Newborn Clinical Deterioriation
Conditions Affecting Care and Outcome of the Newborn
Newborn Assessment
NRP
Mixed Bag
100

What are three main categories of newborn clinical deterioration? 

What is respiratory distress, congenital heart defects, and sepsis in the newborn.

100

Many newborn complications are related to this set of complications that can be recognized at birth

What is fetal growth and maturity?

100

This temporary newborn skin finding can mimic bruising on the lower back and buttocks and is more common in infants with darker skin tones. 

What is Mongolian Spots? 

100

A term that describes skin or mucous membrane that have a blue tint or hue caused by poorly oxygenated blood

What is cyanosis? 

100

This is a set of steps to take if a newborn has a risk for low blood sugar. 

What is the hypoglycemia algorithm? 

200

Caused by excess fluid in the lungs or delayed reabsorption of fetal lung fluid after birth. 

What is transient tachypnea of the newborn

200

Two types of this syndrome are known as asymmetrical and symmetrical

What is fetal growth restriction


200

This soft swelling of a newborn's scalp crosses suture lines and is typically caused by pressure during birth

What is caput succedaneum?

200

A method of respiratory support that uses a continuous low gas pressure to keep a spontaneously breathing baby's lung open

What is CPAP (continuous positive airway pressure)

200

A collection of air within the chest cavity

What is a pneumothorax? 

300

Interpret the following arterial blood gas values:

pH 7.19

PCO2 41

P02 36

HCO3 16

BE -13


What is Metabolic Acidosis (decreased pH, normal PCO2, decreased bicarbonate, and decreased base excedd

300

The following symptoms can be attributed to what complication of the newborn: 

change in level of consciousness, high pitched cry, irritability, tremors, jitteriness, lethargy, hypothermia, poor feeding, pallor, tachypnea, apnea, and seizures

What is hypoglycemia? 

300
This tool evaluates a newborn at 1 and 5 minutes of life using five components: appearance, pulse, grimace, activity and respiration. 

What is APGAR? 

300

The single most important and most effective step in neonatal resuscitation

What is effective ventilation of the lungs? 

300
This compound molecule is a byproduct of the breakdown of heme in the body and is considered a waste product. It can be harmful to the baby if allowed to build up in the blood stream or accumulate in the liver
What is bilirubin? 
400

PDA, VSD, and ASD are examples of what newborn abnormality? 

What is congenital heart defect? 

400

Treatment of choice for hyperbilirubinemia.

What is phototherapy?

400

These three signs-nasal flaring, grunting and retractions are classic indicators of this respiratory condition often seen in newborns immediately after birth. 

What is respiratory distress?

400

The step of NRP indicated if the baby's heart remains less that 60 bpm after at least 30 seconds of effective PPV

What is initiation of chest compressions? 
400

A complex compound of phospholipids and proteins that are essential to normal lung function of the baby. It is produced in the alveoli and secreted onto the surface of the alveoli.

What is surfactant? 

500

One of the most significant causes of neonatal morbidity and mortality

What is Neonatal Sepsis? 

500

A term used to describe the regulatory dysfunction of the central and autonomic nervous system in newborns exposed to substances in utero.

What is neonatal abstinence syndrome? 
500

This reflex is tested by stroking the infant's foot from heel to toes causing the toes to fan outward. 

What is the Babinski reflex? 

500
The step of NRP required if the baby's heart rate remains below 60 bpm after 30 seconds of effective PPV and 60 seconds of chest compressions.

What is administration of epinephrine? 

500
Collection of blood between the cranial bone and periosteal membrane

What is Cephalohematoma?