1) Which of these maternal factors effect the neonate? a) Hepatitis B positive b) Taking zofran while pregnant 2) Which of these is NOT included on the report for a newborn? a) Delivery Time b) Resuscitation efforts (if any) c) Insurance coverage d) Feeding preference 3) An infant must be completely naked for an exam? a) True b) False 4) What is NOT included in an APGAR score? a) Pulse b) Grimace c) Activity d) Appearance e) Gag reflex f) Respirations 5) What is the preferred method for temperature checks? a) Axillary b) Rectal 6) Under what heart rate would we begin to provide PPV? a) 60 BPM b) 100 BPM 7) A normal respiratory rate of an infant is... a) 10-20 BPM b) 30-60 BPM c) 40-80 BPM d) 20-40 BPM 8) Which of these is a NORMAL finding in a newborn? a) b) 9) Lanugo is a white cheesy substance that protects the infants skin a) True b) False 10) An increased amount of petechia can be indicative of all BUT what? a) Pressure during birth b) Too much clotting c) Possible hemolytic disease d) Increased risk of hyperbilirubinemia 11) Ear abnormalities can be indicative of what other abnormalities? a) Eyes b) Lungs c) Kidneys d) Brain 12) Stork bites are pressure marks due to delivery a) True b) False 13) How do we treat peeling skin on a newborn? a) Give a bath b) Peel the dead skin off c) Exfoliate d) Lotion 14) Sutures are.... a) Soft spots on the head b) The location where skull bones touch c) Only found on the frontal bone d) Usually depressed 15) It is abnormal to see a pulse on the anterior fontanelle? a) True b) False 16) You see a cone like shape on the newborns head but no fluid is present upon palpation. What is this? a) Molding b) Caput succedanmeum 17) Which of the following is NOT true about cephalohematomas? a) It is a collection of blood between the skull and skin b) Do NOT cross suture lines c) Can appear/grow after delivery d) Increases in size with crying 18) Which is true about caput succedaneum? a) It is an emergency b) Does cross the suture lines c) Is NOT present at birth d) Will take several weeks to resolve 19) Which method of assessment would determine crepitus in the clavicle? a) Auscultation b) Palpitation 20) Erythromycin ONLY protects against STI infections? a) True b) False 21) Vitamin K is a vaccine a) True b) False 22) When does an infant begin to create adequate amounts of Vitamin K a) 8 days b) 2 years c) 6 months d) 1 week 23) Hepatitis B can ONLY be spread through sexual contact or direct blood contact a) True b) False 24) Infants are obligatory nose breathers a) True b) False 25) A cleft lip should have what type of consult? a) Speech therapist (OT) b) Physical therapy c) NICU d) Case management 26) What location is NOT appropriate for a pulse check on a newborn? a) Femoral b) Radial c) Brachial 27) A normal heart rate for a newborn is... a) 100-120 BPM b) 150-180 BPM c) 120-160 BPM 28) Which of these is NOT a sign of respiratory distress? a) Retractions b) Nasal flaring c) Grunting d) Apneic breathing 29) The umbilical cord should have... a) 2 arteries, 1 vein b) 1 artery, 2 veins c) 1, artery, 1 vein 30) It is recommended to clean the umbilical cord with alcohol once daily a) True b) False 31) You should be able to hear bowel sounds in the thoracic cavity a) True b) False 32) The infant should pass meconium by what time? a) Right after delivery b) Within 4 hours c) Within 24 hours d) Within the first week 33) How many voids should a baby have on day 3 of life? a) 1 b) 2 c) 3 d) 4 34) What assessment would determine between a hydrocele and testicular torsion? a) Auscultation b) Palpation c) Observation d) Transillumination 35) What condition would NOT prevent a circumcision from occurring? a) Hypospadias b) Undescended testicle c) Anuria d) Partial circumcision 36) Discharge and vernix between the labia is a normal finding in newborns a) True b) False 37) You see this in the diaper, what do you do? a) It's blood! Call the pedi b) Brick dust urine. Assess for adequate input 38) A parent calls you into a room and shows you their daughters diaper that has bloody vaginal secretions. What is your response? a) "This is normal in baby girls and is caused by mother's hormones. It will go away on it's own in the first week of life" b) "This is very unusual and I will call the pediatrician to come assess her" 39) A simian crease is only found in infants with Down Syndrome a) True b) False 40) Tone in an infant should be assessed while the infant is awake and calm a) True b) False 41) Which of these is syndactyly? a) b) 42) The startle reflex is also called... a) Babinski b) Moro c) Grasp d) Galant 43) A irregular or lack of response to a reflex is most likely indicative of what? a) Infection b) Birth trauma c) Birth defect d) Malfunction of the central nervous system 44) Which of the reflexes do we NOT normally check? a) Babinski b) Moro c) Stepping d) Grasp 45) Which of these is NOT checked while assessing the suck reflex? a) Gag b) Soft palate c) Tongue tie d) Rooting 46) We should flip a baby over on their stomach to assess their back a) True b) False 47) If you cannot see the bottom of a sacral dimple what should be ordered? a) Echo b) Ultrasound c) X-ray d) CT 48) Which of these is NOT a sign of withdrawal in a newborn? a) Sleepy b) Irritable c) Diarrhea d) Tachypnea e) Feeding irregularities f) Sneezing 49) Seizures are easily identified in newborns a) True b) False 50) What hand should the pulse oximeter be placed on for the CCHD? a) Right b) Left 51) The metabolic screening only checks for PKU a) True b) False 52) How long should an infants heel be warmed before a heelstick? a) 1 minutes b) 10 minutes c) 5 minutes d) No warming is needed 53) A cold infant should have their sugar checked a) True b) False 54) An infant that weighs 9 lbs is automatically LGA a) True b) False 55) IUGR and SGA are the same thing a) True b) False 56) Which of these is NOT a complication of a late preterm infant? a) Poor feeding b) Hypoglycemia c) Respiratory distress d) Temperature instability e) Hyperbilirubinemia f) Decreased output 57) What is the temperature range for a newborn? a) 96.0-98.0 F b) 97.7-99.5 F c) 98.5-100.0 F 58) What is the best location for an infant to stabilize sugars, breathing and temperature? a) Radiant warmer b) Swaddled and held c) Skin to skin 59) Hypothermia can cause respiratory distress in the newborn a) True b) False 60) It is more common for newborns to be hyperthermic if septic not hypothermic a) True b) False 61) Diminished breath sounds on one side is indicative of what condition? a) Pneumothorax b) Pneumonia c) Hypovolemia d) Respiratory Distress Syndrome 62) The incorrect settings for PEEP and PIP while providing PPV can cause a pneumothorax a) True b) False 63) CPAP is an alternative option for PPV a) True b) False 64) You need a doctors order to check a blood sugar a) True b) False 65) How do you differentiate facial bruising from cyanosis? a) Blanching with pressure b) Report of birth trauma c) Signs of respiratory distress d) Pulse oximeter reading 66) A weight loss under what percentage is considered normal? a) 5% b) 10% c) 15% d) 20% 67) Any level of jaundice is concerning a) True b) False 68) How long does a pediatrician have to come see an infant? a) 4 hours b) 12 hours c) 24 hours d) Before discharge 69) Babies are cannot be trusted a) True b) False

Vitals & Variables: The Neonatal Maze Challenge

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