What is the best APGAR score you can have?
What does APGAR stand for?
What is the scoring system for the first "A" in APGAR?
0 - Blue/pale
1 - Pink with acrocyanosis of extremities
2 - Pink all over
What is the scoring system for the "P" in APGAR?
0 - absent
1 - less than 100
2 - greater than 100
What is the scoring system for the 'G' in APGAR?
0 - none
1 - Grimace
2 - Cry
What is the scoring system for the second "A" in APGAR?
0 - flaccid
1 - some flexion of extremities
2 - well flexed
What is the scoring system for the "R" in APGAR?
0 - absent
1 - slow weak cry
2 - Good cry
What is a normal healthy baby weight?
2500 to 4000 G
or 5.5 - 8.8 lb
What is a normal healthy baby length?
45 -55 cm
or 18-22 inches
What is a normal head circumference?
12.6 to 14.5 inches
what is normal chest circumference?
12 -13 inches
What is the ballard score?
Gestational age assessment
done in the first 48 hrs following birth
looks at newborn posture (fully extended to fully flexed 0-4 pts)
The square window (wrist movement) in a preterm baby will be more _____________ and in a full term will be more ___________.
True or false. If a newborns plantar surface creases are many then the baby is preterm.
False. If they are many then they are full term
What is a normal respiration rate for a newborn?
What is a normal heart rate for a newborn?
what is a normal BP for a newborn?
Temp should be axillary and it should read?
36.5 - 37.5 C
97.7 - 99.5 F
If a patient is AGA the weight is between the ________ and _________ percentile.
If the patient is SGA the weight is less than __________ percentile.
What are some reasons an infant could be SGA?
If the patient is LGA the weight is greater than _____________ percentile.
What are some reasons a patient may be LGA?
How many weeks is considered a term pregnancy?
What is caput succedaneum?
edema of sub-Q tissue
What is a cephalohematoma?
collection of blood between the periosteum and skull bone
What is the big difference between a cephalohematoma and caput succedaneum?
Fluid can cross the suture lines of the skull in caput succedaneum but not in a cephalohematoma
How doe you treat a cephalohematoma and caput succedaneum?
Resolves on their own
If a new born has cephalohematoma it also increases the risk for what?
The plantar grasp is an expected finding in a newborn. what is it?
when you place your finger at the base of the toes and they curl down
The Moro reflex is an expected finding. What is it?
Elict by allowing the head and truck of the newborn go 'fall' back then the arms form "C"
What colors can new born see?
black and white
What is their range of focus for the eyes?
How far away can a term baby see?
up to 2.5 feet away
When can a baby distinguish color?
When is a PKU done?
24 hrs after the first feed
done if baby fails hearing
True or false. Identification the newborn is considered a standard of care.
True or false. It is not considered a sentinel event if you bring a baby to a room without checking for an arm band.
it is one
How many sets of arm bands are needed if the baby is born in the ambulance prior to arriving to the hospital?
What things can you do to keep a baby warm?
skin to skin
warmer/ away from vents
does bathing need to be done right away?
no but should be done as quickly as possible
When will the umbilical stump fall off?
True or false. Crying is an early sign of hunger.
False it is a late sign
True or false. A baby will typically fall asleep about an hour after birth.
Why is it important for an infant to pass meconium after birth?
make sure there is no ileus
How many we diapers a day indicates adequate hydration?
What 3 meds are given at birth?
Hep B immunization
The erythromycin prevents what STD from being passed?
Why do infants need vitamin k?
because the liver is not fully functioning yet so they have limited clotting factors
What care for the newborn should you give the parents upon discharge?
umbilical cord care
car seat safety
clinical findings of illness to report to Pediatrician
D/C 48 hrs post vaginal delivery and 72 hrs for C-section
How often do newborns feed?
every 2-3 hrs
how many hrs a day does a newborn sleep?
When should they sleep through the night without feeding?
4-5 mo of age
how long should your child be in a rear facing car seat?
till two years of age
What are signs of withdrawal for a baby who's mother was on methadone?
high pitched cry
hyperactivity with increased Moro reflex
True or false. a baby can receive drugs through the placental barrier.
What do you give a baby who is going through withdrawal?
Opioid morphine sulfate
A big baby can have low sugar from the stress of being born from a diabetic mom so you should do _________ _________ every 4 hrs.
True or false. You do an automatic BG for all LGA and SGA babies every 4 hrs.
What is considered hypoglycemia in an infant?
less than 40
For a critically low glucose what do you give?
IV Dextros 10%
What are S/S of hypoglycemia in a infant?
The patient is in respirtatory distress but not badly enough to do cpr or administer oxygen. how do you help them?
Give a bath! when they cry fluid will be forced out of the alveoli