Newborn Post test

1.

1 point

Newborns are a high risk age group, especially the first 7 days of life.

True

False

2.

1 point

20% of under referrals in triage that result in adverse outcomes involve newborns.

False

True

3.

1 point

Feeding behavior is the one universal and reliable indicator of a newborn's well being?

True

False

4.

1 point

Which of the following can be a red flag for illness in a newborn? Check all that apply.

not waking for feedings

Sweating while eating

Tachypnea

Parent who calls about the same concerns

5.

1 point

Which question would be the best way to ask if newborn is sick?

Is she waking for feedings, alert when awake, eating normally?

Is baby acting sick?

6.

1 point

A normal baby cries on average of 1-2 hours a day.

True

False

7.

1 point

In 90% of cases of shaken baby syndrome, the caregiver sought help from health care provider before assault?

True

False

8.

1 point

Simethicone drops are effective in helping with gas in babies.

True

False

9.

1 point

Vomiting or reflux? Small amounts x 1 week, baby seems content

Vomiting

Reflux

10.

1 point

Vomiting or reflux? Started this morning, 3 episodes large amounts, seems forceful, baby seems like she doesn't feel well?

Reflux

Vomiting

11.

1 point

Vomiting in a baby less than 1 month can be indicative of sepsis?

True

False

12.

1 point

Newborns and young infants may have a fever as the only sign of a serious bacterial infection.

True

False

13.

1 point

Any infant less than 3 months old with a documented fever has sepsis until proven otherwise.

True

False

14.

1 point

You should recommend parent give Tylenol for prior to going to ER even if less than 12 weeks.

True

False

15.

1 point

Motrin is safe if over 3 months.

True

False

16.

1 point

Which is defined as a fever if less than 12 weeks? Check all that apply.

99 axillary

99 rectally

101 rectally

17.

1 point

It is ok to recommend prophylactic Tylenol prior to immunizations?

True

False

18.

1 point

Call regarding 1 month old with rectal temp 96.3, has not been exposed to cold. Mom wants to know if she should be concerned

no, normal variation of temp.

yes, could be indicator of sepsis, send to ER

19.

1 point

ER, yes or no? 4 month old with fever 102 and 4 episodes vomiting today. Is 10pm at night.

no

yes

20.

1 point

ER yes or no? 3 month old with resp rate 80/minute

no

yes

21.

1 point

ER-yes or no? 3 week old with rash described as water blisters.

no

yes

22.

1 point

ER yes or no? 9 week old fever 101 rectally, vaccines today.

No

Yes

23.

1 point

ER yes or no? 9 weeks old fever 103 rectally, vaccines today.

yes

no

24.

1 point

If parent calls about baby less than 3 months with an axillary fever of 99.8 and is acting ok, it is ok to have parent take rectal temperature if they have thermometer available?

True

False

25.

1 point

Same scenario as previous question, parent does not have access to take rectal temperature. What would you do?

Stay at home

Send to ER