Chapter 9: Physical Examination of the Newborn Infant
Newborn Infant Examination Quiz
Test your knowledge on the physical examination of newborn infants with our comprehensive quiz. Covering vital signs, measurements, and common health concerns, this quiz is designed for those looking to deepen their understanding of infant care.
Topics included:
- Vital signs assessment
- Growth measurements
- Signs of common conditions
(MC)When evaluation the vital signs, what should be considered
Pulse
Temperature
Blood Pressure
Lenght
Weight
Head Circumference
Reflexes
(SC)Where is the pulse rate best taken?
Inguinal
Radial
(SC)What is the normal pulse range for newborn infant?
100-120 beats/min
120-140 beats/min
140-160 beats/min
(MC)What is increasing pulse?
Crying
Laughing
Clavicle Fracture
Increased Intracranial pressure
(SC)Where is the most accurate spot to determine baby's temperature?
Oral
Rectal
Tympanic
Axillary
(SC)For oral reading, how much Fahrenheit degrees should you add to obtain accurate core temperature?
One
One and a half
Two
(SC)For axillary reading, how much Fahrenheit degrees should you add to obtain accurate core temperature?
One
One and a half
Two
(SC)Why shouldn't you read temperature in the tympan
Tympan is too small
Risk of perforation
Vernix caseosum makes reading inaccurate
(SC)What is the normal body temperature in a child
From 96,5 to 98,5
From 97,5 to 99,5
From 98,5 to 100,5
MC: What are the red flags for temperature in infant
Under 2 months of age
Temperature of 101(38) or higher
Crying a lot
Red color
SC: What is the normal respiratory rate for a newborn?
40 BPM
50 BPM
60 BPM
70 BPM
SC:After stabilisation within a few hours being born, the BPM for newborn is
Around 10 to 20 bpm
Around 20 to 30 bpm
Around 30 to 40 bpm
Around 40 to 50 bpm
SC:BPM for young infant?
Around 10 to 30 bpm
Around 20 to 40 bpm
Around 30 to 50 bpm
SC:What is the normal blood pressure range for a newborn?
Systolic 50-65/ Diastolic 35-50
Systolic 70-85/ Diastolic 55-70
Systolic 90-105/ Diastolic 70-85
SC: Normal BP at 1 month
Systolic 80-100/ Diastolic 50-65
Systolic 40-60/ Diastolic 25-40
SC: Normal BP at 2 months
Systolic 90-105/ Diastolic 50-65
Systolic 70-85/ Diastolic 55-70
MC: Check correct answers: What does elevate blood pressure?
Excitement
Crying
Renal artery stenosis
Laughing
Thrombosis
Cuddling
Coarctation of the aorta
SC:How is the lenght with the infant measure before 2 y.o?
Prone
Supine
Standing
SC:How is the length with the infant measure after 2 y.o?
Prone
Supine
Standing
SC:What is the normal length of the newborn
17-19 inches
19-21 inches
21-23 inches
SC: What is the difference in length between girls and boys after 2 months
Nothing
1/2 inch
1 inche
2 inches
SC: What is the difference in pound between girls and boys after 2 months
Nothing
1 pound
3 pounds
5 pounds
SC: What is the % of the lifetime growth in the 1st year of life?
20%
40%
60%
80%
MC:What are signs oh hydrocephalus?
Buldging forehead
Wide temporal region
Compressed occiput
Flat nose
What can trans-illumination of the skull show?
Nothing
If fluid-filled cavity, illumination goes beyond the area of the flashlight
True or false: Large gestational age is a term used to describe and infant weighting more than the predicted weight for his gestationnal age.
True
False
True or false: Small gestational age is a term used to describe and infant weighting less than the predicted weight for his gestational age.
True
False
True or false: Congenital hydrocephalus is caused by a blockage of the flow of the CSF out from ventricules to the brain
True
False
MC: Where is the most common place for obstructive hydrocephalus
Prefrontal cortex
4th ventricule
3rd ventricule
Aqueduc de Sylvius
Foramen de Magendie
MC:Where is the pression increased in a non-obstructive hydrecephalus?
Cranium
Spinal Cord
Legs
Sinus
Feet
Gluteals
SC:How do you call the eyes that may start to bulge and point downward, with sclera showing above the pupils?
Rising sun sign
Setting sun sign
Here comes the sun sign
SC:How do you call areas of thinning of cranial bones on an XRAY?
Skinny skull
Beaten metal
Heavy metal
Dull skull
Should we keep keep baby's clothes during evaluation?
Yes
No
MC: What are the causes of asymetry extremity movement?
Trauma to the clavicle
Trauma to the arm
Trauma to the shoulder
Trauma to the brachial plexus
Trauma to the CNS
Trauma to the nose
MC: What are the causes of hypotonia/Floppy baby syndrome?
Hypoxic ischemia
Sedation of mom during delivery
Hypoglycemia
Spinal chord dysfunction
Primary muscle disease
MC:What are common signs of neonatal drug withdrawal?
Tremors
Yawning
High-pitched crying
Increased muscle tone
Initial paralysis in cerebral palsy would be
Flaccid
Spastic
MC:What are the predictors of onset of cerebral palsy by early school age?
Increased motor tone in the neck, arms, legs, trunk at 4 months of age
Failure to meet appropriate milestones
SC:What are the nerve roots of Erb-Duchesne palsy?
C5-6
C5-7
C5-8
C5-T1
Can Horner syndrome be involved in Klumpke's paralysis?
Yes
No
MC:Which presence can a tuft of hair over the lumbosacral area may indicate?
Spina bifida occulta
Pilonidal sinus
Teratoma
Distematomyelia
Conjonctivis
SC: What is fine hair appearing on shoulders, back and forehead of the newborn infant that usually disappears within the first few weeks after birth?
Lanugo
Vernix caseosum
Mongolian spot
Milia
Epstein pearls
SC:What is a whitish gray colored cheesy-looking substance that covers baby's skin at birth and disappears withing few hours after?
Lanugo
Mongolian spot
Epstein pearls
Milia
Vernix caseosum
SC:What is irregularly shaped, blue/gray colored patch found on the lumbosacral region of the back, more common in black or asian infants?
Mongolian spot
Lanugo
Epstein pearls
MIlia
Vernix caseosum
SC: What are small white vesicules seen in about 50% of newborn typically around forehead, nose, and cheeks
Vernix caseosum
Milia
Mogolian spot
Epstein pearls
Lanugo
What are the transient white papular lesions appearing on either side of the midline of the hard palate?
Vernix caseosum
Milia
Mongolian spot
Epstein pearls
Lanugo
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