MCN 548 - Exam 1 | QUESTIONS AND ANSWERS | VERIFIED
ANSWERS GRADED A+ | LATEST EXAM UPDATE
Newborn or neonatal period
up to 28 days
topical abx ointment to prevent
ophthalmia neonatorum
Assessment of neonate- History
Past medical hx, Past obstetric hx, family history, 3 generation history,
social hx
What should be obtained in the maternal health history portion of the
exam? (LOTS)
Past hospitalizations, surgeries, illnesses, accidents, injuries
Past & current meds, ongoing chronic diseases, last OBGYN and/or PCP
visit
Number of previous pregnancies, number of newborns born alive or
stillbirth
Number of elective or spontaneous abortions; number of preterm and term
deliveries
C/S births and reasons why
Age, current physical & mental health
Prenatal care - when initiated and how many visits
Meds during preg (including OTC and herbal meds)
Use of fertility or pregnancy supporting meds
Infections (GBS, etc)
,Imm status & vaccines given in preg (Tdap, flu)
Alcohol, tobacco, drugs
Environmental exposure to heavy metal
HTN or glucose intolerance
Duration of labor, duration of rupture membranes, analgesia, anesthesia,
presentation & route of delivery, use of forceps or vacuum
Poly or oligohydramnios
Mec-stained fluid or foul-smelling fluid
Fever or tachycardia
What should be asked in the social history portion of the visit?
Emotional stressors
Unplanned unwanted pregnancy
Employment and work conditions
Financial and emotional support
Dietary conditions (vegan diet)
Partner's anticipated involvement in childrearing and BF
Other people/children in the home including ages of children
Educational background and health literacy of parents
Cultural or religious practices
Physical exam of the neonate immediate after birth includes: (5)
APGARs at 1 and 5 min
,Gestational age
Temp
Lungs
Umbilical Cord
Gestational age exam on neonate:
Maturational assessment is based on the physical exam done within 2 hours
after birth to confirm maternal estimated dates
Weight, length, and head circumference
Temperature regulation exam on a neonate:
Newborn surface area to weight is 3 times higher than adult so more room
for heat loss
Body temp falls precipitously in a cool and/or drafty environment unless
adequate precautions are taken
Towel dry the newborn after birth to prevent evaporation heat loss and
place skin to skin with mother if newborn is stable
Alternatively use a radiant warmer, wrap newborn in warm blankets, and
cover the head to reduce heat loss when baby is held by parents
The newborn screening should occur...
Before discharge and by 14 days
AGA
between 10th and 90th percentile
Newborn breath sounds
Bronchovesicular
Fine crackles normal is first couple hours
SUA (single umbilical artery) can be associated with
Cardiac or renal anomalies
Delayed clamping benefits (4)
Downfalls (1)
, 30-60 seconds
Improves iron (term)
Decreases risk for intracerebral hemorrhage and NEC (preterm)
Decreases umbilical cord blood for blood banking
Universal screening
recommended by one month and special attention is paid to any newborn
at higher risk for hearing including those with low birth weight, rubella, or
other infection, malformation, trauma, asphyxia, prematurity, ICU stay, or
antibiotic use
Types of newborn hearing tests
OAE (otoacoustic emission) ABS (auditory brainstem response)
Circumcision Contraindications (5)
epi or hypospadias
ambiguous genitalia
exstrophy of the bladder
familial bleeding disorders
illness
Circumcision Complications (9)
Complications-rare
infections
bleeding
gangrene
scarring
meatal stenosis
cautery burns
ANSWERS GRADED A+ | LATEST EXAM UPDATE
Newborn or neonatal period
up to 28 days
topical abx ointment to prevent
ophthalmia neonatorum
Assessment of neonate- History
Past medical hx, Past obstetric hx, family history, 3 generation history,
social hx
What should be obtained in the maternal health history portion of the
exam? (LOTS)
Past hospitalizations, surgeries, illnesses, accidents, injuries
Past & current meds, ongoing chronic diseases, last OBGYN and/or PCP
visit
Number of previous pregnancies, number of newborns born alive or
stillbirth
Number of elective or spontaneous abortions; number of preterm and term
deliveries
C/S births and reasons why
Age, current physical & mental health
Prenatal care - when initiated and how many visits
Meds during preg (including OTC and herbal meds)
Use of fertility or pregnancy supporting meds
Infections (GBS, etc)
,Imm status & vaccines given in preg (Tdap, flu)
Alcohol, tobacco, drugs
Environmental exposure to heavy metal
HTN or glucose intolerance
Duration of labor, duration of rupture membranes, analgesia, anesthesia,
presentation & route of delivery, use of forceps or vacuum
Poly or oligohydramnios
Mec-stained fluid or foul-smelling fluid
Fever or tachycardia
What should be asked in the social history portion of the visit?
Emotional stressors
Unplanned unwanted pregnancy
Employment and work conditions
Financial and emotional support
Dietary conditions (vegan diet)
Partner's anticipated involvement in childrearing and BF
Other people/children in the home including ages of children
Educational background and health literacy of parents
Cultural or religious practices
Physical exam of the neonate immediate after birth includes: (5)
APGARs at 1 and 5 min
,Gestational age
Temp
Lungs
Umbilical Cord
Gestational age exam on neonate:
Maturational assessment is based on the physical exam done within 2 hours
after birth to confirm maternal estimated dates
Weight, length, and head circumference
Temperature regulation exam on a neonate:
Newborn surface area to weight is 3 times higher than adult so more room
for heat loss
Body temp falls precipitously in a cool and/or drafty environment unless
adequate precautions are taken
Towel dry the newborn after birth to prevent evaporation heat loss and
place skin to skin with mother if newborn is stable
Alternatively use a radiant warmer, wrap newborn in warm blankets, and
cover the head to reduce heat loss when baby is held by parents
The newborn screening should occur...
Before discharge and by 14 days
AGA
between 10th and 90th percentile
Newborn breath sounds
Bronchovesicular
Fine crackles normal is first couple hours
SUA (single umbilical artery) can be associated with
Cardiac or renal anomalies
Delayed clamping benefits (4)
Downfalls (1)
, 30-60 seconds
Improves iron (term)
Decreases risk for intracerebral hemorrhage and NEC (preterm)
Decreases umbilical cord blood for blood banking
Universal screening
recommended by one month and special attention is paid to any newborn
at higher risk for hearing including those with low birth weight, rubella, or
other infection, malformation, trauma, asphyxia, prematurity, ICU stay, or
antibiotic use
Types of newborn hearing tests
OAE (otoacoustic emission) ABS (auditory brainstem response)
Circumcision Contraindications (5)
epi or hypospadias
ambiguous genitalia
exstrophy of the bladder
familial bleeding disorders
illness
Circumcision Complications (9)
Complications-rare
infections
bleeding
gangrene
scarring
meatal stenosis
cautery burns
