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MCN Final Reviewer 2 Flashcards

1
Q

Eyes: usually baby cries tearlessly

A

because of immature lacrimal duct * until 3months

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2
Q

distance of sight

A

6-8in

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3
Q

iris color usually

A

gray and blue

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4
Q

permanent color assume at

A

3-12months of age

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5
Q

eye ointment against gonorrhea for 24hours of life

A

erythromycin and theramycin

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6
Q

white pupil - indicate

A

congenital cataract

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7
Q

Ears: When you assess Ears it must be

A

symmetrical

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8
Q

Pinna could be fold easily

A

True

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9
Q

Pinna should be aligned with the

A

outer cantus of the eye

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10
Q

pinna is lower than outer cantus ex. down syndrome (trisomy 21)

A

Chromosomal abnormality

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11
Q

3 Possible Indications of eye problem

A
  1. Chromosomal abnormality
  2. Kidney diseases
  3. Cranio-facial lesions
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12
Q

how to assess the ears

A

using bell - 6in away from the ear

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13
Q

Nose: Neonatal is

A

Obligatory nose breather

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14
Q

Blockage at the rear of the nose

A

Choanal Atresia

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15
Q

How to assess Choanal Atresia

A

By closing the mouth and press the one nares or nostril

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16
Q

Indication of Respiratory distress

A

Nasal Flaring

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17
Q

Mouth: one side of the mouth moves more than the other

A

cranial nerve injury

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18
Q

Nerves that are affected

A

CN7 and CN5

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19
Q

assess palate

A

cleft palate

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20
Q

white glistening cyst seen at the newborn gums and palate which is cause by extra load maternal calcium
* disappear in a week time

A

Eptein’s Pearl

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21
Q

is a candida infection usually appears on the tung and sides of the chicks or mouth as white gray patches

A

Oral trash or Oral moniliasis

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22
Q

causative agent of Oral Trash or Oral Moniliasis

A

candida albicans

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23
Q

Unusual to have two teeth erupted after birth

A

Natal Teeth

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24
Q

Short and often chubby with creased or wrinkle skin folds

A

Neck

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25
Q

what to observe in assessing neck

A

ROM- range of motion

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26
Q

stiff neck

A

Nuchal Rigidity

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27
Q

Indication of Nuchal Rigidity

A

indication of Meningitis - inflammation of meninges of the brain

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28
Q

Chest: What to assess in the chest

A

Symmetry

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29
Q

how many yrs when chest measurement exceed or more than the head circumference

A

2yrs

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30
Q

normal assessment to chest

A

breast are engorge

clavicle must be straight

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31
Q

secretes a thin watery fluid

* influence of the mother’s hormone

A

witch milk

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32
Q

assess for abnormal sound

A

wheezing, reputes, granting, strigur

* respiratory distress

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33
Q

observe chest retraction

A

drawing-in of he chest wall with inspiration

* during inhalation / inspiration

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34
Q

Abdomen: Observe the contour of the abdomen

A

slightly protuberant

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35
Q

Assess shape

A

Dome-shape

* normal

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36
Q

protrusion of the abdominal organ outside the abdomen *nursing intervention - cover with sterile saline dressing

A

Gastrochisis

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37
Q

protrusion of the abdominal organ though the umbilicus

A

Omphalocele

38
Q

the presence of palpable olive shape mass in the infant abdomen

A

Pyloric Stenosis

39
Q

presence of the palpable sausage - shaped mass in the infant abdomen

A

Intussusception

40
Q

Access the umbilical cord :1st hour

A

white gelatinous

41
Q

Assessment of umbilical cord after one hour

A

dry and shrink and turns brown

42
Q

Assessment of umbilical cord after 2nd to 3rd day

43
Q

Assess the kidney: which one is higher L or R

A

Left Kidney

44
Q

left is harder to palpate because

A

of the intestines are bulkier on the left side

45
Q

kidney can easily palpated because it is lower

A

Right Kidney

46
Q

Anogenital Area

A

Anal and Genital

47
Q

Test the potency of the anal area

A

by lubricated thermometer

48
Q

expect urine and feces(meconium) within

49
Q

Types of Stool

A
  1. Meconium
  2. Transitional
  3. Milk Stool
50
Q
  • first stool pass by the newborn
  • greenish - black , sticky, and odorless
  • expected to pass at least 4x in the first 24hours
51
Q

Indications for the failure of the meconium to pass out within the 24hours

A
  1. Inperforate Anus
  2. Hirschsprung’s disease
  3. Cystic Fibrosis
52
Q
  • pass by the newborn beginning 2nd day to the 10th day after delivery
  • greenish yellow, odorless, slimy
  • pass 6x or more in a day
A

Transitional

53
Q
  • breast fed baby stool or bottle fed baby stool
A

Milk Stool

54
Q
  • golden color, mushy, soft, sweet smelly

- pass by the newborn every after breast feeding

A

breast fed stool

55
Q
  • pale and yellow, hard and formed, and with an offensive odor
  • pass once a day
A

bottle fed stool

56
Q

Observe for the testes both should be present in the

57
Q

an descended testes

A

Cryptorchidism / undescended testes

58
Q

male: urinary meatus is located at the dorsal or above the penis

59
Q

male: urinary meatus is located at the ventral surface or below the penis

A

Hypospadia

60
Q

male: Absence of organ

61
Q

Genital size of a male

62
Q

Usually the vulva (external structure of the female reproductive system) is _________
due to maternal hormones

63
Q

presence of vaginal secretion with blood tinged and this is due to maternal hormones

A

Pseudomenstruation - Pseudo (false)

64
Q

white mucus discharges presence at the genital of newly born

65
Q

Spine: Usually the spine is flat from

A

lumbar and sacral area

66
Q

The arms and legs are flex on

A

the abdomen and chest

67
Q

dimpling at the base of the spine

A

Spina Bifida

68
Q

Extremities: The arms and the legs are

A

short, full range of motion

69
Q

Usually the fingernails are

A

soft and smooth

70
Q

Observe diffects on the legs

A

bow legged - (Genu - varum)

knocked - knee ( Genu- valgum)

71
Q

bow legged

A

Genu - varum

72
Q

knocked - knee

A

Genu - valgum

73
Q

Observe diffects on the feet

A
  1. Equinus or plantar flexion
  2. Varus or inversion
  3. Valgus or eversion
  4. Calcaneus
  5. Syndactyl or Fuse digits or webbing
  6. Polydactyl
74
Q

toes lower than the heel

A

Equinus or plantar flexion

75
Q

toes points inwardly

A

Varus or inversion

76
Q

the toes points outwardly

A

Valgus or eversion

77
Q

the toes points upward, toes are higher than the heel

78
Q

Fuse digits or webbing

79
Q

Extra finger or toes

A

Polydactyl

80
Q

is a simple method to quickly assess the health of the newborn child

A

APGAR Score

81
Q

assessment done twice

A

1 min and 5 mins after birth

82
Q

develop the APGAR * anesthesiology

A

Virginia Apgar

83
Q

5 Parameters in APGAR

A
  1. Heart Rate
  2. Respiration
  3. Muscle Tone
  4. Reflex Irritability
  5. Color
84
Q

APGAR

A 
A- appearance (Color)
P- ulse (HR) * most important to assess
G- rimace ( reflex irritability)
A- ctivity ( Muscle Tone) 
R- espiration ( Respiration)
85
Q

Score APGAR

A 
1. Appearance
	0- pale and blue (cyanotic)
	1- body pink but extremities are blue (acrocyanosis)
	2- completely pink
2. Pulse (auscultation) * most important assessment
	0- no pulse
	1- below 100bpm
	2- above 100bpm
3. Grimace
	0- no response
	1- weak cry and grimace
	2- vigorous or strong cry or cough and sneeze
4. Activity
	0- limp or flaccid 
	1- some flexion of extremities
	2- active movement or motion
5. Respiration
	0- no RR
	1- weak, slow and irregular
	2- good, strong or vigorous crying
86
Q

0-2 score

A
  • indicates poor and serious and severely dippers newborn

- it requires intensive resuscitation

87
Q

Nursing Intervention on 0-2 score

A
  1. clear the airway
  2. suction secretions
  3. administer oxygen
  4. initiate full CPR CardioPulmunaryResuscitation
  5. maintain body temperature
88
Q

3-6 score

A
  • fair guarded or moderately dippers newborn
  • it needs further evaluation and observation
  • requires resuscitation
89
Q

Nursing Intervention on 3-6 score

A
  1. suctioning
  2. quickly dry
  3. maintain warm
  4. provide oxygen
90
Q

7-10 score

A
  • indicates that the newborn is in good and healthy condition
  • it rarely needs resuscitation
91
Q

APGAR score

A

the higher the score the better the condition of the newborn

MCN (5 decks)

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