Mod E Random Note Cards Flashcards
What temperature should a newborn have?
97.7 - 99.5 (axillary temp- KNOW the formula for calculating temp from Celcius to Farenheit and vice versa)
What should a newborn’s BP be at?
50-90/20-60 (**Thigh and arm BP should be equal)
What should a newborn’s HR be at?
110-160
What should a newborn’s RR be at?`
30-60 (initially it could be as high as 80 but it will level out)
______ shunts blood from the pulmonary artery to the descending aorta, bypassing lungs:
Ductus arteriosus
_____ connects umbilical vein to the inferior vena cava, allows blood to bypass the liver
Ductus venosus
_____ allows blood entering the right atrium of the heart to go through left atrium, left ventricle, out ascending aorta to supply brain, heart, upper extremities
Foramen ovale
How long does it take the Ductus Venosus to close?
Functionally closes in 2-3 days, anatomically it closes in 7
How long does it take the Foramen Ovale to close?
closes between minutes and hours after birth
What type of metabolism is the primary heat source for babies?
Brown Fat metabolism
What is hypothermia defined as?
< 97 degrees
What must a baby’s temp be in order to take a bath?
98.6 F. If they are less than this you should put them under a warmer.
Define Evaporation
loss of heat when water on the skin is converted to vapor
Define Convection
transfer of heat when a flow of cool air passes over body’s skin
Define Conduction
transfer of heat when the infant comes in direct contact with cooler substances
Define Radiation
transfer of heat from the infant to cooler surfaces and objects not in contact with the newborn
How much should a newborn weigh?
2,500–4,300 g
What should a newborn’s length be?
45–54 cm
What should a newborn’s head circumference be?
33–38 cm THE HEAD IS NORMALLY 2CM LARGER THAN THE CHEST. THIS WAS A TEST QUESTION.
Know how to identify common skin variations.
- Milia
- Erythema toxicum
- Mongolian spots [Note: identifying this was a test question last semester]
- Birthmarks
Is an open Anterior fontanel normal in a newborn?
Yes. It normally closes in 12-18 months.
Is an open posterior fontanel normal in a newborn?
Yes. It normally closes in 2-4 months.
Define Molding
Molding is overlapping of bones on the head
Define Caput succedaneum
this has a spongy feel to it. This is swelling of the head that crosses the suture line. Usually all on the top of the head. It is a very spongy feeling and often red
Localized swelling on one side of the head is called:
Cephalhematoma
Should a baby have murmurs after 24h
No.
How many arteries/veins in an umbilical cord?
2 arteries, 1 vein
What do you do if a baby has a fracture?
Immobilize it.
What is a Simian Crease?
This is the crease in the hand. If it goes all the way across the hand it can indicate a chromosomial disorder
What are the normal reflexes?
suck, rooting, grasp, Moro, Gallant, gag, Babinski’s
What is Spinal Bifida and what happens with it?
[Note: This is a neural tube defect where there is an abnormal opening on the spinal column. The higher up on the spine the opening is, the worse the symptoms are. If a child is born with a sack on the outside, surgery has to be done immediately. You DO NOT rupture the sack!! You will cover it with a moist sterile gauze. This infant would be delivered c-section.]
What is the white goop on a newborn’s skin called?
Vernix
Where do you check turgor on an infant?
On the abdomen
Where is Vitamin K given?
Vastus Lateralis?
How is Vitamin K administered?
IM
Why is Vitamin K administered?
To prevent clotting.
How is the eye antibiotic Arythromycin administered?
“inner from outer” and placed in the conjunctiva sack. *** Test question
For cord care, what do you do?
alcohol around the base of it.
