Healthy Neonate Flashcards
Routine procedures needed in care of healthy neonate
.
Recognize normal presentation of neonate
.
Identify common normal physical findings in healthy newborn.
.
APGAR scores
Heart rate, respiratory effort, muscle tone, reflex irritability, color.
What score sends child to well nursey?
Max score is 2 per category, total of 10 APGAR score possible.
Score of 7-10 is healthy.
Any respirations above ___ is abnormal in a newborn.
above 60 is abnormal
HR of newborn
80 (100)-160
Temp of newborn
97.7-99.5
Routine things given to newborn w/in first 18-24 hours
Hep B, Vitamin K, erythromycin against GC eye infection
Feedings are important in what three instabces?
Infants with DM moms, small, large for gestational age.
What weight loss is acceptable during the first few days?
Back to birth weight by what date?
7% loss or less
10-14 days
Jaundice/hyperBR above ___mg% can result in Br induced neuro dysfunction or kernicterus.
> 25mg%
Jaundice in first 24 hrs is never normal.
Normal respiratory motion in infants (but not normal in older).
See-saw - thorax in, belly out
Retrations are abnormal - if accompanied by ___, then it is significant.
Grunting
singing is ok
Pink is…
GOOD
What is blue discoloration of perioral area, feet, and hands - is this bad?
Acrocyanosis. Normal in first 24 hours. Closely associated with cool surroundings. Perioral changes seen in sucking, feedings.
What is bluish discoloration of tongue/mucus membranes - is this bad? Think what two diseases?
Central cyanosis is BAD, think cardiac disease and pulmonary disease.
Differnce between bruise and cyanosis.
Bruises do not blanch. Cyanosis blances.
Severe acidosis is indicated by what color?
gray
Flexion and resistance noted when extremities - good or bad?
Flaccid full term/late preterm babies - good or bad?
Good
Bad
What reflex is evaluated to ensure lack of opacity of lens and cornea and to look for intraocular masses (retinoblastoma). What is a second reflex that is pathologic?
Red Reflex - normal
White reflex - urgent referral necessary
CHARGE syndrome and crying association
coloboma, heart defect, atresia choanne, retartded growth/development, genital abnomalities, ear abnomralities
cyanotil when NOT crying.
A webbed neck indicates?
Turner’s Syndrome
Excess skin at base of neck indicates?
Trisomy-21
S2 split - absence heard or wide split heard - abn or normal?
can mean pathology!
extreme distension of abdomen at birth or shorty after is…
BAD
ascites, meconium ileus, intrauterine midgut volvulus
what type of head anomaly crosses suture lines?
caput succedaneum
what type of head anomaly does not cross suture lines?
cephalohematoma - week to months for resulution
what type of head anomaly has a fluid wave?
subgaleal hemorrhage - signif blood loss possible. DANGEROUS
Barlow hip test
posterior dislocation
Ortaliani hip test
putting posterior dislocation back “click”
What is the only exam that can pick up an abnormality not seen prior?
Re-exam of hips - examine every day they’re in hospital
absence of anus can indicate…
VATER: Vertebral defects/VSD, Anal atresia, TE fistula/esophageal atresia, Radial dysplasia
