Jeopardy Content Exam 3
Name the Reflex
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Newborn turns head to the side when you stroke his/her cheek and begins to make sucking
movements Rooting Reflex (disappears at about 4 months)
Newborn will close hand around your finger when finger is placed on their open palm Grasp Reflex –
palmar (disappears around 4-6 months of age)
Startle reflex that occurs when newborn is laying supine, body weight is supported by lifting the arms.
When the arms are released, newborn will throw their arms outward, fingers spread to form a
“C”, knees flex. Moro Reflex
Newborn is held upright and inclined forward with the soles of the feet touching a
flat surface, baby makes a walking motion by flexing and extending alternating feet.
Stepping Reflex
Newborn is laying supine and head is turned to one side. Newborn will extend the arm towards the
direction they are facing outward and the palm will open, while opposite arm will flex with a closed fist
and remain close to the body.
Tonic Neck Reflex – fencing reflex
APGAR Scores
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What is the highest APGAR score a newborn can achieve? 10
When are Apgar scores assessed? 1 minute and 5 minutes after birth
What does APGAR stand for? Activity, Pulses, Grimace, Appearance, Respirations
What is the most common APGAR category in which newborns lose points? Appearance – due to
cyanosis
Assign an APGAR Score for the following scenario: You’re assessing the one minute APGAR score of
a newborn baby. On assessment, you note the following about your newborn patient: heart rate 130,
pink body and hands with cyanotic feet, weak cry,
flexion of the arms and legs, active movement and
crying when stimulated. What is your
patient’s APGAR score? 7
Heat Loss
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Name the 4 types of heat loss in the newborn
Newborn is placed on a cold mattress or scale and
direct transfer of heat occurs from the newborn to
the cold surface _____________
Newborn loses heat to a nearby cold window
____________
Newborn loses heat when nurse delays drying after
delivery ___________
Newborn loses heat to surrounding air when A/C
is turned on to high power in the mom’s room
____________
Circumcision
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Does the American Academy of Pediatrics recommend that parents circumcise theirnewborn
males? _______________
What needs to happen after a circumcision in order for the newborn to be cleared for
discharge? VOID first
What are some contraindications for a circumcision? Hypospadias and epispadias, bleeding disorder
Discuss the medications used during a circumcision oral sucrose during procedure, acetaminophen
A nurse is assessing a newborn infant after circumcision and notes that the circumcision site is red with
a small amount of bloody drainage. Should he/she call the physician? No, this is normal
Newborn Skin Variations
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What is the name of the thick white substance that protects the skin of the fetus and is found on the
fetus immediately post delivery? Vernix caseosa, facilitates extra-uterine adaptation of skin.
What do you call the multiple pearly-white or yellow unopened sebaceous glands frequently found on
a newborn’s nose, chin and/or forehead? Milia
What are the benign purple or blue splotches that appear on the lower back, buttocks, legs
or shoulders of dark skinned newborns of all races? Mongolian spots – birthmarks
What is the benign, generalized,transient rash that appears in the first week after birth consisting of s
mall papules or pustules on the skin resembling flea bites? Erythema Toxicum
What is the term for when unopened sebaceous glands occur in the newborn’s mouth? Epstein pearls
Jaundice/Phototherapy
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Name 3 risks of phototherapy if newborn is not properly protected – blindness, dehydration, if genitals
are not covered it may cause sterility
Name 3 ways to protect newborn when they are placed under phototherapy eye shield, diaper stays
on, and ensure hydration
What is the name of the condition that can be caused by untreated jaundice? Acute bilirubin
encephalopathy and kernicterus > cerebral palsy
Name 3 risk factors for jaundice: ABO blood group incompatibility, G6PD enzyme deficiency,
premature delivery, scalp hematoma and Rh blood group incompatibility
Explain what happens during an exchange transfusion? (Hint: This is a last resort when phototherapy
does not work) Exchange transfusion (ET) is the removal of an infant's blood with high bilirubin
levels and/or antibody-coated red blood cells (RBCs) and replacement with fresh donor blood