NEWBORN ASSESSMENT
Normal newborn respiratory rate is:
30–60 breaths per minute
The fundus should be assessed for firmness and location to prevent which complication?
Postpartum hemorrhage
This common postpartum mood change affects up to 80% of new mothers and usually resolves within 2 weeks.
What are the postpartum blues?
A newborn born before 37 completed weeks of gestation is classified as:
Preterm
This developmental disorder is caused by an extra copy of chromosome 21.
What is Down syndrome?
This reflex causes extension and abduction of the arms followed by flexion
Moro reflex
Normal lochia progression after birth follows which order?
Rubra → Serosa → Alba
This condition is characterized by persistent sadness, hopelessness, loss of interest in activities, and may occur anytime within the first year after childbirth.
What is postpartum depression?
Which complication is most common in infants of diabetic mothers?
Hypoglycemia
A 3-year-old who speaks only a few words and has difficulty communicating may have a delay in this area of development.
What is language or speech development?
A normal newborn heart rate falls within this range.
What is 110–160 beats per minute?
A postpartum client has a boggy uterus. What is the nurse’s FIRST action?
Perform fundal massage
These two symptoms are considered warning signs of postpartum psychosis and require immediate medical attention.
What are hallucinations and delusions?
A preterm newborn with grunting, nasal flaring, and retractions is most likely experiencing:
Respiratory distress syndrome (RDS)
Early identification and intervention are important because they can improve outcomes for children experiencing these.
What are developmental delays?
This assessment finding is characterized by a bluish discoloration of the hands and feet and is often normal during the first 24–48 hours of life.
What is acrocyanosis?
A postpartum client is 2 hours after delivery. Assessment findings include a fundus deviated to the right, moderate lochia rubra, and difficulty voiding. The priority nursing intervention is to help the client empty her bladder and reassess the fundus.
What is assisting the postpartum client to void?
A mother states, "I hear voices telling me my baby is evil." This postpartum condition is considered a psychiatric emergency.
What is postpartum psychosis?
A newborn is 2 days old and has frequent spit‑ups after feedings.
Assessment findings include: Arching of the back, Irritability during feeds, Adequate weight gain andNormal vital signs
Which condition does the nurse suspect?
A. Pyloric stenosis
B. Gastroesophageal reflux disease (GERD)
C. Necrotizing enterocolitis
D. Intestinal obstruction
Gastroesophageal reflux disease (GERD)
During a developmental screening, a nurse notices a 2-year-old does not make eye contact, does not respond to their name, and prefers to play alone. This developmental disorder may be suspected.
What is Autism Spectrum Disorder (ASD)?
This vitamin is routinely administered shortly after birth to help prevent hemorrhagic disease of the newborn.
What is Vitamin K?
A client 12 hours postpartum reports sudden shortness of breath, chest pain, and anxiety.
Vital signs: HR 128, RR 32, SpO₂ 88%.
What complication does the nurse suspect FIRST?
A. Amniotic fluid embolism
B. Pulmonary embolism
C. Postpartum hemorrhage
D. Endometritis
Pulmonary embolism
The nurse's priority action when a mother with postpartum psychosis expresses thoughts of harming herself or her baby.
What is ensuring immediate safety and obtaining emergency psychiatric assistance?
This common assessment tool evaluates a newborn's appearance, pulse, grimace, activity, and respirations at birth.
What is the Apgar score?
This assessment process compares a child's abilities to expected milestones in areas such as physical, cognitive, language, and social development.
What is developmental screening?