Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

348 OB Exam 3 > Chapter 23 > Flashcards

Chapter 23 Flashcards

1
Q

What is the transition from intrauterine to extreuterine life occur during the first what hours after birth?

A

6-8 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is occurring in this 6-8 hours?(3)

A

Elimination of placental circulation
Lung expansion & increase blood flow
Closeure of the foramen ovale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Since babies are not able to regulate their temperature what do we have to do as nurses and parents?

A

Maintain it!!
Between the heat loss and heat production
So pat them dry fast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is GI function of a newborn?

And how does this help?

A

They can swallow, digest and metabolism and absorption of simple proteins and carbohydrates

Now that their GI is being stimulated usually helps with mom breast milk they can pass their first poop

Meconium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Reproductive system of a newborn
Females vs males
What’s the difference

A

Females usually will have discharge or even small bloody spotting which is normal because of the increased estrogen in pregnancy and then suddenly drop

Males usually have small white lesion called epithelial pearls at the top

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

At what weeks of gestation are the tested palpable ?

A

36-40 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 3 stages of transition period of a newborn?

A

First period of reactivity
Period of decreased response
2nd period of reactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is in the first period of reactivity in a newborn? (6)

A

Heart rate is increased to 160-180 beats and then decrease after 30mins

Respirations are irregular
60-80breaths/min

Fine crackles are heard on auscultation

Audible grunting,nasal flaring, restriction of the chest
- normal for the first hour and should cease

Infant is alert and crying
Head side to side movement

Bowel sounds are audible and Meconium may be passed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the period of decreased response? (3)

A

60-100mins

Infant is pink and respiratory are rapid and shallow but not unlabored

Bowel sounds are audible and peristalic waves may be noted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the 2nd period of reactivity? (3)

A

2-8 hours after birth and lasts 10mins to several hours

Tachycardia and Tachypnea
Increase tone and skin color and mucus production

Meconium is usually passed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does thermoregulsruon mean?

A

Maintaince of balance bwteeen heat loss and heat production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hypothermia from excessive heat loss is a common but?

A

Serious problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How are 4 ways heat loss can be lost?

A

Convection
Radiation
Evaporation
Conduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does convection heat loss work?

A

Newborn is an open bassinet without being wrapped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does radiation heat loss work?

A

Placing the baby under an open vent or window

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does evaporation heat loss work?

A

Not drying the baby birth

17
Q

How does conduction heat loss work?

A

Placing a naked infant on a cold surface like the scale

18
Q

How does the neonate attempt to generate heat?
Also called thermogenesis?

A

By increasing muscle activity

19
Q

Cold infants may cry and appear restless. Because of the vasoconstriction happening how can the baby look like?

A

Pale and mottled

20
Q

How do newborns produce heat?

A

No shivering thermogenesis

21
Q

Notes
When an infant is stressed by cold, oxygen consumption increase and plants and peripheral vasoconstriction occur. Thereby decreasing oxygen uptake by the lungs and oxygen to the tissues ; anaerobic glycolysis increase and there is a decreased in PO2 and PH, leading to metabolic acidosis

A
22
Q

Newborn reflexes
Rooting & sucking ?
Swallowing?
Palmar grasps ?
Plantar grasps?
Extrusion?

Glabellar (Myerson)?

Tonic neck or fencing ?

Moro?

Stepping or walking ?

Crawling ?

Deep tendon?

Crossed extension?

A

Touch infant lip and they open mouth
Sucking and obtaining fluids
Hand grasps
Feet grasps
Touch or depress tip of tongue
( newborn forced tongue outward )

Newborn blinks for forth four or five taps on their forehead

Facing left side, arm and leg will extend and the opposite arm and leg flex

Kinda scare the baby and they extend everything and fan out fingers

They will stimulate walk when you hold under arms

Place newborn on abdomen and they will do crawl motions

Percussion on their arm or leg and they will move it, a jerk

Supine position and press down on knee or leg to extend it, the other leg should flex it

23
Q

Babinski planter ?

Pull to sit?

Truncal incurvation

Magnet?

A

All goes hyperextend and flex of big toe
Stroke their foot

Pull infant by wrist in supine position and infant head should not move but body does

Baby is in prone position and run finger on back
Truck is flex and pelvis is swung toward

Please fingers on their toes and they should pressure against the fingers with their toes

24
Q

Newborns baby can see as far as ?

A

50cm (2.5 feet )

25
Q

The clearest vision distance is ?

A

17-20cm ( 8-12 inches )

26
Q

This 8-12inches of best vision usually is the approximate distance of?

A

Mom and infant face between breast feeding

27
Q

When doing this vision test how will the baby show they can see ?

A

They will do facial expression and stick out tongue

28
Q

How does a baby hear?

A

Move or turn towards the sound
And able to recognize mom voice

29
Q

Smell is super high in newborns, they can even smell their mom and regonize other breast milk at what day?

A

Day 5

30
Q

What is their touch most sensitive?
Like what part of their body?

A

Mouth
Hands
Face
Feet soles

31
Q

Can babies distinguish among taste?

A

Duh
That’s why they so picky!

32
Q

Identify signs of neonate risk of problems and infection
What’s the 3 first signs?

A

Persistent crying
Irritability
Fever

33
Q

Respiratory sick?
Cardio sick?
Gi sick?
Renal sick?
Hepatic sick?
Integumentary sick ?
Reproductive sick?
Skeletal sick?

A

Nasal flaring
Subcostal retractions

Tachy or Brady
Absent, bounding pulse
Cyanosis

Lack of urination
Enlarged masses like kidneys

Poor appetite
No Meconium
Abdominal distention
Diarrhea/vomiting

Jaundice, hypoglycemia

Pale
Purplish color
Jaundice

Females /fecal discharge in vagina
Hymnal tags - absence means vaginal agnesis
Males : enlarged testicles, undestended

Inguinal hernia when they cry^

Fracture of clavicle to pass through

348 OB Exam 3 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions