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NUR 359: OB > Newborn Assessment > Flashcards

Newborn Assessment Flashcards

1
Q

when is apgar scoring done

A

1 and 5 mins after birth

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2
Q

what does an apgar measure

A

how well baby is transitioning

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3
Q

apgar score categories

A 
resp (crying)
reflexes (irritability)
pulse (HR)
skin color (body and extremities)
muscle tone
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4
Q

apgar scores

A

0-2

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5
Q

cold stress

A

cold stress

  • –> hypoglycemia
  • -> resp distress
  • -> acidosis
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6
Q

when is a baby transferred to a basinet?

A

when their temps are regulated for a certain amt of time

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7
Q

def conduction

A

loss of heat from body surface to a cold surface

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8
Q

def convection

A

loss of heat from body surface to the air

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9
Q

def radiation

A

loss of heat from body surface to a cooler surface thats close to the baby
ex: nearby window

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10
Q

def evaporation

A

loss of heat moisture from the skin

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11
Q

what is kangaroo care

A

baby is placed on mom only wearing a diaper

skin to skin

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12
Q

name the periods of reactivity

A

first period
sleep phase
second period

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13
Q

how long does the first period of reactivity last

A

30 -60 mins

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14
Q

what is monitored during the first period of reactivity

A

VS

color

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15
Q

what should we encourage during the first period of reactivity

A

attachment and bonding

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16
Q

how long does the sleep phase last?

A

1-4 hrs after birth

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17
Q

when does the second period of reactivity occur

A

4-12 hrs after birth

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18
Q

what characterizes the second period of reactivity

A

intense sensitivity to internal and external stimuli

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19
Q

what occurs during the second period of reactivity

A

baby voids

meconium/bm

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20
Q

what should be used after the baby expels meconium

A

A+D

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21
Q

what do we watch for during the second period of reactivity

A

mucus
apnea
emesis

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22
Q

what measurements are taken after the baby is born

A

head circumfreence
chest circumfrence
abdominal circumfrence
length

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23
Q

how are glucose levels obtained in babies

A

heal stick

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24
Q

what is considered a good transition

A 
good reflexes
good muscle tone
passed meconium
breathing well
temp regulation
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25
Q

what meds are admin to the baby in the DR

A

vit k

erythromycin

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26
Q

how do you admin erythromycin

A

-inner canthus to outer canthus

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27
Q

bulged fontanelle’s indicate

A

IICP

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28
Q

depressed fontanellels indicate

A

dehydration

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29
Q

overriding fontanelles indicate

A

molding

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30
Q

why does molding occur

A

occurs during birth to fit the babys head

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31
Q

def caput succedaneum

A

soft tissue edema from birth trauma

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32
Q

does caput succedaneum cross the suture lines

A

yes

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33
Q

what does caput succedaneum indicate abt the birth

A

-used a vaccuum

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34
Q

what is caput succedaneum caused by

A

head rubbing up against moms cervix

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35
Q

def cephalohematoma

A

bleeding bx the cranial bone an the periosteum in the periosteal space

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36
Q

does cephalohematoma cross suture lines

A

no

37
Q

what is cephalohematoma caused by

A
  • use of forceps

- pressure from the pelvis

38
Q

how long does cephalohematoma take to resolve

A

3-6 weeks

39
Q

what will happen when cephalohematoma begins to resolve?

A

JAUNDICE

40
Q

what is subconjunctival heorrhage caused by

A

the trauma of birth

41
Q

who is subconjunctival hemorrhage seen in

A

baby

most likely mom from bearing down so hard during birth

42
Q

when does chemical conjunctivitis occur

A

if there is a rxn to eye prophylaxis

43
Q

what should illicit the startle reflex

A

loud noise

44
Q

newborns are typically what kind of breathers

A

obligate nose breathers

45
Q

what should we monitor for in the nose

A

nasal discharge

46
Q

newborns sneeze to

A

clear nostrils

47
Q

what is significant abt the structure of newborns nose

A

absent bridge

48
Q

what are hallmark signs of potential or actual resp dstress

A

nasal flaring
grunting
retractions

49
Q

what is the extrusion reflex

A

when a baby pushes any food that is placed in the front of their mouth out
-protective

50
Q

when does the extrusion reflex disappear

A

approx 4 months

51
Q

what are epstein pearls?

A

white, yellowish cysts that form on the gums and roof of a newborns mouth

52
Q

bowel sounds should be auscultated when?

A

within 2 hrs after birth

53
Q

when should the first void occur

A

within 24 hrs after birth

54
Q

when should the first meconium be expelled?

A

within 24-48 hrs after birth

55
Q

where might lanugo be seen?

A

shoulders
pinna of ears
forehead

56
Q

when will lanugo be absent

A

post mature babies

57
Q

when will lanugo be abundant

A

in pre-term babies

58
Q

purpose of vernix

A

antibacterial properties

protects newborn skin

59
Q

def acrocyanosis

A

blue extremities

60
Q

what causes acrocyanosis

A

sluggish peripheral circulation

61
Q

how long should acrocyanosis last for

A

no more than a few hrs

62
Q

what may acrocyanosis indicate?

A

decreased temp

63
Q

what is mongolian spots

A

patch of purple/black/blue color over coccygeal and sacral regions

64
Q

what groups are more prone to getting mongolian spots

A

afr americans

asians

65
Q

are mongolian spots malignant?

A

no

66
Q

do mongolian spots resolve

A

yes- with time

67
Q

what is mottling

A

generalized white and red discoloration of the skin of chilled infants with fair complexion

68
Q

is hyperbili a/w hemolytic disease?

A

no

69
Q

when does jaundice occur

A

24 hrs after birth and peaks @ 72 hrs

70
Q

bili lab values

A

6-10 mg/dl

71
Q

when does jaundice usually resolve

A

5-7 days

72
Q

what is milia

A

tiny white papules located over the nose, cheek, and/or chin

73
Q

erythema toxicum is aka

A

fleabite rash

74
Q

is tx necesary for erythema toxicum

A

no

75
Q

when does erythema toxicum appear

A

in the first 24 hrs of birth

76
Q

where is erythema toxicum most common

A

trunk

diaper area

77
Q

what are signs of drug wd

A

excessive crying
fretfullness
inability to quiet self
shaking

78
Q

what tests are run after the baby is born

A

PKU
t4
hearing

79
Q

when is the gest age assessment done

A

2 hrs after birth

80
Q

normal wt range

A

2500-4000 grams

81
Q

normal length

A

45-55 cm/ 18-22 “

82
Q

head circumfrence range

A

32-36.8 cm / 12.6-14.5”

83
Q

chest circumfrece range

A

30-33 cm / 12-13”

84
Q

normal RR

A

30-60 rpm

85
Q

normal HR

A

100-160 bpm

86
Q

normal S BP

A

60-80 mm hg

87
Q

normal D BP

A

40-50 mm hg

88
Q

normal temp

A

36.5-37.2/ 97.7-98.9 F- axillary

89
Q

normal glucose range

A

40-60

NUR 359: OB (15 decks)

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