Postpartum

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1

What is the best APGAR score you can have?

10

2

What does APGAR stand for?

Appearance

Pulse

Grimace

Activity

Respiration

3

What is the scoring system for the first "A" in APGAR?

0 - Blue/pale

1 - Pink with acrocyanosis of extremities

2 - Pink all over

4

What is the scoring system for the "P" in APGAR?

0 - absent

1 - less than 100

2 - greater than 100

5

What is the scoring system for the 'G' in APGAR?

0 - none

1 - Grimace

2 - Cry

6

What is the scoring system for the second "A" in APGAR?

0 - flaccid

1 - some flexion of extremities

2 - well flexed

7

What is the scoring system for the "R" in APGAR?

0 - absent

1 - slow weak cry

2 - Good cry

8

What is a normal healthy baby weight?

2500 to 4000 G

or 5.5 - 8.8 lb

9

What is a normal healthy baby length?

45 -55 cm

or 18-22 inches

10

What is a normal head circumference?

32-36.8 cm

12.6 to 14.5 inches

11

what is normal chest circumference?

30-33 cm

12 -13 inches

12

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)

13

The square window (wrist movement) in a preterm baby will be more _____________ and in a full term will be more ___________.

stiff

floppy

14

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

15

What is a normal respiration rate for a newborn?

30-60

16

What is a normal heart rate for a newborn?

110-160

17

what is a normal BP for a newborn?

60-80/40-50

18

Temp should be axillary and it should read?

36.5 - 37.5 C

97.7 - 99.5 F

19

If a patient is AGA the weight is between the ________ and _________ percentile.

10th

90th

20

If the patient is SGA the weight is less than __________ percentile.

10th

21

What are some reasons an infant could be SGA?

smoking

diabetes

22

If the patient is LGA the weight is greater than _____________ percentile.

90th

23

What are some reasons a patient may be LGA?

"sugar babies"

gestational diabetes

24

How many weeks is considered a term pregnancy?

37-42 weeks

25

What is caput succedaneum?

edema of sub-Q tissue

26

What is a cephalohematoma?

collection of blood between the periosteum and skull bone

27

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

28

How doe you treat a cephalohematoma and caput succedaneum?

Resolves on their own

29

If a new born has cephalohematoma it also increases the risk for what?

Jaundice

30

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

31

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"

32

What colors can new born see?

black and white

33

What is their range of focus for the eyes?

8-12 inches

34

How far away can a term baby see?

up to 2.5 feet away

35

When can a baby distinguish color?

2-3 months

36

When is a PKU done?

24 hrs after the first feed

done if baby fails hearing

tests metabolism

37

True or false. Identification the newborn is considered a standard of care.

True

38

True or false. It is not considered a sentinel event if you bring a baby to a room without checking for an arm band.

False

it is one

39

How many sets of arm bands are needed if the baby is born in the ambulance prior to arriving to the hospital?

two

40

What things can you do to keep a baby warm?

skin to skin

warm stethoscope

cap/socks/swaddle

warmer/ away from vents

41

does bathing need to be done right away?

no but should be done as quickly as possible

42

When will the umbilical stump fall off?

1-2 weeks

43

True or false. Crying is an early sign of hunger.

False it is a late sign

44

True or false. A baby will typically fall asleep about an hour after birth.

True

45

Why is it important for an infant to pass meconium after birth?

make sure there is no ileus

46

How many we diapers a day indicates adequate hydration?

6

47

What 3 meds are given at birth?

Erythromycin

Vitamin K

Hep B immunization

48

The erythromycin prevents what STD from being passed?

chlamydia

49

Why do infants need vitamin k?

because the liver is not fully functioning yet so they have limited clotting factors

50

What care for the newborn should you give the parents upon discharge?

bathing

umbilical cord care

circumcision care

car seat safety

environmental safety

newborn behaviors

feedings

elimination

clinical findings of illness to report to Pediatrician

D/C 48 hrs post vaginal delivery and 72 hrs for C-section

51

How often do newborns feed?

every 2-3 hrs

52

how many hrs a day does a newborn sleep?

16-19 hrs

53

When should they sleep through the night without feeding?

4-5 mo of age

54

how long should your child be in a rear facing car seat?

till two years of age

55

What are signs of withdrawal for a baby who's mother was on methadone?

high pitched cry

hyperactivity with increased Moro reflex

disturbed sleep

apnea

tachypnea

sweating

poor feeding

56

True or false. a baby can receive drugs through the placental barrier.

True

57

What do you give a baby who is going through withdrawal?

Opioid morphine sulfate

58

A big baby can have low sugar from the stress of being born from a diabetic mom so you should do _________ _________ every 4 hrs.

Glucose testing

59

True or false. You do an automatic BG for all LGA and SGA babies every 4 hrs.

True

60

What is considered hypoglycemia in an infant?

less than 40

61

For a critically low glucose what do you give?

IV Dextros 10%

62

What are S/S of hypoglycemia in a infant?

poor feeding

tremors

hypothermia

weak cry

lethargy

flaccid muscle

seizures/coma

irregular respiration

cyanosis

apnea

63

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