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OB > Care / Assessment of Newborn (1) > Flashcards

Care / Assessment of Newborn (1) Flashcards

1
Q

when are apgar scores given

A

1 minute and 5 minutes of life

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2
Q

what is tested in APGAR

A

HR, resp effort, muscle tone, reflex irritability, color

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3
Q

how do you measure baby length

A

heel to crown

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4
Q

head circumference is usually ____ larger than chest circumference

A

2 cm

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5
Q

what is the average baby weight at birth

A

7lb 8oz

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6
Q

what determines a baby as average for gestational age?

A

weight, length, head circumference

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7
Q

what is the percentile for small for gestational age?

A

smaller than the 10%

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8
Q

what is the percentile for large for gestational age?

A

larger than the 90%

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9
Q

what are the 2 meds given right after birth?

A

“eyes and thighs”
erythromycin eye ointment and vitamin k shot

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10
Q

why is erythromycin eye ointment given and describe how its given

A

given for gonorrhea and chlamydia (legal)
-administer on lower conjunctival surface

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11
Q

why is vitamin k given and describe the injection

A
  • since the gut is sterile, it is not producing enough vitamin k
  • injected into the vastus lateralis muscle
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12
Q

what does the babys skin look like after birth?

A

can have acrocyanosis, which is normal for a couple hours after birth
could be pale, pink, or jaundiced

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13
Q

what is erythema toxicum?

A

newborn rash (common)

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14
Q

what is milia

A

little bump things, goes away, dont pick

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15
Q

what are mongolian spots?

A

look like bruises, not bruises

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16
Q

what shape is the anterior fontanel

A

diamond shape

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17
Q

what shape is the posterior fontanel

A

triangle shaped

18
Q

which fontanel is bigger, anterior or posterior?

A
  • anterior
19
Q

when does the anterior fontanel close?

A

18 mo.

20
Q

when does the posterior fontanel close?

A

8-12 weeks

21
Q

what does the nurse assess on fontanelles?

A

soft and level

22
Q

what can a bulging fontanel mean?

A

increased ICP

23
Q

what can a sunken fontanel mean?

A

dehydration

24
Q

what is an asymetrical appearance of the head called?

A

molding

25
Q

what causes molding (asymetry)

A

sutures overriding eachother during birth, head compressed, resolves itself

26
Q

what is a soft edematous area on the scalp and what is it normally from

A
  • caput
  • long labor, vacuum extraction
27
Q

what is a collection of blood between the surface of the cranial bone and the periosteal membrane

A

cephalhematoma

28
Q

what is a concern of cephalhematoma?

A

hematoma breakdown will break down RBCs, and since the liver is immature, it causes a jaundice risk

29
Q

what is the difference between caput and cephalhematoma?

A

caput crosses the suture lines (swelling)

30
Q

what are doll’s eyes?

A

when head is turned, eyes go in opposite direction

31
Q

when do tears develop?

A

couple months

32
Q

what are epstein’s pearls (mouth)

A

hard white marks in mouth, disappear in few weeks

33
Q

what is important to know about newborn neck?

A

inability to support head, assess for webbing (abnormality)

34
Q

what is an abnormality in the chest

A

engorged breasts with white nipple discharge (hormone withdraw)

35
Q

when can a baby have a tub bath?

A

when the cord falls off

36
Q

what is smegma

A

white cheesy coating newborn girl genitalia

37
Q

what movement is when baby’s legs are brought back and knees together

A

ortolani’s maneuver

38
Q

what is when the feet turn in

A

club foot

39
Q

what is jitteriness a sign of?

A

sign of low blood sugar

40
Q

how should a cry sound

A
  • strong, lusty, medium pitched
  • not high pitched
41
Q

what position should a baby sleep in?

A

back no blankets/animals

42
Q

how/when should baby be burped

A

nursing= between breaths
bottle= every ounce or when slow
sit it upright and support neck/shoulders

OB (15 decks)

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