Ch24 study guide (Nursing Care of the Newborn and Family) Flashcards

1
Q

tool used to rapidly assess the newborn’s transition to extrauterine life at 1 and 5 minutes after birth
- it is based on five signs that indicate the newborn’s physiologic state

A

Apgar score

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2
Q

components of the Apgar score to indicate the newborn’s physiologic state

A
heart rate
respiratory effort
muscle tone
reflex irritability
color
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3
Q

device used to suction mucus and secretions from the newborn’s mouth and nose immediately after birth and when needed

A

bulb syringe

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4
Q

automatic sensor usually placed on the upper quadrant of the abdomen immediately below the right or left costal margin
- it is attached to the radiant warmer and monitors the newborn’s skin temperature

A

thermistors probe

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5
Q

instillation of antibiotic ointment into the eyes of a newborn after birth to prevent infection

A

eye prophylaxis

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6
Q

inflammation of the newborn’s eyes caused by sexually transmitted bacteria (e.g., gonorrhea, chlamydia) acquired by the newborn during passage through the mother’s brith canal

A

ophthalmia neonatorum/neonatal conjuctivitis

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7
Q

ointment is usually instilled into the newborn’s eyes within 1-2hrs after birth to prevent conjunctivitis

A

0.5% erythromycin or 0.1% tetracycline

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8
Q

mediation administered intramuscularly to the newborn to prevent neonatal hemorrhagic disease
- it is administered in a dose of 0.5-1mg

A

vitamin K

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9
Q

tool used to assess and estimate a newborn’s gestational age after birth
- it involves assessment of the degree of the newborn’s physical and neurologic maturity

A

New Ballard Score

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10
Q

term used to describe an infant whose birth weight falls between the 10th and 90th percentile as a result of growing at a normal rate during fetal life, regardless of length of gestation

A

appropriate for gestational age (AGA)

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11
Q

term used to describe an infant whose birth weight falls above the 90th percentile as a result of growing at an accelerated rate during fetal life, regardless of length of gestation

A

large for gestational age (LGA)

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12
Q

term used to describe an infant whose birth weight falls below the 10th percentile as a result of growing at a restricted rate during fetal life, regardless of length of gestation

A

small for gestational age (SGA)

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13
Q

infant born before the completion of 37 weeks of gestation, regardless of birth weight

A

preterm (premature)

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14
Q

infant born at 34-36 weeks gestation

- this infant has risk factors due to his or her physiologic immaturity that require close attention by nurses

A

late preterm

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15
Q

infant born between 37-38 weeks of gestation

- they are at greater risk than full-term infants for both short-term and long-term health problems

A

early term

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16
Q

infant born between the beginning of week 39 and the end of week 40 of gestation

A

full term

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17
Q

infant born during the 41st week of gestation

A

late term

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18
Q

infant born at or later than 42 weeks gestation

A

postterm

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19
Q

infant born after the completion of 42 weeks of gestation and showing the effects of progressive placental insufficiency

A

post mature

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20
Q

pinpoint hemorrhagic areas acquired during birth that may extend over the upper trunk and face
- they are benign if they disappear within 2-3 days of birth and no new lesions appear

A

petechiae

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21
Q

one of the products derived from the hemoglobin released with the breakdown of RBCs and the myoglobin in muscle cells
- accumulation of the unconjugated form in the blood results in a yellowish discoloration of the skin, sclera, and oral mucous membranes

A

bilirubin

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22
Q

yellowish discoloration of the integument and sclera that appears after the first 24hrs of life, peaks at 3-5days, and resolves in 1-2weeks, usually without the need for treatment

A

physiologic jaundice

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23
Q

test performed to distinguish cutaneous jaundice of the skin from normal skin color

  • it is performed by applying pressure with a finger over a bony area such as the nose, forehead, or sternum for several seconds to empty all the capillaries in the spot
  • the area will appear yellow when the finger is removed if jaundice is present
A

blanch test

24
Q

device used for noninvasive monitoring of bilirubin via cutaneous reflectance measurements
- it allows for repetitive estimation of bilirubin and works well on both dark and light-skinned newborns

A

transcutaneous bilirubinometry (TcB)

25
Q

infection characterized by white plaques on cheeks or tongue that bleed if touched

A

thrush

26
Q

blood glucose concentration less than adequate to support neurologic, organ, and tissue function during the early newborn period
- the precise level at which this occurs in every neonate is not known, though intervention is usually required if the BG level falls below 40-45 mg/dL

A

hypoglycemia

27
Q

newborn respiratory rate of 30 breaths/min or less

A

bradypnea

28
Q

newborn respiratory rate of 60 breaths/min or more

A

tachypnea

29
Q

the most important single measure in the prevention of neonatal infection

A

handwashing (hand hygiene)

30
Q

use of light energy to treat hyperbilirubinemia by converting unconjugated bilirubin to a conjugated form that can be excreted through the urine or feces

A

phototherapy

31
Q

surgical procedure that involves removing all or part of the prepuce (foreskin)

A

circumcision

32
Q

crackles on auscultation of the lungs

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

potential problem

33
Q

respirations 36 breaths/min, irregular, shallow

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

34
Q

episodic apnea lasting 5-10 seconds

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

35
Q

nasal falling and sternal retractions

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

potential problem

36
Q

slight bluish discoloration of hands and feet

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

37
Q

blood pressure 76/44mmHg

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

38
Q

apical HR: 126 bpm with murmurs

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

39
Q

temperature 36*C

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

potential problem

40
Q

pink-tinged stains on diaper with first two voidings

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

41
Q

two small white cysts at gum margins and on palate

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

42
Q

boggy, edematous swelling over occiput

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

43
Q

overlapping of parietal bones

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

44
Q

white pimplelike spots on nose and chin

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

45
Q

jaundice on face

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

potential problem

46
Q

regurgitation of small amount of milk following first two feedings
(normal or potential problem in 12hr old, full term newborn in quiet-alert state)

A

normal

47
Q

liver palpated at 1cm below the right costal margin

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

48
Q

absence of bowel elimination since birth

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

49
Q

spine straight with dimple and small tuft of hair at the base
(normal or potential problem in 12hr old, full term newborn in quiet-alert state)

A

potential problem

50
Q

adhesion of prepuce - unable to fully retract foreskin

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

51
Q

edema of labia majora

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

52
Q

flaring of toes and hyperextension of big toe when sole is stroked upward
(normal or potential problem in 12hr old, full term newborn in quiet-alert state)

A

normal

53
Q

hematocrit 36% and hemoglobin 12 g/dL

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

potential problem

54
Q

WBC count of 20,000/mm3

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal

55
Q

blood glucose 48 mg/dL

normal or potential problem in 12hr old, full term newborn in quiet-alert state

A

normal