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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
Newborn teeth
Natal Teeth
26
NECK AND CHEST
Neck is short and chubby with increased skin folds Head should rotate freely Breasts may be engorged Witch’s milk
27
Thin, watery fluid secreted by the breast of newborn baby
Witch’s milk
28
ABDOMEN
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
Anus is present and patent genitals are at place
ANOGENITAL
29
Cryptorchidism – undescended testes
Cryptorchidism
30
stroke the internal side of the thigh and the testis on that side moves
Cremasteric reflex
31
meatus on dorsal surface
Epispadias
32
meatus on ventral surface
Hypospadias
33
Cryptorchidism types
unilateral and bilateral
34
Mucus vaginal secretions which is sometimes blood-tinged
Pseudomenstruation
35
Newborn Back
Spine appears flat in the lumbar and sacral areas Inspect the base to be sure there is no dimpling, opening
36
Newborn Extremities
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
who created APGAR scoring and when?
Dr. Virginia Apgar, 1952
38
scoring system used to assess newborns at 1 minute and 5 minutes after they're born
APGAR score
39
method to quickly summarize health of newborn against infant mortality
APGAR score
40
medical professionals use this assessment to quickly relay newborn’s overall condition
APGAR score
41
____ may indicate that baby needs special care
Low Apgar scores
42
examination consists of 6 neuromuscular and 6 physical criteria
New Ballard score
42
examination is administered twice by 2 different examiners to ensure objectivity, and data are entered on the chart
New Ballard score
42
____ is based on understanding that passive tone is more useful than active tone in indicating gestational age
neuromuscular criteria
42
examination is accurate whether the infant is sick or well to within 2 weeks of gestational age
New Ballard score
43
scores are added together to determine the baby’s gestational age
New Ballard score
44
New Ballard total score may range from ___ to ___
-10 to 50
45
what is being assessed in New Ballard Score?
posture square window arm recoil scarf sign popliteal angle heel to ear
46
a population-based system for identification and early treatment of potentially devastating medical conditions
ewborn screening
47
Republic Act ____ or the Newborn Screening Act of 2004
9288
48
increased the screening panel of disorders from six (6) to more than twenty-eight
expanded newborn screening program
49
by doing ENBS, ____ may be detected even before clinical signs and symptoms are present
metabolic disorders
50
why is ENBS important?
early detection of metabolic disorders treatment can be given early to prevent consequences
51
how is NBS done?
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
Who will collect the sample for ENBS?
physician, nurse, medical technologist or trained midwife
53
when to collect NBS specimen?
between 24 and 72 hours of life obtain the specimen prior to blood transfusion
54
invalid results of NBS
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
A ___ SCREEN means that the ENBS result is normal.
NEGATIVE
56
A ___ SCREEN means that the newborn must be brought back to his/her health practitioner for further testing.
POSITIVE

MCN (3 decks)

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