Complete Newborn Assessment Q&A Bundle- All you need to know is here!!

Nursing Assessment of the Newborn includes what? Apgar scoring Vital Signs Infant security Physical Measurements Head-to-Toe Gestational Age When are vital signs checked after birth? Right away Every 15 to 30 minutes for the first hour Every 4 hours for the first shift Then just once per shift New...

What should you do before you perform a newborn exam? - Introduce yourself to the mother's mom and ask permission. - Ask the mother if she has any concerns about the baby. - Give her a realistic idea of when you'll return after reviewing her and bay's charts and examining the baby - Once you're ...

In sequencing a newborn examination, the preferred order is: observation, auscultation, palpation In examining a newborn infant, the maneuver that is best done last is the examination of the: hips The Bruckner test assess: bilateral red reflex The bell of the stethoscope is best at detecting soun...

Mother's EDC/EDD - rationale for obtaining Is the baby Term, Preterm, or Post. Mother's L&D medications a. rationale for knowing the mother's L&D medications Some analgesia & anesthesia may affect the status of the newborn Mother's L&D medications b. nursing action based on the obtained data...

a typical newborn Flexed Puffy Molded Nose breathers Irregular HR and RR Acrocyanosis Periods of reactivity list of red flags in the newborn 1. Respiratory distress 2. Central cyanosis 3. Thermoregulation problems 4. Dehydration 5. Imperforated anus Failure to pass meconium 6. Evidence of neural tu...

Caput succedaneum is a common soft-tissue injury resulting from birth trauma, caused by an accumulation of fluid in the tissue of the scalp; it disappears spontaneously over the first few days of life. This finding does not require measuring or reporting because it is a self-limiting occurrence. Cap...

Respiration - 30-60 breath per minute - Shallow, irregular - Periods of apnea ( less than 15 seconds) - Auscultate for 1 min - Obligatory nose breather - excess mucous up to 72h - Suction mouth before nose Vital signs Every 30 min for 2 hours Heart rate 110-170 bpm -PMI 4th intercostal space to le...

1. A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data? a. The nurse should notify the pediatrician stat for this emergency situation. b. The neonate...

General cyanosis A finding in a newborn exam that warrants further action: a bluish-purple skin color that could be caused by a lack of O2 being carried by the body's blood cells Circumoral cyanosis A finding in a newborn exam that warrants further action: involving bush color surrounding the lips...

Which question does the nurse ask the provider in the delivery room about Baby Boy Campos to determine the needs for resuscitation in the delivery room? (SATA) a. Is there a good muscle tone? b. What is the infants sex? c. Is the baby breathing? d. Is this a full-term gestation neonate? e.Is there a...

First breath Initiated by -Cold receptors (stimulate brain for baby to take first breath) -Low PO2 & high PCO2 (clamping of the cord) • 1st time alveoli inflate-high pressure needed What removes fluid present in fetal lungs before birth? (birth itself vaginal, squeezing vagina, lung blood vessels...

The Golden Minute Once the infant is born we have one minute to do the following: - dry baby while placed on the maternal abdomen for skin to skin - airway: suction mouth and nose (if no spontaneous cry) - breathing: assess respirations and stimulate to breathe (rub back and soles of feet) - circula...

Things we assess in the neonate posture, head circumference, chest circumference, length, weight, temp, respirations, pulse, blood pressure, skin, head, neck, eyes, ears, nose, mouth, chest/lungs, cardiac, abd, rectum, GU, musculoskeletal, neurological Normal Posture extremities are flexed Deviati...

Physiologic Response of Newborn to Birth: 1. What is the most critical extra-uterine adjustment? 2. Circulatory changes after birth occur with the _________ and the __________. 3. The three ______ (______, _____, _______) functionally ______ during a newborns transition to extra-uterine life with th...

the first six hours after birth, in which the newborn is adapting to extra-uterine life. What is neonatal transition? it is used to evaluate the physical condition of the newborn at birth. It is completed one minute after birth, and then again at 5 minutes after birth, then receives a total apgar s...

Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess? A) Respiratory rate 45, irregular B) Costal breathing pattern C) Nasal flaring, rate 65 D) Crackles on auscultation A Typically, respirations in a 24-hour-...

when assessing the posture, what information should the nurse refer to? Refer to maternal chart for fetal presentation, position, and type of birth, since newborn readily assumes in the utero position. When assessing the posture what are average findings for the vertex? Arms, legs in moderate flexi...

When performing a newborn assessment, the nurse should measure the vital signs in the following sequence: A. Pulse, respirations, temperature B.Temperature, pulse, respirations C. Respirations, temperature, pulse D. Respirations, pulse, temperature D: This sequence is least disturbing. Touching wit...

APGARS and interventions assesment begins immediately after birth assessments of - respirations, crying - reflexes, irritability - heart rate, pulse - color, body and extremeties -tone (muscle tone) interventions based upon these assessments to begin immediately Do NOT wait for one minute APGAR to ...

The nurse is assessing baby boy Henry, who is 2 hr old. She notes that Henry's plantar creases cover his entire foot. Based on this information, what does the nurse determine Henry's gestational age to be? FULL TERM One to two creases appear at approximately 32 weeks gestation. By 36 weeks gestat...

Once the parents have had a chance to spend some time with their baby and the nurse has completed a brief assessment it will be time to do a head-to-toe assessment. The parents can be invited to observe the assessment, which provides a good time for the nurse to provide some early teaching about nor...

The nurse is assessing a newborn right after birth. Which assessment will be most helpful initially in identifying an at-risk newborn? the newborn's APGAR SCORE The initial Apgar score will be most helpful to the nurse in determining the newborn's risks because it reveals information about moveme...

what is APGAR? scale to assess how a baby is reacting to life outside of the uterus that is checked 1 min and then 5 min after birth - score 0-10, 10 perfect babies (rare) what does the 1st A in APGAR assess? A - appearance (0-2) or color cyanotic or pale = 0 appropriate body color, but blue extrem...

What should it be included in the initial physical assessment of a newborn? -external -chest -abdomen -neurologic -genitourinary When should the APGAR be done? immediately after birth What is included in Apgar scoring? HR RR muscle tone reflex irritability generalized skin color What should be in...

What are the 5 assessment categories to the APGAR scoring system? (APGAR = Appearance (color), Pulse, Grimace (reflex irritability/cry), Activity (muscle tone), Respirations) What is the role of vernix caseosa? Protects newborn while in utero (fluid), lubrication with birth, & immunological & therm...

What is the most critical extrauterine adjustment a newborn makes? The establishment of respiratory function with the cutting of the umbilical cord When do circulatory changes occur in a newborn? With the expulsion of the placenta and cutting of the umbilical cord What are the three shunts that cl...