Newborn / Antepartum Rationales Flashcards
_____ _____ is due to an incompatibility between maternal & fetal blood.
erythroblastosis fetalis
______ is an ultrasound-guided test used in the detection of fetal abnormalities. A thin needle is inserted into the amniotic sac to remove a sample of amniotic fluid.
Amniocentesis
Amniocentesis is utilized to detect fetal ____ ____ defects as well as ______ abnormalities.
fetal neural tube defects as well as chromosomal abnormalities
Can you determine the gender of a fetus from an amniocentesis?
yes
Metabolic _____ would develop due to cold stress b/c of the lack of glucose would cause fat to be the fuel source.
Metabolic Acidosis
Small for gestational age (SGA) is used when the infants are smaller than normal for the number of ____ ____ _____.
weeks of pregnancy
A low birth weight is defined as an infant with a weight that is less than ______ grams.
2500 grams
Tachycardia is an early finding for newborns with ___ ____.
cold stress
A VLBW is defined as an infant with a weight less than _____ grams at the time of birth.
1500 grams
Manifestations of hypoglycemia in an infant include ____ ____ ____ and a ____ _____ _____.
poor muscle tone and a weak, jittery cry.
The average temp at birth is ____ to ____ celsius.
36.5 to 37.5 (97.7 to 99.5)
A high-pitched cry is an ____ finding in a newborn.
irregular
An expected HR in a newborn is _____ to ____.
120 to 160
An expected HR in a crying newborn is _____.
180 bpm
_____ is the intense emotional bonding & attachment that occurs between a parent shortly after birth.
engrossment
engrossment is characterized as direct ____ ____, showing _____, and intense _____ on the newborn.
direct eye contact, showing affection, and intense focus.
____ - ___ (also known as claiming) is a standard psychosocial process where the mother links the newborn’s facial features to other family members.
Binding-in
_____ refers to the rhythmic synchronization of behaviors, such as the infant’s movements & sounds, with those of the caregiver.
Entrainment
SIDS occurs higher in ____ & ____.
males & twins
The peak incidence is between ___ & ___ months.
2 & 4 months
Name 2 mitigating factors of SIDS
- a cool sleeping environment
- room-sharing
- supine sleeping
With ectopic pregnancy you will see ____ pain, ____ bleeding and a positive ____ ____.
pelvic pain, vaginal bleeding, and a positive pregnancy test.
After a circumcision should you remove the scab?
no
Assymetrical gluteal folds are not an ____ ____. It suggests ____ of the hip.
expected finding / dysplasia
A normal head circumference of a newborn is ____ to ____ cm.
32 to 38 cm
The chest of a newborn should be ___ to ___ cm smaller than the head.
2 to 3 cm
_____ is a genetic disorder that results in central nervous system damage.
PKU
What are some common assessments in PKU. (3)
- musty odor
- urine smell
- hypo pigmentation of the hair
What are common withdrawal symptoms? (3)
- Tachypneic (88)
- Diaphoresis
- Hyperactive reflexes
if indicated you should suction the ____ first.
mouth
A ____ ___ is often observed in a wide range of chromosomal defects.
simian line (simian crease)
Failure to pass meconium within 48 hours of life should raise suspicions for? (4)
- Cystic fibrosis
- Hirschprung’s disease
- Anorectal malformations
- Meconium plug syndrome
Clients with severe preeclampsia have ____ pain.
epigastric pain
In pregnancy there is an _____ in heart size, _____ metabolic rate, ____ esophageal size.
- increase in heart size
- increased metabolic rate
- decreased esophageal size
_____ is an infection that may be bacterial, fungal, or viral.
chorioamnionitis
Manifestations of chorioamnionitis are maternal fever, maternal & fetal _____, uterine tenderness etc…
tachycardia
distended abdomen, hypoactive bowel sounds, increased gastric residual are all consistent with _______.
NEC
A third ____ ____ sound is expected during pregnancy because of increased BV.
S3 heart sound
Is HEP C transmitted in breast milk?
no
_____ is a pattern of reddish or purplish discoloration on the skin caused by changes in blood flow.
Mottling
Newborn jaundice is often caused by the baby’s liver being ______.
immature
Which seat in the back should the baby’s car seat be in?
The middle back seat
A birth weight between ____ and ___ Ib is normal.
5.5 and 8.2
Infants with (NAS) should be swaddled in a ______ position.
flexed
Decreased CO in infants usually results in ____.
tachycardia
Breastfeeding should be ____ - ____ minutes.
15-20
The quad screen test is done the ____ trimester of pregnancy.
2nd trimester
The quad screen measures if the fetus has ____ ____ , _____ ___ , and _____ _____.
Down syndrome, trisomy 18, and spina bifida.
_______ heat loss is transferred by direct contact from one object to another.
conduction heat loss
______ heat loss happens when the heat is transferred from an object/body to the surrounding air.
Convective
Drying an infant with a towel would help prevent _____ heat loss.
evaporative heat loss
Placing a newborn on a padded, covered surface would prevent _____ heat loss.
conductive heat loss
Ultrasounds typically require a _____ _____.
full bladder
Women infected with rubella are more likely to have an infant suffer from ____ ____ and _____.
growth restriction and hydrocephaly
