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MCN > MCN Newborn 2 > Flashcards

MCN Newborn 2 Flashcards

1
Q

head of baby

A

¼ of the total body length

Large and prominent forehead

Receding chin and quivers easily

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2
Q

SCALP

A

skin
connective tissue
aponeurosis (Galea)
Loose Connective Tissue
Periosteum

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3
Q

spaces or openings where skull bones join

A

Fontanelles

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4
Q

Located at juncture of 2 parietal bone and fused frontal bones

A

Anterior fontanelle

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5
Q

Diamond shape fontanelle

A

Anterior fontanelle

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6
Q

Closes between 12-18 months fontanelle

A

Anterior fontanelle

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7
Q

Located at the junction of parietal bones and occipital bone

A

posterior fontanelle

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8
Q

Triangle shape fontanelle

A

posterior fontanelle

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9
Q

Closes by the end of the 2nd month

A

posterior fontanelle

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10
Q

Separating lines of the skull

A

Sutures

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11
Q

Prominent and asymmetric head due to its engagement in the cervical contours

A

Molding

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12
Q

Edema of the scalp at the presenting part of the head the crosses the suture line

Disappears during the 3rd day of life

A

Caput Succedaneum

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13
Q

Collection of blood between periosteum of skull bone caused by rupture of periosteal capillary due to pressure of birth

A

Cephalhematoma

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14
Q

Cephalhematoma occurs where?

A

between periosteum of skull bone

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15
Q

accumulation of blood between galea aponeurotica and membrane tissue periosteum that covers surface of a newborn’s skull

A

Subgaleal Hemorrhage

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16
Q

subglaleal hemmorhage occurs where?

A

galea aponeurotic and membrane tissue periosteum

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17
Q

eyes of newborn

A

Tearless cry
Iris are blue or gray
Sclera is blue
Dark Pupils

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18
Q

Inspect the eye by ____

A

laying the newborn supine and lift the head

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19
Q

Red spot on the sclera due to pressure during birth which ruptures a conjunctival capillary

A

Subconjunctival hemorrhage

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20
Q

ears of a newborn

A

Pinna bends easily
Check overall response to sudden sound
- Moro reflex
Check for placement of ears
- Low set ears may indicate a congenital anomaly

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21
Q

Low set ears may indicate a ____

A

congenital anomaly

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22
Q

characteristics of down syndrome

A

upslanting palperbral fissures

low-set small folded ears

short neck

flattened nasal bridge

brushfield spots

small, typically white spots, arranged in a ring

upper eyelid skin fold covers the inner corner of the eye

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23
Q

NOSE AND MOUTH

A

Nose appears large for the face
Test patency
Tongue appears large and prominent
Epstein’s Pearls
Natal Teeth

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24
Q

Small round, glistening, well-circumscribed cysts present on the palate

Extra load of calcium

A

Epstein’s Pearls

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25
Q

Newborn teeth

A

Natal Teeth

26
Q

NECK AND CHEST

A

Neck is short and chubby with increased skin folds

Head should rotate freely

Breasts may be engorged

Witch’s milk

27
Q

Thin, watery fluid secreted by the breast of newborn baby

A

Witch’s milk

28
Q

ABDOMEN

A

Protuberant
Umbilical stump appears white and gelatinous
Passage of meconium
Abdomen should be soft and non tender
Round but not distended
Bowel sounds are present after first hour of birth
Umbilical cord inspection

28
Q

Anus is present and patent

genitals are at place

A

ANOGENITAL

29
Q

Cryptorchidism – undescended testes

A

Cryptorchidism

30
Q

stroke the internal side of the thigh and the testis on that side moves

A

Cremasteric reflex

31
Q

meatus on dorsal surface

A

Epispadias

32
Q

meatus on ventral surface

A

Hypospadias

33
Q

Cryptorchidism types

A

unilateral and bilateral

34
Q

Mucus vaginal secretions which is sometimes blood-tinged

A

Pseudomenstruation

35
Q

Newborn Back

A

Spine appears flat in the lumbar and sacral areas
Inspect the base to be sure there is no dimpling, opening

36
Q

Newborn Extremities

A

Ten finger and ten toes!!!
Arms and legs appear short
Hands are plump and clenched
Arms and legs move symmetrical
Ankle ROM
Hips can be flexed and abducted

37
Q

who created APGAR scoring and when?

A

Dr. Virginia Apgar, 1952

38
Q

scoring system used to assess newborns at 1 minute and 5 minutes after they’re born

A

APGAR score

39
Q

method to quickly summarize health of newborn against infant mortality

A

APGAR score

40
Q

medical professionals use this assessment to quickly relay newborn’s overall condition

A

APGAR score

41
Q

____ may indicate that baby needs special care

A

Low Apgar scores

42
Q

examination consists of 6 neuromuscular and 6 physical criteria

A

New Ballard score

42
Q

examination is administered twice by 2 different examiners to ensure objectivity, and data are entered on the chart

A

New Ballard score

42
Q

____ is based on understanding that passive tone is more useful than active tone in indicating gestational age

A

neuromuscular criteria

42
Q

examination is accurate whether the infant is sick or well to within 2 weeks of gestational age

A

New Ballard score

43
Q

scores are added together to determine the baby’s gestational age

A

New Ballard score

44
Q

New Ballard total score may range from ___ to ___

A

-10 to 50

45
Q

what is being assessed in New Ballard Score?

A

posture
square window
arm recoil
scarf sign
popliteal angle
heel to ear

46
Q

a population-based system for identification and early treatment of potentially devastating medical conditions

A

ewborn screening

47
Q

Republic Act ____ or the Newborn Screening Act of 2004

A

9288

48
Q

increased the screening panel ofdisorders from six (6) tomore than twenty-eight

A

expanded newborn screening program

49
Q

by doing ENBS, ____ may be detected even before clinical signs and symptoms are present

A

metabolic disorders

50
Q

why is ENBS important?

A

early detection of metabolic disorders

treatment can be given early to prevent consequences

51
Q

how is NBS done?

A

A few drops of blood are taken from the baby’s heel, blotted on a special absorbent filter card and then sent to Newborn Screening Center (NSC)

52
Q

Who will collect the sample for ENBS?

A

physician, nurse, medical technologist or trained midwife

53
Q

when to collect NBS specimen?

A

between 24 and 72 hours of life

obtain the specimen prior to blood transfusion

54
Q

invalid results of NBS

A

must have a repeat specimen

antibiotic administration will increase chance of a false-positive NBS

preterm infants will frequently require multiple NBS due to immaturity

55
Q

A ___ SCREEN means that the ENBS result is normal.

A

NEGATIVE

56
Q

A ___ SCREEN means that the newborn must bebrought back to his/her health practitioner for further testing.

A

POSITIVE

MCN (3 decks)

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