Assessment & Nursing Care of Newborn

5 Written Questions

1. - Higher fat concentration
2. Four unique anatomic features
   -Placenta
   -Ductus venosus
   -Foramen ovale
   -Ductus arteriosus
3. - Size of marble or shooter marble (5-15 mL)
4. - Discomfort/pain
   - Lack of privacy
   - Lack of confidence
   - Anxiety
5. -pale color may result of decreased concentration of RBCs, poor oxygenation or hypothermia.

5 Matching Questions

1. Thermoregulation - 4 Mechanisms of Heat Loss
2. Skin Color - Mottled
3. LGA
4. Feeding and the Newborn's Stomach - Day 10
5. SGA

1. a -lacy pattern of dilated blood vessel under the skin.
   -result of general circulation fluctuations or when newborn is cold.
   -may last several hours or weeks, can come and go periodically.
2. b - Size of chicken egg (60-81 mL)
3. c LGA
   >90th % for weight
   
   - Increase risk of birth trauma, hypoglycemia, hypocalcemia, hyperbilirubinemia, meconium aspiration, and polycythemia.
4. d <10th % for weight
   
   - Increase risk of hypoglycemia, asphyxia, respiratory distress syndrome, meconium aspiration, intrauterine infection, and hyperbilirubinemia
5. e - Evaporation - dry
   - Radiation - hat, dry linen, warm blanket
   - Convection - delay the bath
   - Conduction - place skin to skin

5 Multiple Choice Questions

1. - 110 to 160 bpm
   - Normally the heart has a toc-tic sound.
   - 90% of all murmurs are transient and considered normal. Half disappear by age 6 months.
   1. Fetal Circulation
   2. Normal Heart Rate Range
   3. Normal Cry Sounds
   4. Normal Blood Pressure
2. - After 2 weeks
   - 10% solids (carbs, proteins, fats) for energy and growth
   - 90% water for hydration
   - 20 kcal/oz
   1. Breast Milk - Mature Milk
   2. Breast Milk - Hindmilk
   3. Breast Milk - Foremilk
   4. Breast Milk - Transitional Milk
3. - 0 to 3 indicate severe distress
   - 4 to 6 indicates moderate difficulty
   - 7 to 10 indicates that the newborn is having minimal or no difficulty adjusting to extrauterine life
   1. APGARS
   2. APGAR Results
   3. Normal Cry Sounds
   4. SGA
4. - First 2-3 days
   - Gold or yellow, Thick
   - Colostrum amount matches the size of the newborn's stomach
   - High protein content due to increased immunologic content; high levels of antibodies—passive immunity
   - Establishes normal GI track flora
   - Helps eliminate bilirubin as it has a laxative effect
   1. Breast Milk - Mature Milk
   2. Breast Milk - Foremilk
   3. Breast Milk - Colostrum
   4. Breast Milk - Hindmilk
5. - Optimal growth and development
   - Reduced risk of disease - Decreased risk of contamination of formula or from bottles
   - Improved health of the mother
   - Personal and national economic benefits
   - Safety
   1. SGA
   2. APGARS
   3. Why Human Milk?
   4. Jaundice

5 True/False Questions

1. Best Way to Feed Newborn → More frequent small feedings

   True        False

2. Steps to Latch On → Four unique anatomic features
   -Placenta
   -Ductus venosus
   -Foramen ovale
   -Ductus arteriosus

   True        False

3. Skin Color - Acrocyanosis → -ruddy color results from increased concentration of RBCs (polycythemia) and limited subcutaneous fat deposits.

   True        False

4. Respirations - Normal Respiratory Rate → > 30 and < 60 bpm
   
   - Respirations are diaphragmatic, with associated rising and falling of abdomen.
   - Breath sounds are heard better when the newborn is crying.

   True        False

5. Breast Milk - Transitional Milk → - After 2 weeks
   - 10% solids (carbs, proteins, fats) for energy and growth
   - 90% water for hydration
   - 20 kcal/oz

   True        False