NB (Ch. 18) - Bates/Sullivan Flashcards
Perform less invasive procedures ___ and more distressing maneuvers near the ___ of the exam.
first, end
b/p screening begins after age ___. BMI screening begins after age ___.
3, 2
Score the NB on the apgar system at ___ and ___ mins of age. Scoring may continue at 5-min intervals until the score is > ___.
1, 5, 7
On the apgar scale, 8-10 is ___, 5-7 indicates some ___ ___ depression, 0-4 indicates severe ___, requiring immediate resuscitation.
normal, nervous system, depression
SGA = \_\_\_% AGA = \_\_\_-\_\_\_% LGA = > \_\_\_%
10
10-90
90
Infants of mothers who have diabetes are at increased risk for being ___. A common complication of LGA is ___.
LGA, hypoglycemia
___ infants are more likely to experience asphyxia, hypoglycemia, and hypocalcemia.
SGA
Infants have head control and follow object at ___ month. Rolls over and grasps rattle at ___-___ months. Sits at ___-___ months, pulls to stand at ___-___ months. Stands at ___ months. Walks at ___ months.
1, 2-3, 5-6, 7-8, 10, 12
The ___ ___ ___ test (DDST) is designed to detect developmental delays.
Denver developmental screening
___ is an abnormally large head circumference, and ___ is an abnormally small head circumference.
macrocephaly, microcephaly
___ can raise RR.
Fever
A pulse rate too rapid to count may indicate ___ ___ ___.
paroxysmal supraventricular tachycardia
Tachypnea and increased resp effort could be signs of ___ or ___.
bronchiolitis, pneumonia
___ may elevate NB body temp.
Anxiety
Central cyanosis should raise suspicion of ___ ___ ___>
congenital heart disease
Jaundice typically disappears w/in a ___. Persisting beyond 2-3 wks could indicate ___ ___ or ___ disease.
week, biliary obstruction, liver
___ blanching indicates jaundice.
yellowish
Stork bites or angel kisses are ___ findings.
normal
___ are pinhead-sized smooth white raised areas w/out erythema on the nose, chin, and forehead and are normal. Disappear over several weeks.
Milia
___ ___ are common among dark-skinned babies and can be mistaken for ___.
mongolian spots, bruises
Overlap of the cranial bones at the suture line is called ___.
molding
The ___ fontanelle closes between 4-26 months of age. the ___ fontanelle closes by 2 months.
anterior, posterior
A ___ is localized swelling of the scalp that does not cross over the suture line, whereas a ___ ___ does cross the suture line.
cephalohematoma, caput succedaneum
A + Chvostek’s sign is noted in cases of ___ ___.
hypocalcemic tetany
Brushfield’s spots are a ring of white specks in the iris of the eye and are typically seen in ___ ___ babies.
down syndrom
A ___ retinal reflex (instead of the normal ___) could indicate retinoblastoma.
white, red
Pull the auricle ___, not ___ to visualize the eardrum.
down, up
___ are commonly found on the soft palate after birth.
Petechiae
Abnormal cries:
Shrill/high-pitched = ___ ___ ___
Hoarse = ___ ___ or ___ ___
Inspiratory/Expiratory stridor = ___ ___ ___
Absence of cry = severe ___, vocal cord ___, or ___ ___
increased intracranial pressure
hypocalcemic tetany, congenital hypothyroidism
upper airway obstruction
illness, paralysis, brain damage
Nasal flaring may be the result of an ___ ___ ___.
upper respiratory infection
The best sign for r/o pneumonia in an infant is the absence of ___.
tachypnea
___ sign is where the abdomen moves outward upon inspiration while the chest moves inward.
Hoover’s
Diminished breath sounds on one side of the chest is suggestive of ___ ___.
diaphragmatic hernia
Central cyanosis suggests ___ disease.
cardiac
Tachypnea, tachycardia, and hepatomegaly indicate ___ ___.
heart failure
A bulge outward of the left side of the chest suggests ___.
cardiomegaly
If you cannot detect femoral pulses, measure ___ of the lower and upper extremities. If they are equal or lower in the ___, coarctation is likely.
b/p, legs
Benign ___ are normal.
murmurs
The breasts of the NB in both males and females are often enlarged d/t maternal ___ effect.
estrogen
___ is when the urethral orifice appears at some point along the ventral surface of the glans or shaft of the penis.
Hypospadias
Scrotal ___ is normal and may be present for several days following birth.
edema
Two common scrotal masses include: ___ and ___ ___.
hydroceles, inguinal hernias
The ___ response is dorsiflexion of the big toe and fanning of other toes.
Babinski
