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Patient Assessment > Newborn > Flashcards

Newborn Flashcards

1
Q

What are the risk ages for preg?

A

35 OR

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2
Q

What can cause death in utero?

A

malformations, maternal illness, placental or cord issues

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3
Q

What is the time range for perinatal mortality?

A

20 wks to 28 days of life

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4
Q

What has the best neonatality rate and what has the worst?

A

morocco - best

somalia - worst

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5
Q

When are heart tones detected and movement?

A

18-20 wks

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6
Q

When does surfactant come?

A

32-34 wks

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7
Q

What is stress testing in preg and whats normal?

A

oxytocin challenge - 3 contracts/10 min

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8
Q

How do you determine growth in utero?

A

fundal ht

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9
Q

What is non stress testing?

A

HR in response to mvmt

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10
Q

What connects the placenta to fetus?

A

2 arteries 1 vein

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11
Q

Is there mixing of maternal and fetal blood?

A

no

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12
Q

What does the placenta produce?

A

hCG

lactogen, estrogen, progesterone

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13
Q

What is the babies hemoglobin made up of?

A

2 alpha 2 gamma - binds O2 tighter

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14
Q

What does APGAR stand for?

A 
Appearance (color)
Pulse (HR)
Grimace (muscle tone)
Activity (reflex irritability)
Respirations (RR)
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15
Q

Color

A

blue - 0
center pink -1
all pink -2

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16
Q

HR

A

0 - 0

100 - 2

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17
Q

Resp

A

none - 0
weak cry - 1
vigorurous - 2

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18
Q

Tone

A

none - 0
some flexion - 1
all flexed - 2

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19
Q

Reflex

A

none - 0
some motion - 1
crying withdrawal - 2

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20
Q

When do you do apgar?

A

1 and 5 min

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21
Q

What is score 8-10?

A

no concern

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22
Q

What is 4-7?

A

watch close and repeat in 10 min

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23
Q

What is 0-3?

A

resuscitate

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24
Q

What do they give to newborns?

A

opthalmic erythromycin and vit K

25
Q

What are newborn rashes?

A

Acne, milia, miliaria, melanosis, erythema toxicu

26
Q

What are newborn nevi?

A

salmon patch, port wine, congenital melanocytic

27
Q

What are hemangiomas?

A

capillary or cavernous

28
Q

What is elongation of skull after delivery?

A

molding

29
Q

What are signs of trauma?

A

cephalohematoma, caput succedaneum

30
Q

What is an eye issue that is emergent?

A

leukocoria

31
Q

What is a preauricular sinus related to?

A

renal abnormalities

32
Q

What causes bowel sounds in chest?

A

diaphragmatic hernia

33
Q

How long is PDA murmur common for/

A

1-2 days

34
Q

What vaginal discharge is normal at birth?

A

milky or blood streaked

35
Q

What are causes of ambiguous genitalia?

A

Congenital Adrenal Hyperplasia

Hypospadias with Cryptochordism

Preterm Ovarian Hyperstimulation

Turner Syndrome

Mixed Gonadal Dysgenesis

36
Q

What does barlow and ortolani rule out?

A

congenital hip dysplasia

37
Q

puffiness to the scalp that crosses suture lines of the skull

A

caput

38
Q

blood collection under the periosteal surface. Does not cross suture lines.

A

cephalohematoma

39
Q

What is a common newborn fracture?

A

clavicle

40
Q

What are 12 complications?

A 
Placenta previa			Abruptio placenta
Pre-eclampsia				Eclampsia
Oligohydramnios			Polyhydramnios
Gestational DM			Multiple gestation
ABO sensitivity				Rh sensitivity
Drug abuse	
HIV, STD’s, Rubella, CMV
41
Q

What is too little fluid in sac?

A

oligohydraminos

42
Q

What is high blood pressure in preg?

A

pre eclampsia

43
Q

What is when the placenta seperates from uterus and baby loses blood supply?

A

abruptio placenta

44
Q

What are prenatal tests?

A 
Alpha fetoprotein			hCG
Estriol					Inhibin A
Ultrasound				Amniocentesis
Chorionic villus			Umbilical blood
Fetal non-stress test			Glucose tolerance test
Drug screening			Hepatitis, HIV
45
Q

What can cause death in utero?

A

malformations, maternal illness, placental or cord issues

46
Q

What is the time range for perinatal mortality?

A

20 wks to 28 days of life

47
Q

What has the best neonatality rate and what has the worst?

A

morocco - best

somalia - worst

48
Q

When are heart tones detected and movement?

A

18-20 wks

49
Q

When does surfactant come?

A

32-34 wks

50
Q

What is stress testing in preg and whats normal?

A

oxytocin challenge - 3 contracts/10 min

51
Q

How do you determine growth in utero?

A

fundal ht

52
Q

What is non stress testing?

A

HR in response to mvmt

53
Q

What connects the placenta to fetus?

A

2 arteries 1 vein

54
Q

Is there mixing of maternal and fetal blood?

A

no

55
Q

What does the placenta produce?

A

hCG

lactogen, estrogen, progesterone

56
Q

What does barlow and ortolani rule out?

A

congenital hip dysplasia

57
Q

puffiness to the scalp that crosses suture lines of the skull

A

caput

58
Q

blood collection under the periosteal surface. Does not cross suture lines.

A

cephalohematoma

59
Q

What is a common newborn fracture?

A

clavicle

Patient Assessment (23 decks)

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