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Nursing School

Newborn Quiz
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1.)  The newborn is from ___ to ___wks.

*  birth to 4 weeks

2.)  T or F:  The newborn is going through more physiological changes than any other time during life.

*  T

3.)  The first system to change in the newborn is the ____ system, the establishment of ______.

*  respiratory, respirations

4.)  3 factors involved in process of initiation of respiration include ___ ___ ___.

*  physical, sensory, chemical

5.)  The ___factor involved in initiating respirations includes the change of pressure from intrauterine to extra uterine life.

*  physical

6.)  ___ factors include cold stimulation to help breathing, pain, touch and light.

*  sensory

7.)  ____ factors that initiate respirations include ___ __ which is period where placenta  has stopped functioning until lungs take over, the baby will not breath for a few seconds, the O2 is ____and pH are ___, and the CO2 is ____.

*  chemical, transitory asphyxia, decreased, increased

8.)  There are three processes of initiation of respirations, this includes the 3 ___, expansion of ___, and removal of ___ ___.

*  factors, alveoli, lung fluid

9.)  When baby born _____ of lung tissue, thorax, diaphragm, and respiratory muscles b/c they’ve never been used before.

*  resistance

10.)  The lipoprotein that helps facilitate the expansion of the lungs by decreasing surface tension is called ______.

*  surfactant

11.)  Surfactant detected in utero after the ___th week of gestation, if baby born before this time artificial surfactant is used.

*  28th

12.)  If mother in pre-mature labor an injection of ___ is given to help produce surfactant.

*  betamethazone

13.)  The removal of ___ ___ is squeezed out during vaginal birth; C-sections will be suctioned, after several minutes of breathing lung expansion is _____.

*  lung fluid, complete

14.)  The second system to change in the newborn is the _____system.

*  circulatory

15.)  The total blood volume of newborn is __ml, depending on how cord is clamped, usually clamped after cord stops pulsating which gives extra ___-__ml blood.

*  300, 50-100

16.)  Some babies cannot handle the extra blood from the cord and develop ____ leading to ___.

*  hyperbilirubemia, jaundice

17.)  T or F:  The blood values of newborn are higher than any other period in lifecycle

*  T

18.)  Newborn lab values:  Hematocrit_____, Hemoglobin_____, RBC___, WBC____

*  44-72,  14.5-22.5 grams,  5-7.5 million,  9,000-30,000

19.)  Newborns have trouble with temp regulation due to a ___ surface area related to ___ ___; leads to more heat loss from exposure.

*  large, muscle mass

20.)  Newborns also cannot maintain temp due to thin layer of ___ fat and they cannot ___ which generates heat and increases ____ ____.

*  SQ, shiver, metabolic rate

21.)  4 ways of heat loss ?

*  conduction, convection, radiation, evaporation

22.)  ____is the transfer of heat from warm object to cooler object (touch newborn w/ cold hands).

*  conduction

23.)  ______is transfer of heat from baby to surrounding air (what ever environment temp is baby will respond to .)

*  convection

24.)  _____ is heat loss from indirect contact, warm to cold (warm bassinet before putting baby in it)

*  radiation

25.)  _________is excessive heat lose which occurs at birth (baby quickly dried and wrapped upon delivery)

*  evaporation

26.)  Newborns lack shivering mechanism, they produce heat from ___________.

*  non-shivering thermo genesis

27.)  Newborns have ___ __ located between scapula, around neck, behind sternum and in deep layers of __.

*  brown fat, kidneys

28.)  Brown fat is darker in color due to rich ___supply and composes __-__% of newborns total body weight.

*  blood, 2-6

29.)  A chemical reaction occurs in brown fat which breaks down ___ into ___ and ___ __ producing heat, heat distributed by blood to body.

*  triglycerides, glycerol, fatty acids

30.)  Brown fat appears between __-__wks gestation and continues to increase up to ___wks after birth, unless depleted by ___ ___.

*  26-30, 5, cold stress

31.)  Newborns conserve heat just like adults through peripheral ___, and they also lower their surface area by curling into ____ ___.

*  vasoconstriction, fetal position

32.)  ___  ___ is when newborns constantly prevent heat lose, conserve heat and produce heat leading to this condition.

*  cold stress

33.)  An increase in metabolic rate and increase in calorie consumption can lead to _____ and also increase ___ requirements which ___ surfactant.

*  hypoglycemia, O2, decreases

34.)  Hypoglycemia is dangerous in newborn b/c ____ ___ can occur due to lack of ___ nourishment to brain cells.

*  brain damage, glucose

35.)  _____ tool looks at physical and neuromuscular findings to assess gestational age.

*  Ballards

36.)  ___ ___ is color change when deep color develops over one side of body while other side remains pale (clown).

*  Harlequin sign

37.)  _____ is a lacy pattern of dilated blood vessels under skin, result of circulation fluctuations, may last several hours to several weeks.

*  mottling

38.)  ___ ____ “newborn rash”  is a per follicular eruption of lesions that are firm, vary in size and consist of white or pale yellow papule or pustule, could be anywhere on body, no tx.

*  erythema toxicum

39.)  Telangiectatic nevi are also known as ___ ___, pale pink or red spots found on eyelids, nose, and nape of neck, fade by age 2.

*  stork bites

40.)  Nevus flammeus aka ___ ___ ____ is a capillary hemangioma directly below epidermis, non-elevated, red to purple area of dense capillaries.

*  port wine stain

41.)  Nevus vacuous aka __ ___ is a capillary hemangioma, consists of newly formed and enlarged capillaries in dermal and sub dermal layers, raised, clearly delineated, dark red, rough surface in head region.

*  strawberry mark

42.)  The anterior fonanelle should measure __-___cm long and ___-___cm wide, if will close w/in ___-___months.

*  3-4,  2-3,  12-18months

43.)  The posterior fontanel will close w/in ___-___wks.

*  8-12

44.)  A bulging fontanelle means ____ ____ from fluid and a depressed fontanelle indicates ____.

*  intracranial pressure, dehydration

45.)  ______is a collection of blood resulting from ruptured blood vessels between surface of cranial bone and ____ membrane, emerges first and second day after birth, disappear in 2-3 wks, does not cross suture lines, feels firm and no bruising.

( cephalohematoma)

46.)  ____ ___ is localized soft area of scalp, present at birth, crosses suture lines, reabsorbed w/in 12 hours or few days after birth, bruising may be present.

*  caput succedaneum

47.)  ___ ____ appears when newborn cries, affected side is immobile and eyelid fissure widens, may result from forceps, disappears w/in days to 3 weeks.

*  facial paralysis

48.)  ___ ___ appear in 10% of newborns sclera, caused by vascular changes in vascular tension or ocular pressure during birth, lasts a few weeks.

*  subconjunctival hemorrhages

49.)  Newborns have immature ___ structures and do not have tears until 2nd month.

*  lacrimal

50.)  ____ ___ is due to poor neuromuscular control, cross-eyed and poor control

*  transient strabismus

51.)  ___ ___ on lower central incisor may be found occasionally and removed to prevent aspiration.

*  precocious teeth

52.)  ___ ___ may be present just in front of ear, ligated at base and allowed to slough off.

*  preauricular tag

53.)  Extra nipples called _____ ___.

*  supernumerary nipples

54.)  The chest circumference is ___cm smaller than head

*  2

 

 

 

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