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Ncm 107 > Ms tabujara > Flashcards

Ms tabujara Flashcards

1
Q

Newborn assessment at 1 to 5 minutes after birth to determine neurologic deficit.

A

APGAR scoring

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2
Q

What are the 5 parameters of APGAR?

A

Heart Rate
Respiratory Effort
Muscle Tone
Reflex Irritability
Color

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3
Q

Treatment of jaundice

A

Phototherapy or Exchange Infusion

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4
Q

Used to estimate degrees of respiratory distress in newborn

A

Respiratory evaluation:
Silverman and Andersen index

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5
Q

What do nurses need to do in Phototherapy treatment?

A

-Closely monitor body temp and fluid electrolyte imbalance
-Observe skin Integrity
-Provide Eye protection
-Encourage parent participation
-Monitor pathologic jaundice

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6
Q

What is the long term adverse neurologic effect of prolonged hypoglycemia?

A

Learning disabilities and mental retardation.

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7
Q

Blueness of NB hands and feet

A

Acrocyanosis

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8
Q

Cyanosis of trunk

A

Central cyanosis

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9
Q

The yellowish of infant’s skin and sclera of the eyes that occurs at the 2nd or 3rd day of life.

A

Hyperbilirubinemia

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10
Q

The redness of the dependent side infant’s skin when lying on the side while the other side is pale, as if a line is drawn in the center

A

Harlequin sign

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11
Q

Macular purple or dark-red lesion sometimes called as port-wine stain.
Typically appears on the face, thigh and nose

A

Nevus flammeus

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12
Q

Refers to elevated areas formed by immature capillaries and endothelial cells. High estrogen levels in pregnancy.

A

Strawberry Hemangioma

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13
Q

Appear as slate-gray patches across the sacrum or buttocks or in the arms and legs

A

Mongolian spots

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14
Q

White, cream cheese-like substance that serves as a skin lubricant in the utero

A

Vernix Caseosa

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15
Q

Fine downy hair that covers the newborns back, shoulder and upoer arms

A

Lanugo

37-39 wks babies have more than 40 wks

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16
Q

Extremely dry skin of newborns similar to sunburn

A

Desquamation

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17
Q

White papule found on the cheeck or across the bridge of the nose.

A

Milia

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18
Q

Flea bite rash

A

Erythema Toxicum

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19
Q

Circular or linear contusion matching the rim of the forcep’s blade

A

Forceps Marks

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20
Q

Newborn skin should feel resilient if the underlying tissue is well hydrated

A

Skin turgor

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21
Q

The space or openings where skull bones join

A

Fontanelles

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22
Q

When does anterior fontanelles closes

A

12 to 18 months

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23
Q

When does posterior fontanelles close

A

2 months / 2nd month

24
Q

What to assess for fontanelles?

A

-Indented or sunken (sign of dehydration)
-bulging (sign of increase intracranial pressure)

25
Q

Separating lines of the skull

A

Sutures

26
Q

Part of the infant’s head that engaged the cervix molds to fit cervix contours during labor

A

Molding

27
Q

Edema of the scalp at the presenting part of the head

A

Caput succedaneum (collection of fluid under scalp)

28
Q

Collection of blood between the periosteum of a skull bone and the bone itself (takes weeks to be absorbed) (could lead to jaundice)

A

Cephalhematoma

29
Q

Localized softening of cranial bones

A

Craniotabes

30
Q

Between what months does eye assume permanent color

A

3 and 12 months

31
Q

What is given at birth to protect from chlamydia infection and opthalmia neonatorum (gonorrhea conjuctivitis)

A

Erythromycin

32
Q

Low seated ear could possibly be sign of what?

A

Down syndrome and kidney disorder

33
Q

What is choanal atresia?

A

Blockage at the rear of the nose

34
Q

What is called when the upper part of the esophagus does not connect with the lower esophagus and stomach

A

Esophageal atresia

35
Q

True or false

The newborn’s chest should be bigger than the head in diameter

A

False

36
Q

What do you call an undescended testes?

A

Cyptorchidism

37
Q

Urethral opening is on the dorsal surface

A

Epispadias

38
Q

Urethral opening is in the ventral surface

A

Hypospadias

39
Q

What is the collection of fluid in a sac next to a testis

A

Hydrocele

40
Q

Why do we need to inspect palm for simian crease?

A

May be associated with down syndrome

41
Q

The affected foot looks like it has been rotated internally at the ankle

A

Clubfoot or congenital talipes equinovarus (CTEV)

42
Q

Newborn nursing care

A

-Regulation of Temperature
- Regulation of Respiration
- Protection from infection and injury
- Identify the baby after delivery
-Cord Care

43
Q

Where do we inject Vitamin K?

A

Right Vastus lateralis

44
Q

What is found in the breastmilk that binds large bacteria and viruses, keeping them from being absorbed in the GI tract?

A

Immunoglobulin

45
Q

Iron binding protein in breastmilk that interferes with the growth of pathogenic bacteria.

A

Lactoferin

46
Q

Chief protein in human breastmilk

A

Alpha-lactalbumin

Casein in cows

47
Q

Protein in breastmilk that attacks diarrhea causing viruses

A

Lactadherin

48
Q

Thin, watery, yellow fluid composed of protein, sugar, fat, water, minerals, vitamins and maternal antibodies

A

Colostrum

49
Q

Enzyme in breastmilk that actively destroys bacteria by lysing their membranes

A

Lysozyme

50
Q

It interferes with the colonization of pathogenic bacteria in the GIT

A

Lactobacillus bifidus

51
Q

True or false

Breastmilk has more linoleic acid, potassium, phosphorus and less sodium than milk formulas?

A

True

52
Q

Breastfeeding contraindications

A

-maternal alcoholism
-cigarette smoke
-caffeine
-medications and illicit drugs
-maternal illness

53
Q

Sign that newborns are getting enough milk

A

-atleast 6 wet diapers and 2 to 5 loose yellow stools daily
-pale-yellow urine not deep yellow or orange
-sleeping well, yet looks alert and healthy when awake

54
Q

True or false

Before removing infant from the breast, we need to break the suction by inserting finger

A

True

55
Q

True or false

Don’t burp the infant when changing breast and at the end of the breastfeeding session

A

False

56
Q

When are we allowed to bath the baby?

A

6 hours after birth

Ncm 107 (1 decks)

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