Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RNC-MNN Mometrix > Neonate Physical Assessment > Flashcards

Neonate Physical Assessment Flashcards

1
Q

1st A in APGAR and scoring

A

Appearance
0 = cyanosis or pallor over entire body
1 = normal except for extremities
2 = entire body normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

P in APGAR and scoring

A

Pulse
0 = absent
1 = less then 100 bpm
2 = greater then 100 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

G in APGAR and scoring

A

Grimace (irritability)
0 = unresponsive
1 = grimace
2 = cries, sneezes, coughed, and recoils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

2nd A in APGAR and scoring

A

Activity (muscle tone)
0 = absent
1 = flex limbs
2 = infant moves freely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

R in APGAR and scoring

A

Respiration
0 = absent
1 = bradypnea, dyspnea
2 = good breathing and crying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

head vs chest circumference

A

the head is usually 2cm greater then chest circumference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

normal neonate RR

A

30-60 per min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

normal HR in neonate

A

120 - 160 while awake; 100 bpm asleep; 180 bpm while crying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

normal chest circumference

A

30-36cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

normal head circumference

A

32-38 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

normal length

A

45-55cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the PMI

A

point of maximal intensity (heart sound location ) - neonate its between the 4th intercostal space and the midclavicalar line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how to properly fit a blood cuff on a neonate

A

25% wide then the width of the infants arm in the area it will be applied

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hypertension in neonates

A

SBP greater then 90, DBP greater then 50; these values are lower in preterm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how should MAP correlate with preterm infants

A

MAP should match the gestational age of the infant; example 28 week preterm should have a MAP of 28

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if the S1 is louder then normal it means…and name 3 causes

A

cardiac blood flow is higher; conditions that cause this are penitent ductus arteriosus, ventricular septal defects, and tetralogy of fallot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

if S1 is softer or quieter than normal…and what are 2 causes?

A

lowered cardiac output; CHF and myocarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the silverman-anderson index

A

used to elevate respiratory status; a score of 0 indicates normal findings and higher scores indicate resp distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when are bowel sounds usually present in a newborn?

A

30-60 mins after birth

20
Q

stomach capacity of a newborn

A

50-60ml

21
Q

stool colors for breastfeed neonates

A

yellow gold and mushy

22
Q

stools in formula fed neonates

A

pale yellow and pasty

23
Q

nervous flammeus birth mark

A

port win stain - unraised red purple lesion caused by capillaries below the epidermis

24
Q

nevus vasculosus birthmark

A

strawberry mark - capillary hemangioma, raised, dark red lesion

25
Q

acrocyanosis

A

slight cyanosis in hands and feet during the 2-6 hours after birth especially if chilled

26
Q

mottling in neonates

A

common for hrs to weeks after birth and may be related to long periods of apnea/chilling

27
Q

harlequin sign

A

deep color on one side of body for 1-20 mins usually

28
Q

erythema toxicum

A

perifollicular lesions, 1-3 mm white or yellow with pustule appears suddenly all over body mins palms and soles; usually goes away on own, cause unknown

29
Q

military

A

small raised white spots on face from exposed sebaceous glands; transient

30
Q

vernix

A

thick, waxy substance that is secreted by the sebaceous glands and mixed with sloughed off skin; starts being produced at 20 weeks, thick at 25-40wks gestation and then 42-44wks no vernix

31
Q

describe 24-26wk gestation skin

A

translucent, red, many visible blood vessels and scant vernix

32
Q

describe skin at 35-40wk gestation

A

deep cracks, no visible blood vessels, and thick vernix

33
Q

describe skin at 42-44weeks gestation

A

dry, peeling skin, no vernix, and loss of subcutaneous fat

34
Q

neonatal feet should be….

A

flat

35
Q

neonatal hips should abduct to….

A

greater then 60 degrees

36
Q

palmer grasping

A

strokes the infants palm, infant responds by grasping the finger; strong in preterm infants and then fades; a sense indicates CNS deficit or muscle injury

37
Q

sucking reflex deficiency

A

premature infants may not have it because it develops around 32 weeks; absent may indicate CNS deficient or depression

38
Q

moro reflex

A

startle reflex; make a loud noise or give the infant a gentle jolt = extends arms, legs, and neck and then pulls arms and legs back, may cry; disappears at 5-6 months, asymmetric indicates peripheral nerve injury, fix of long bones, clavicle or skull

39
Q

tonic neck

A

fencing - with infants supine, turn head to one side = extremities flex on opposite side should and extend on same side

40
Q

how long do infants have babinski reflex?

A

up to 2 years old, after that toes flex

41
Q

stepping reflex

A

newborn is held upright and with the feet touching a horizontal surface, the contact should make the infant lift one foot and then the other, giving the appearance of walking; promotes muscle development and usually disappears in 4 months; if missing, may have motor nerve defect or other neurological abnormalities

42
Q

pull to sit test

A
43
Q

truncal tone test

A
44
Q

what is craniotabes?

A

area of soften skull found in 30% of all newborns (more common in preterm infants)

45
Q

caput succedaneum

A

collection of fluid beneath the skin but is superficial to the periosteum, swelling crosses suture lines; caused heading pressing against the suture lines during labor and by vacuum assisted deliveries

46
Q

cephalohemotoma

A

blood vessels between skull and periosteum rupture causing a subperiostel collection of blood; appears several hours after birth; !!!does not cross suture lines!!! if large can cause complications such as anemia and hypovolemia - blood eventually is reabsorbed and may cause jaundice

RNC-MNN Mometrix (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions