Deck 38: Care of the Newly Born

Question 1

The fetal circulation starts at the point where the ____ emanating from the placenta, carrying oxygenated blood, enters the newborn's body and almost immediately divides.

A) umbilical vein
B) aorta
C) IVC
D) superior vesical artery

Answer 1

umbilical vein

Question 2

By definition, a post-date pregnancy is a pregnancy that goes to 40 weeks or more.

Answer 2

False

Question 3

If the newborn has good tone, color, and heart rate, there is research evidence to support delaying umbilical cord clamping until after the cord stops pulsing.

Answer 3

True

Question 4

Physical abnormalities of a structure or function of the body are known as ____.

A) adaptation deficits
B) congenital anomalies
C) perinatal anomalies
D) intrapartum deficits

Question 5

A ____ is a phospholipid that reduces surface tension in the alveoli of the lungs.

A) chelator
B) surfactant
C) lipid
D) solvent

Question 6

The newborn must obtain glucose as a source of energy.

Question 7

Premature newborns, when delivered, do not have any more difficulty transitioning to extra-uterine life that full-term newborns.

Question 8

Prior to birth, fetal circulation is a "high pressure" system.

Question 9

Positive pressure ventilation often temporarily resolves diaphragmatic hernias.

Question 10

A risk for the postmature newborn is scant amniotic fluid, known as ____.

A) macrosomia
B) microsomia
C) surfactant
D) oligohydramnios

Question 11

The history of labor and delivery including contractions is known as the ____ history.

A) intrapartum
B) partum
C) postpartum
D) perinatal

Question 12

A newborn who is at less than ____ weeks' gestation has an increased risk of respiratory distress syndrome.

A) 34
B) 38
C) 40
D) 44

Question 13

Oligohydramnios may be an indication of placental problems, including placental abruption or placenta previa.

Question 14

Blood travels directly into the left atrium via the ____, the opening between the right and left ventricle.

A) ligamentum arteriosum
B) ductus arteriosus
C) foramen ovale
D) SVC

Question 15

The ductus arteriosus eventually becomes a strip of connective tissue, called the____, which tethers the heart to the aorta.

A) ligamentum arteriosum
B) foramen ovale
C) sphincter
D) iliofemoral ligament

Question 16

The ____, a blood vessel that connects the pulmonary trunk to the aorta below the aortic arch, prevents deoxygenated blood from flowing to the brain.

A) IVC
B) umbilical artery
C) portal sinus
D) ductus arteriosus

Question 17

Syndactyly is a condition in which a person has fused digits or webbed fingers.

Question 18

Only 50% of the newborn's blood glucose is consumed by the brain.

Question 19

One-half of the blood from the mother passes through the fetus's liver and one-half of the blood enters the newborn's central circulation via a shunt known as the ____.

A) ligamentum arteriosum
B) ductus venosus
C) umbilicus
D) portal vein

Question 20

The signs of neonatal hypoglycemia can be variable, from jitteriness to lethargy, and the typical signs (such as sweating) are not dependable.

Question 21

A risk for the postmature newborn is excessive birth weight, greater than 4,000 grams, known as ____.

A) petechiae
B) cephalopelvic disproportion
C) omphalocele
D) macrosomia

Question 22

____________________ is a condition in which a person has extranumerary fingers or toes.

Question 23

A(n) ____ is a mid-abdominal wall defect characterized by an abdominal organ, such as bowel and liver, which protrudes through a defect in the abdominal wall, and is covered by a membrane.

A) perineum torsion
B) omphalocele
C) leukocytopenia
D) cachexia prolapse

Question 24

In ____, the spinal cord is encased in an external sac, most often in the area of the lumbar spine or sacrum.

A) meningocele
B) polydactyly
C) myelomeningocele
D) gastroschisis

Question 25

The newborn must achieve ____________________, in order to maintain an ideal body temperature.

Question 26

____ injury sometimes occurs when the head is flexed laterally and rotated during delivery, resulting in unilateral laryngeal nerve paralysis and subsequent difficulties with swallowing.

A) Sciatic nerve
B) Brachial plexus
C) Laryngeal nerve
D) Ligamentum arteriosum

Question 27

Inspection of the newborn's back and spine may reveal sacral dimpling, a finding that is suggestive of ____________________, or more obvious neural tube defects.

Question 28

Typically, a newborn's blood glucose is obtained by performing a(n) ____________________ using a standard glucometer.

Question 29

After birth, the vigorous newborn is placed on the ____________________, skin-to-skin with the mother, to increase heat gain and to avoid heat loss due to contact with cold surfaces.

Question 30

____________________ , involves a bony defect of the spinal cord where the meninges protrude through an opening in the spinal column, typically proximal to the sacrum.

Question 31

____ is the term used for bleeding under the skull from interruption of blood vessels in the periosteum.

A) Menorrhagia
B) Amenorrhea
C) Cephalhematoma
D) Petechiae

Question 32

A(n) ____________________ may be used to suction the newborn's mouth, then the nares of the newborn to clear secretions.

Question 33

Small red spots under the skin resulting from birth trauma is termed ____.

A) syndactyly
B) petechiae
C) omphalocele
D) caput succedaneum

Question 34

An APGAR score is obtained at one minute and again at ____ minutes after birth.

A) three
B) five
C) ten
D) fifteen

Question 35

Assignment of an APGAR score is based on five elements: appearance (color), pulse (heart rate), grimace (reflex irritability), activity (muscle tone), and ____________________.

Question 36

The period of transition from intrauterine life to extra-uterine life is one that requires straightforward, supportive care in ____ of cases.

A) 70%
B) 85%
C) 90%
D) 99%

Question 37

Infants at risk for birth trauma include those newborns born to small mothers with small hips and narrow pelvic outlets, known as ____ disproportion.

A) meningocele
B) cephalopelvic
C) diaphragmatic
D) brachial plexus

Question 38

A(n) ____________________ abdomen is one that is concave instead of proturbant or potbelly.

Question 39

The Paramedic's focus when compiling a(n) ____________________ (i.e., prenatal and intrapartum history) is to predict the newborn's risk of problems of transition and to determine the probability of the need for neonatal resuscitation.

Question 40

____ is the term used for diffuse swelling under the scalp.

A) Caput succedaneum
B) Didelphys
C) Antepartum hemorrhage
D) Scotomata