Newborn Care Flashcards

1
Q

How is hyperbilirubinemia assessed

A
  • Transcutaneous bilirubin
  • Serum bilirubin level
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2
Q

What is the transcutaneous bilirubin

A

Flashing light is placed against the newborn’s head

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3
Q

When can bilirubin be seen - jaundice

A

7-8 mg/dl

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4
Q

At what level can bilirubin be found in the brain

A

20-25 mg/dl

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5
Q

What is physiologic jaundice and is it normal

A
  • Normal
  • Jaundice that appears after 24 hours
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6
Q

What is pathologic jaundice and is it normal

A
  • Abnormal
  • Jaundice that appears before 24 hours
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7
Q

What is the normal heart rate for a newborn

A

120-160

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8
Q

What is the normal respiratory rate for a newborn

A

30-60

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9
Q

What is the normal temperature for a newborn

A

Axillary 97.7-99.6

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10
Q

What is the normal weight for a newborn

A
  • 2500-4000 g
  • 5.5-8.5 lbs
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11
Q

What is the normal length of a newborn

A
  • 45-55 cm
  • 18-22 in
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12
Q

What is the normal head circumference of a newborn

A

33-35 cm

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13
Q

What is the normal chest circumference for a newborn

A

30-33 cm

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14
Q

What does the Apgar score for

A
  • Color
  • Respirations
  • Muscle tone
  • Heart rate
  • Reflex irritability
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15
Q

What is the sucking reflex

A

Turning to suck when most/lip is touched

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16
Q

What is the rooting reflex

A

Turning to open mouth and search for food when lip/mouth/cheek is touched

17
Q

What is the moro reflex

A
  • Startle
  • Abduction/extension of arms
  • Fingers fan out to form a “C”
18
Q

What is the palmar grasp

A

Curling fingers around object in palm

19
Q

What is the tonic neck (fencing) reflex

A

arm/leg extend on one side and flex on the other

20
Q

What is the stepping reflex

A

simulated walking

21
Q

What is the babinski reflex

A
  • Sole of foot
  • Toes hyperextend
22
Q

What are the signs of hypoglycemia in a newborn (8)

A
  • Jitteriness
  • Central cyanosis
  • Apnea
  • Hypothermia
  • Poor body tone
  • Poor feeding
  • Lethargy
  • Seizures
23
Q

What are the complications for the newborn of a mother with gestational diabetes (13)

A
  • Macrosomia
  • Hypoglycemia
  • Hypocalcemia
  • Hypomagnesemia
  • Polycythemia
  • Thrombocytopenia
  • Hyperbilirubinemia
  • Respiratory distress syndrome
  • Cardiovascular abnormalities
  • Congenital malformations
  • Fetal distress
  • Neonatal asphyxia
  • Birth trauma