ATI Maternal Newborn Chapter 23
(Newborn Assessment) questions with
answers
Qs
What is the physiologic response of a newborn to birth? - n
ANS✔
1) Adjustments to extrauterine life occur as a newborns respiratory and
circulatory systems are required to rapidly adjust to life outside of uterus
2) The establishment of respiratory function with the cutting of the umbilical cord
is the most critical extrauterine adjustment as air inflates the lungs with the first
breath
3) Circulatory changes occur due to changes in pressures o the cardiovascular
system related to cutting of the umbilical cord as a newborn begins breathing.
Qs
What is a bulb syringe? - n
ANS✔
Used for suctioning excess mucus from the mouth and nose of infant
Qs
What is a stethoscope with a pediatric head used for? - n
ANS✔
Evaluates heart rate, breath sounds and bowel sounds
Qs
,What is an axillary thermometer used for? - n
ANS✔
Monitor temperature and prevent hypothermia
Qs
Where should you use a blood pressure cuff on a newborn? - n
ANS✔
Any of the four extremities if evaluating the newborn for cardiac problems
Qs
What do you look for initially during an external assessment of newborn? - n
ANS✔
Skin color, peeling, birthmarks, foot creases, breast tissue, nasal patency, and
meconium staining
Qs
What do you look for initially in the chest of a newborn? - n
ANS✔
Point of maximal impulse location; ease of breathing; auscultation for heart rate
and quality of tones; and respirations for crackles, wheezes, and equality of
bilateral breath sounds
Qs
What is apgar scoring? - n
ANS✔
, An apgar score is assigned based on a quick review of systems that is completed
at 1 and 5 mins of life. Assess extrauterine adaption.
0-3 indicates severe distress
4 to 6 indicates moderate difficulty
7 to 10 indicates minimal or no difficulty
Qs
How do you score for apgar? - n
ANS✔
Apagar Score
Heart Rate 0-absent 1-slow, less than 100/min 2-Greater than 100/min
Respiratory Rate 0-absent 1-slow,weak cry 2-good cry
Muscle Tone 0-Flaccid 1-some flexion 2-well flexed
Relfex Irritability 0-None 1-Grimace 2-Cry
Color 0-blue, pale 1-pink body, cyanotic hands and feet 2- completely pink
Qs
What do you look for initially on a newborn in the abdomen? - n
ANS✔
Rounded abdomen and umbilical cord with one vein and two arteries
Qs
What do you look for initially on a newborn neurologically? - n
ANS✔
(Newborn Assessment) questions with
answers
Qs
What is the physiologic response of a newborn to birth? - n
ANS✔
1) Adjustments to extrauterine life occur as a newborns respiratory and
circulatory systems are required to rapidly adjust to life outside of uterus
2) The establishment of respiratory function with the cutting of the umbilical cord
is the most critical extrauterine adjustment as air inflates the lungs with the first
breath
3) Circulatory changes occur due to changes in pressures o the cardiovascular
system related to cutting of the umbilical cord as a newborn begins breathing.
Qs
What is a bulb syringe? - n
ANS✔
Used for suctioning excess mucus from the mouth and nose of infant
Qs
What is a stethoscope with a pediatric head used for? - n
ANS✔
Evaluates heart rate, breath sounds and bowel sounds
Qs
,What is an axillary thermometer used for? - n
ANS✔
Monitor temperature and prevent hypothermia
Qs
Where should you use a blood pressure cuff on a newborn? - n
ANS✔
Any of the four extremities if evaluating the newborn for cardiac problems
Qs
What do you look for initially during an external assessment of newborn? - n
ANS✔
Skin color, peeling, birthmarks, foot creases, breast tissue, nasal patency, and
meconium staining
Qs
What do you look for initially in the chest of a newborn? - n
ANS✔
Point of maximal impulse location; ease of breathing; auscultation for heart rate
and quality of tones; and respirations for crackles, wheezes, and equality of
bilateral breath sounds
Qs
What is apgar scoring? - n
ANS✔
, An apgar score is assigned based on a quick review of systems that is completed
at 1 and 5 mins of life. Assess extrauterine adaption.
0-3 indicates severe distress
4 to 6 indicates moderate difficulty
7 to 10 indicates minimal or no difficulty
Qs
How do you score for apgar? - n
ANS✔
Apagar Score
Heart Rate 0-absent 1-slow, less than 100/min 2-Greater than 100/min
Respiratory Rate 0-absent 1-slow,weak cry 2-good cry
Muscle Tone 0-Flaccid 1-some flexion 2-well flexed
Relfex Irritability 0-None 1-Grimace 2-Cry
Color 0-blue, pale 1-pink body, cyanotic hands and feet 2- completely pink
Qs
What do you look for initially on a newborn in the abdomen? - n
ANS✔
Rounded abdomen and umbilical cord with one vein and two arteries
Qs
What do you look for initially on a newborn neurologically? - n
ANS✔
