NUFT 431 EXAM 2 LATEST VERSION – REAL EXAM QUESTIONS AND ANSWERS (GRADED A)
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Course
NUFT 431
Institution
NUFT 431
NUFT 431 EXAM 2 LATEST VERSION – REAL EXAM QUESTIONS AND ANSWERS (GRADED A)
Criteria for early discharge (<24h) - Answer-1. Both mom and baby must be stable (everything WNL)
2. Early discharge possible with scheduled home care visit
Positive SCT means - Answer-Lare decels with >50% of...
NUFT 431 EXAM 2 LATEST VERSION
– REAL EXAM QUESTIONS AND
ANSWERS (GRADED A)
Criteria for early discharge (<24h) - Answer-1. Both mom and baby must be stable
(everything WNL)
2. Early discharge possible with scheduled home care visit
Positive SCT means - Answer-Lare decels with >50% of contractions
Priority during transition to extrauterine life (newborn) - Answer-Airway
Breathing
Circulation
Thermoregulation
Safety
APGAR
Brief assessment
Clearing airway in newborn: sequence - Answer-M before N:
mouth then nose (each nostril) with a bulb syringe
Acrocyanosis: normal or abnormal finding in a newborn? - Answer-Normal
Bluish color of hands and feet - common finding during first 24h (normal during first
week)
Normal HR of newborn - Answer-100+ bpm
When you can and cannot put baby on mom's chest (skin-to-skin) - Answer-CAN:
If baby is breathing/crying, good muscle tone, dried up
CAN'T:
If premature/sick --> put on warmer
Newborn safety/security: things to remember about bracelets - Answer-~ 4 pack: 2 for
baby, 1 for mom, 1 for partner
~ no switching/removing
~ baby doesn't leave mom's side until bracelet placed and checked + footprints taken
~ check baby's # against mom's # on bracelet - must match
When is apgar performed? - Answer-1 and 5 minutes after birth
+ at 10 minutes if second score is <7
APGAR - Answer-Appearance
Pulse
,Grimace
Activity
Respiration
Newborn respirations: normal - Answer-30-60/min
Anything >30 is score 2 (if crying = 2)
Can be irregular (is not considered apnea if <15 sec)
Temperature trends when a newborn gets sick - Answer-Temperature drops
Normal VS in newborn - Answer-HR 110-160 (100+)
RR 30-60
BP 80/50 on average
T 97.7 - 99.5
BP measurement in newborns - Answer-~ Only take in premies or in NICU
Right UE + Left LE
RUE BP should not be >15mm/Hg higher
Newborn body measurements - Answer-•Head 32-36.8 cm (12.6-14.5 inches)
•Chest 30-33 (12-13 inches)
•Length 45-55 cm (18-22 inches)
•Abdomen 30.5-33 cm (12-13 inches)
•Weight 2500- 4000 g (5.5-8.8 lbs.)
Cephalhematoma - Answer-Abnormal head finding
Does not cross sutures
Resolves within 2-8 weeks (bruising, then jaundice)
Subgaleal hemorrhage - Answer-Abnormal head finding
Hematoma as a result of vacuum delivery
Caput succedaneum - Answer-Normal head finding
Generalized edema
Crossess suture lines
Resolves in 3-4 days
Separated or overlapping skull sutures: normal or abnormal finding in a newborn? -
Answer-Normal
Head is molding
Subconjunctival hemorrhage: normal or abnormal finding in a newborn? - Answer-
Normal
From pressure during delivery
, Jaundice of the eyes: normal or abnormal finding in a newborn? - Answer-Abnormal
Hearing test in newborn: considerations - Answer-One failed test in normal
Repeat in 12h
Soft pinna of the ear: normal or abnormal finding in a newborn? - Answer-Abnormal
Should be well-formed and firm (lots of cartilage)
Cloanal atresia: normal or abnormal finding in a newborn? - Answer-Abnormal
Surgical emergency
Looks ok externally, blockage of the nose internally
Excessive sneezing in a newborn means - Answer-Sypilis infection
Drug withdrawal
Crackles: normal or abnormal finding in a newborn? - Answer-Normal
Transient crackles are ok if the baby is pink
Frothing: normal or abnormal finding in a newborn? - Answer-Abnormal
Surgical emergency
Excessive drooling due to malformation of GI tract (can't swallow saliva)
Elevated WBC: normal or abnormal finding in a newborn? - Answer-Normals
Slightly elevated in the first 24h, then subside
Normal Hgb in newborn - Answer-14-24
Normal Hct in newborn - Answer-44-64%
Normal platelets in newborn - Answer-150,000-350,000
Polycythemia in newborn can be caused by - Answer-Lowering baby before clamping
cord
Elevating baby when clamping cord can cause - Answer-Anemia
Cogenital heart defect screening - Answer-•Must be at least 24 hours of age
•Use right upper extremity and left lower extremity, use pulseox
•Two-fold criteria:
95% saturation or greater on both readings and
Less than 3% difference of upper and lower extremity readings
Normal blood glucose in newborns - Answer-40-90 (anything above 40 is good)
Voiding and stool in newborns: when - Answer-Void in first 24h
Stool in first 24-48h
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