newborn nursey stuff! Flashcards
What physiologic processes surrounding birth underlie physiologic jaundice of the newborn?
increased production (higher hct, shorter life span)
decreased clearance
increase in enterohepatic circulation
What is breast-feeding failure jaundice?
indirect
first week of life
unrepleted fluid loss, hypovolemia
What is breast milk jaundice?
indirect, nonpathological
3-5d after birth, peaks within 2 weeks
time of physiological jaundice
peaks between 3-5
never before 24h
causes of direct hyperbilirubinemia
biliary atresia
hepaitis
infection
inborn errors of metabolism
How does the most common cause of pathologic indirect bilirubinemia in the neonate occur
abo incompatibility
What is transient neonatal pustular melanosis?
small pustules that can rupture and form macules
persist for weeks to months
black infants
What are nevus sebaceous of Jadassohn?
rare congenital harmartoma that combones epidermal, sebaceous, follicular and apocrine gland abnormalities
solitary, well circumscribed, yellow-tan in color
surgical excision since risk for malignancy
What is erythema toxicum neonatorum?
first 24-48 h, trunk, proximal extremities
resolves in 5-7d
multiple red malcules and papules that become pustules
miliaria
accumulation of sweat beneath eccrine sweat ducts
placing infant in cooler environment
neonatal acne
appear at 3 weeks without comedonal lesions
soap and water, clear within 4 m
nevus simplex
single or multiple pink-red patches in infants
eyelid, back of neck
fade within 1-2 years
port wine stain
capillary malformations
anywhere on body
pin or red unilateral patches that enlarge as child grows
treat with pulsed dye laser therapy
sturge weber skin finding
facial capillary malformation involving v1/v2 dermatome
