Module 6 (Exam 1) ****3**** Flashcards

1
Q

Physical elements of Ballard Scoring

A
  1. Skin
  2. Lanugo
  3. Plantar Surface
  4. Breasts
  5. Ears
  6. Genitalia
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2
Q

First period of reactivity

A

begins at birth and extends up to 2 hours

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3
Q

Order of Reactivity

A
  1. First period of reactivity
  2. Period of sleep
  3. Second period of reactivity
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4
Q

Second period of reactivty

A
  • Variable duration
  • Elevated pulse and respiratory rate
  • Mobilizationof R and gastric secretions
  • priority intervention bulb syringe
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5
Q

Quiet Sleep

A

Deep, relaxed sleep

little response to environmental stimuli

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6
Q

Active Sleep

A
  • Precursor to waking
  • Movement of extemities
  • Rapid eye movement
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7
Q

Drowsy

A

transitional period

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8
Q

Quiet Alert

A
  • Optimal time for bonding/feeding
  • Calm, attentive, bright-eyed, responsive
  • Engagement/feeding cue exhibited
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9
Q

Active Alert

A

Restless, fussy state

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10
Q

Engagement

A
  • “Stilling”
  • Bright-eyed, attentive gaze
  • Relaxed posture, symmetrical movements
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11
Q

Disengagement

A
  1. Turning away from stimulus
  2. Crying, fretting
  3. Hiccough, yawn
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12
Q

Blanch Test for Jaundice

A
  1. Forehead
  2. Nose
  3. Chin
  4. Sternum
  5. Abdomen
  6. Groin
  7. Thigh
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13
Q

Why are infants prone to physiologic jaundice?

A
  1. Immature liver function
  2. Short fetal RBC lifespan
  3. Poorly established hydration and feeding
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14
Q

Onset of physiologic jaundice

A

After the first 24 hours

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15
Q

Total Bilirubin levels for physiological jaundice

A

greater than or equal to 13-15mgs/dL

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16
Q

Total bilirubin peak physiological jaundice

A

Day3-5 of life

17
Q

What might a two-vessel cord be an indicator of?

A
  1. Congenital malformation
  2. Renal or chromosomal
18
Q

24-48 Hours Normal Bilirubin

A

5-7mg/dL

Facial jaundice

19
Q

48-72 Hours Normal Bilirubin

A

10-12mg/dL

Chest jaundice

20
Q

72hr+ Normal Bilirubin Level

A

13-15mg/dL *peak level*

jaundice to abdomen

21
Q

Calorie Requirments for normal neonate

A

110-120kcal/kg/24 hours

OR

50-55 kcal/lb/24 hours

22
Q

Calorie content 1 oz formula

A

20kcal/30mL

30mL=1oz

23
Q

When should birthweight be regained?

A

10 days-2 weeks

24
Q

Normal gastric capacity of neonate at birth

25
Colostrum
Yellow or cream-colored first milk, high in protein and immunoglobulins, appearing prior to onset of true lactation
26
Lactation
Physiologic process of synthesizing breast milk on a supply/demand basis
27
Adequate Breastfeedings in 24 hours
q 1.5-3 hours X 8-12 per day
28
Adequate Formula feedings in 24 hours
q3-4 hours X 6-8 feedings per day
29
Gestational age assessment
Standardized evaluation of the neonate's physical characteristics and/or neurologic development to determine gestational age
30
Appropriate for Gestational Age
Infant weight between the 10th and 90th percentiles for gestational age
31
Small for Gestational Age
Infant weight less than 10th percentile for gestational age
32
Large for gestational age
Infant weight greater than the 90th percentile forgestational age