Module 7: Newborn Care (Part I)

Establishing and maintaining airway patency

What is the first step in newborn care?

As soon as the head is delivered

When should mucus be sustained from a newborn’s mouth by a bulb syringe?

French tip 10

What type of tip is usually used in suction machines?

Bradycardia

What may arise from the stimulation of the vagus nerve due to prolonged and deep suctioning for the first 5-10 seconds of life?

D

When suctioning the newborn, the nurse should suction the mouth first before the nose to prevent:

A. Heat loss

B. Bleeding

C. Bradycardia

D. Aspiration

Retrolental fibroplasia

Avoiding excessive oxygen administration is important as it may lead to what condition?

First 12-18 hours of life

At what hour/s of life can oral mucus cause aspiration, cough, or gag?

Trendelenburg

What positioning is used to drain secretions?

Side-lying

What positioning is used to permit drainage of mucus from the mouth?

Neonatal period

This period encompasses the time from birth to the first 28 days of life.

True

True or False: Chilling increases the body’s need for oxygen.

Brown fat

What do you call special tissue found in mature newborns that helps to conserve and produce body heat by increasing metabolism?

Intrascapular, thoracic, and perineal area

Where is the greatest amount of brown fat located?

Convection

What method of heat loss involves the flow of heat from the newborn’s body surface to the cooler surrounding air?

Radiation

What method of heat loss involves the transfer of heat from a newborn’s body surface to a cooler solid object that is not in contact with the baby?

Conduction

What method of heat loss involves the transfer of heat from a newborn’s body surface to a cooler solid object that is in contact with the baby?

Evaporation

What method of heat loss involves the conversion of liquid to vapor?

Metabolic acidosis and hypoglycemia

What are the two effects of cold stress?

Acrocyanosis

This term refers to cyanosis of the hands and feet.

First minute and first five minutes

When is the APGAR score taken?

30 seconds

A mature newborn usually cries spontaneously at about __ after birth. At one minute, the infant is maintaining regular but rapid respirations.

6.5-7.5lbs or 3-3.4kg

What is the average birth weight of newborns? (*Answer must be in lbs and kg)

3.4kg or 7.5lbs

A mature female newborn weighs approximately how many kg/lbs?

3.5kg or 7.7lbs

A mature male newborn weighs approximately how many kg/lbs?

5-10%

How many percent do newborns lose during the first few days after birth due to various factors and is considered normal?

2lbs/month, 6-8oz/week

After one day of stable weight, how many pounds do newborns gain per month, and how many ounces do they gain per week during the first 6 months of life?

50 cm (20 inches), 46 cm (18 inches)

What is the average length of a newborn? What is the lower limit? (Include inches in parentheses.)

34-35 cm (13.5-14 inches)

What is the average head circumference of a newborn? (Include inches in parentheses.)

2.5kg or 5.5lbs

The arbitrary lower limit of normal weight is approximately how many kg/lbs?

2 cm

How many centimeters less is the average chest circumference of a newborn compared to the head circumference?

31-33 cm

What is the average abdominal circumference of a newborn?