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Exam 2 Newborn Assessment Detailed Questions and Expert Answers

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Exam 2 Newborn Assessment Detailed Questions and Expert Answers

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  • August 13, 2024
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Exam 2 Newborn Assessment Detailed
Questions and Expert Answers

What is the most critical extrauterine adjustment a newborn makes? - ANS The
establishment of respiratory function with the cutting of the umbilical cord



When do circulatory changes occur in a newborn? - ANS With the expulsion of the
placenta and cutting of the umbilical cord



What are the three shunts that close during the transition of the flow of
oxygenated blood in the lungs and readjustment of atrial blood pressure in the
heart? - ANS Ductus arteriosus, ductus venosus, and foramen ovale



When is an APGAR score completed? - ANS First 1 and 5 minutes of life



What is assessed in the APGAR assessment? - ANS Heart rate, respiratory rate,
muscle tone, reflex irrability, color



What APGAR score indicates severe distress? - ANS 0-3



What APGAR score indicates moderate distress? - ANS 4-6



What APGAR score indicates no distress? - ANS 7-10

, If a baby had an APGAR score of 10 what would it be displaying? - ANS HR > 100,
good cry, well-flexed, cry and completely pink



At one minute you assess a newborn that has a pulse of 140, has a slow, weak cry,
is well flexed, grimaces, and is cyanotic in its hands in feet. What would the APGAR
score be? - ANS 2+1+2+1+1=7 No distress



Rectal temperature are appropriate for the newborn since its the most accurate
place to assess temperature. - ANS False. Rectal temperatures should be avoided
because they can injure the rectal mucosa



Blood pressure can be taken from all four extremities. - ANS True



What should be included in the nurses quick initial assesment? - ANS External
(skin), nasal patency, meconium staining, breath sounds, heart, rounded abdomen,
umbilical cord (1vein2arteries), muscle tone, reflex, presence/size of
fontanels/sutures



When is a gestational age assessment preformed? - ANS Within 2-12 hrs of birth



What are the normal physical measurements of newborn? - ANS Weight(2,500-
4,000g), Length(18-22in), Head circumference(12.6-14.5in), Chest
circumference(12-13in)

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