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OB Exam 1 > Chapter 23 - 3 > Flashcards

Chapter 23 - 3 Flashcards

1
Q

Psychosocial Adaptation

A

Periods of reactivity
Behavioral states
Brazelton Neonatal Behavioral Assessment Scale (BNBAS) assesses response to 28 hours

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2
Q

First Period of Reactivity

A

Intense activity first 30min alternating with quietness
Tachypnea, retractions, grunting
Tachycardia, transit murmur, acrocyanosis
(baby trying to figure out how to breathe)

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3
Q

Period of decreased responsiveness

A

Quietness or sleeping
No intense reactions
Respirations and heart rate return to baseline
Duration: 60-100 min

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4
Q

Second Period of Reactivity

A 
Hyperresponsive
Varied skin color changes
VS depend on activity
Airway may become compromised
2-8 hours after birth, lasts 10 min to several hours
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5
Q

sleep-wake states

A

deep sleep, light sleep, drowsy, quiet alert, active alert, crying, state modulation

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6
Q

deep sleep -

A

Eyes closed, no REM, may startle w/o stimulus

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7
Q

light sleep -

A

Irregular respirations, sucking, little movement, may startle w/stimulus

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8
Q

drowsy -

A

Eyes open, closed, or flutter; slow movement

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9
Q

quiet alert -

A

Follows objects, some motor activity

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10
Q

active alert -

A

Reacts to stimuli, rapid movement

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11
Q

State modulation-

A

ability to smoothly transition (babies have trouble going from state to state)

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12
Q

Physical Assessment of the Newborn (start with head)

A 
Respiratory 
Thermoregulation
Blood glucose 
Bilirubin 
Neurologic
Skin color, vernix caseosa, lanugo, milia, erythema toxicum, birthmarks, delivery trauma
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13
Q

Newborn Assessment

A

Inspection, auscultation, palpation, percussion

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14
Q

Assessment at delivery:

A

Apgar (in 1-5 minutes)

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15
Q

Nursery assessment

A

General appearance (Color, position, tone)
Cry (Lusty, weak/shrill, grunting)
Respiratory effort (Retractions, gasping, nasal flaring)
VS
Physical exam

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16
Q

Apgar Scoring:

A 
Assessment of:
Appearance: Color
Pulse: Heart rate
Grimace: Reflex response
Activity: Muscle tone
Respirations: Respiratory effort

Graded 0-10 at 1 min and 5 min after birth, q5min if <7 at 5 min up to 20min

17
Q

temp of newborn

A

36.5 to 37.5 degrees C (97.7 to 99.5 degrees F) axillary, 36.5 to 37.6 degrees C (97.7 to 99.7 degrees F) rectal

18
Q

apical pulse of newborn

A

120 to 160 bpm (100 sleeping, 180 crying)

19
Q

respirations of newborn

A

30 to 60/min

20
Q

Newborns: Head-to-Toe

A 
Skin
Head
Ears
Face
Eyes
Nose 
Mouth
Feeding
Neck/clavicles
Chest
Abdomen
Genitals
Extremities
Back
Reflexes
21
Q

Telangiectatic nevi-stork bites-

A

pink easily blanched-upper eyelids, nose, uper lip, lower occipital area, nape of neck
Usually fade by 2 years

22
Q

Nevus vasculosus-

A

strawberry hemangioma-75 % on head

23
Q

Nevus flammeus-

A

port wine stain

24
Q

Erythema toxicum-

A

erythema neonatorum, newborn rash, flea bite dermatitis
First 3 weeks of life
No tx-goes away

25
Q

Cephalhematoma**

A

Collection of blood between surface of a cranial bone and the periosteal membrane. Does not cross suture lines.
(a bruise that does not cross the suture line**)

26
Q

Caput Succedaneum**

A

Collection of fluid due to pressure of presenting part against cervix. This crosses suture lines.***

27
Q

DDH

A

Developmental dysplasia of hips
More common F and in breech
Ortolani maneuver
Barlow test

28
Q

Newborn Neuro Exam

A 
Babinski
Palmar/plantar
Moro
Rooting
Startle
Stepping
Sucking
Swallowing
Tonic neck
29
Q

Gestational Age Assessment

A

Evaluation of physical and neuromuscular characteristics

Usually accurate within 2 wks of age if used within 5 days of birth

30
Q

Low birth weight r/t

A

incomplete growth, not gestational age

31
Q

Gestational week age

A

42wks: postterm

32
Q

New Ballard Score

A

Neuromuscular - Posture, Square window, Arm recoil, Popliteal angle, Scarf sign, Heel to ear; Physical - Skin, Lanugo, Plantar surface, Breasts, Eyes and ears, Genitals

OB Exam 1 (11 decks)

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