveals normal body built, grooming, posture, and absence of illness or distress
- Vital signs show consistent temperature, fetal heart rate, and respiratory rate within normal range
- Skin color is light brown, evenly distributed, warm, and free from lesions, indicating normalcy
- Hair is lustrous, silky, and dark, with the presence of lanugo, which is a normal feature in newborns
- Fingernails are soft, smooth, and extend over the fingertips, with normal capillary refill
- Head is normocephalic, symmetric, with soft fontanels and proportionate, symmetric face
- Newborn's skin color may change over time and should settle fully at around 20 months old
- Infant's hair texture and color can vary widely, with soft, fine hair being typical, especially in premature babies
Patient B.G.C Newborn Health Summary
- Patient B.G.C is a newborn admitted at Ospital ng Muntinlupa on September 26, 2023, an hour after her birth.
- She was a non-institutional delivery baby, delivered at home by her mother’s aunt, and admitted for further newborn care while her mother was treated for placental delivery.
- Despite being approved for discharge on September 29, 2023, she was discharged on October 4, 2023, due to billing delays.
- Patient B.G.C had a Newborn Hearing Test (NBHT) upon admission, but the results were not released and were expected to take at least a month.
- She did not have an APGAR score as she was delivered outside the institution.
- The basis for determining her condition was through physical assessments and chart information, which identified her as a well baby.
- Upon admission, she received Erythromycin eye ointment, BCG, Hepa B, and Vitamin K vaccinations.
- Her vital signs and physical examinations showed normal results without complications or abnormalities.
- The top three nursing diagnoses for her were readiness for enhanced nutrition, readiness for enhanced comfort, and risk for child falls related to unsafe absence of bed rails and bassinets.
- The health teaching plan focused on newborn care discharge instructions after her approval for discharge on October 4, 2023.
- Patient B.G.C's family history included her maternal grandfather's death due to a heart attack and her maternal grandmother's death due to leukemia, as well as unspecified heredo-familial illnesses on the paternal side.
- Her developmental history aligned with appropriate stages, including oral, trust vs. mistrust, sensorimotor, and unconscious moral developmental stages.
Newborn Infant Assessment Quiz: Test your knowledge on newborn infant assessment, including sleep patterns, physical assessment, vital signs, and patient health summaries. Explore key aspects of newborn care, developmental stages, and nursing diagnoses. Perfect for healthcare professionals and students seeking to enhance their understanding of newborn assessment.
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