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APGAR Score

1 and 5 Minutes

APGAR scores are traditionally obtained at which of the following times?

Appearance

Which of the following best represents the first "A" in the APGAR acronym?

Pulse

Which of the following best represents the "P" in the APGAR acronym?

Grimace

Which of the following best represents the "G" in the APGAR acronym?

Activity and Muscle Tone

Which of the following best represents the second "A" in the APGAR acronym?

Respiration

Which of the following best represents the "R" in the APGAR acronym?

Total Scores

Which of the following operations is performed after obtaining all individual APGAR scores?

Gentle Stimulation

Regarding APGAR scores, which of the following methods may improve neonatal health if in distress at 1 minute postnatally?

Oxygen

Regarding APGAR scores, which of the following methods may improve neonatal health if initially cyanotic postnatally?

Newborn Assessment

APGAR

Which of the following is an acronym or mnemonic associated with newborn assessment?

Umbilical Cord

What determines fetal circulation in pregnancy?

2 Arteries 1 Vein

Eye Prophylaxis

Erythromycin is commonly used in newborn care as what?

Fontanels

What anatomic feature can quickly be assessed on physical exam to determine hydration status of a newborn?

Vitamin K Injection (Phytonadione)

Newborns are all recommended to receive what?

Gestational Age Assessment (GAA)

The New Ballard Score is used to assess what?

Measurements

Birthweight

The average newborn _______ ranges from 5 lbs 8 oz to 8 lbs 13 oz.

Head Circumference

The average newborn _______ is 33-35.5 cm (13-14 inches).

Length

The average newborn _______ is 45-53 cm (19-21 inches).

Considerations

Keep Warm

Which of the following is important to remember when caring for a newborn?

ID Bands

Which of the following is important to remember when caring for a hospitalized newborn?

Imperforate Anus

Mechanism

Congenital Anorectal Malformation

Which of the following is considered the mechanism of Imperforate Anus?

Signs and Symptoms

No Anal Opening

During your assessment of a patient with Imperforate Anus which of the following is most likely to be seen?

Absence of Meconium

What is typically the first known sign or symptom of Imperforate Anus?

Gradual Increase in Abdominal Distention

During your assessment of a patient with Imperforate Anus which of the following symptoms is most likely to be seen?

Surgical Repair

Which of the following is most likely considered an intervention for Imperforate Anus?

Bowel Management

Which of the following is most likely considered for a patient with Imperforate Anus?

Neonatal Respiratory Distress Syndrome

Cause/Mechanism

Fetal Lung Immaturity

What best describes the pathophysiology of neonatal respiratory distress syndrome?

Lack of Surfactant

Assessment

Respiratory Distress

During your assessment of a patient with neonatal respiratory distress syndrome which of the following is most likely to be seen?

Nasal Flaring

Retractions

Grunting

Interventions

Surfactant

Which of the following interventions is associated with neonatal respiratory distress syndrome?

Mechanical Ventilation

Total Parenteral Nutrition (TPN)

Developmental Dysplasia of the Hip

Cause

Abnormal Femoral Head in Acetabulum

Which of the following best describes the pathogenesis of developmental dysplasia of the hip?

Positive Barlow Sign

Which of the following most likely indicates a diagnosis of developmental dysplasia of the hip?

Clicking with Adduction

Which of the following best describes a positive Barlow sign?

Positive Ortolani Sign

Clicking with Abduction

Which of the following best describes a positive Ortolani sign?

Asymmetrical Limb Lengths and Folds (Gluteal and Thigh)

Which of the following most likely indicates a diagnosis of developmental dysplasia of the hip in the newborn?

Older Child Assessment

Trendelenburg Sign

In a child, a downward tilted pelvis on the unaffected side while balancing on the foot ipsilateral to the affected hip describes which of the following clinical signs?

Abduction Device

Which of the following is most likely an option for the treatment of developmental dysplasia of the hip?

Pavlik Harness

Closed Reduction

Hyperbilirubinemia

Increased Unconjugated Bilirubin

What lab finding is most consistent with an infant suffering from ABO blood type incompatibility?

Jaundice

A patient with hyperbilirubinemia is most likely to display which of the following signs or symptoms on clinical assessment?

Kernicterus

A patient with severe hyperbilirubinemia may develop what?

Early Feedings

Which of the following dietary interventions is most likely to help treat a patient with hyperbilirubinemia?

Heme Oxygenase Inhibitors

The use of which of the following drug interventions is most likely to help treat a patient with hyperbilirubinemia?

Phototherapy

Which of the following treatment modalities is most likely indicated in a patient with moderate hyperbilirubinemia?

Protect Eyes

Which of the following is an important consideration in patients with hyperbilirubinemia who are undergoing phototherapy?

Monitor for Dehydration

Monitor Bilirubin Levels

Which of the following considerations is most critical in patients with hyperbilirubinemia?

Neonatal Assessments

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