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OB - Spring 2016 > Newborn (Part 1) - Unit 4 > Flashcards

Newborn (Part 1) - Unit 4 Flashcards

1
Q

What are some responsibilities at delivery?

A

Dry & stimulate the baby, provide resuscitation if necessary, assign APGAR, assessment, administer meds, check glucose.

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2
Q

What are some important parts of the history to know at delivery?

A

Maternal age, gravida/para, infections, labor history, fetal minotoring, ROM, medications, lab work

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3
Q

Should the infant go right on the mom’s chest after birth?

A

YES

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4
Q

APGAR - Heart rate - 0, 1, 2

A 
0 = Absent
1 = Below 100
2 = 100 or higher.
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5
Q

APGAR - Respiratory Effort - 0, 1, 2

A 
0 = No spontaneous respirations
1 = slow or weak respirations
2 = Strong, lusty cry.
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6
Q

APGAR - Muscle Tone - 0, 1, 2

A 
0 = Limp
1 = Minimal flexion
2 = Flexed posture
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7
Q

APGAR - Reflex Response - 0, 1, 2

A 
0 = No response
1 = Minimal response 
2 = prompt response
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8
Q

APGAR - Color - 0, 1, 2

A 
0 = pallor or cyanois
1 = Bluish hand and feet
2 = pink
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9
Q

APGAR scores are assigned at one and five minutes of age, or ever 5 minutes until a score of 7 or higher is achieved. T/F?

A

TRUE

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10
Q

What are some of the general assessment things we do on the baby after it’s born?

A

Weight, measurements, bands, vital signs ever 30 minutes for 2 hours.

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11
Q

What are some meds that are given to the baby right after birth? They need to be given within ____ hour of delivery.

When is the Hep B vaccine given?

A

Erythromycin eye ointment, Vitamin K.

One hour.

Vaccine is given later, unless mom is HBsAG+ - then within 12 hours!

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12
Q

When is the blood sugar checked? What do we want it above?

A

Within 1st 1/2 hour and then 1/2 hour later - we want it above 40.

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13
Q

What are some risk factors for hypoglycemia?

A

Maternal history of diabetes and terbutaline, preterm/post term, “late preterm infant”, IUGR, LGA or SGA, Asphyxia, problems at birth, cold stress.

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14
Q

what are some signs of hypoglycemia?

A

Jitteriness and tremors, poor muscle tone, diaphoresis, poor suck, tachypnea, tachycardia, dyspnea, grunting, cyanosis, apnea, low temp, high pitched cry, irritability, lethargy, seizure/coma :(

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15
Q

What is the purpose of the gestational age exam?

A

Determines gestational age.

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16
Q

Preemie - will they have sticky or soft skin? Lanugo?

A

They will have sticky skin and lanugo.

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17
Q

Preemies - are they very straight?

A

Yes

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18
Q

What’s the scarf sign?

A

When you can almost wrap the preemies arm around them like a scarf.

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19
Q

What is caput succedaneum? When does it go away?

A

A bulge on the head that crosses the suture line. Goes away within a few days.

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20
Q

What is cephalematoma? When does it go away?

A

A bulge that doesn’t cross the suture line. Goes away at a slower pace.

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21
Q

What is the moro reflex?

A

Startle reflex - pull the hand and they startle.

22
Q

What is the root/suck reflex? Tonic neck?

A

Root/suck = stroke their cheek and they move and start sucking.
Tonic looks like fencing!

23
Q

Hearing - starts at __ to __ weeks gestation.

Sight = __ to __ inches away.

A

23-24 weeks.

8-12 inches.

24
Q

Should we assess all the skin on da baby?

A

YES

25
Q

Mongolian spots - look like what?

A

Bruising.

26
Q

Milia - pick them. T/F?

A

FALSE

27
Q

Strawberry hemangioma - fall off and disappear on their own. T/F?

A

FALSE - they have to be removed in order to disappear.

28
Q

What causes the first breath (Internal Stimuli)?

A

Decreased PO2, increased Pc02, decreased pH that affects the chemoreceptors —-> message is transmitted to repsiratory center in the medulla —-> diapgrahm is stimulated to contract —> infant draws first breath.

29
Q

What causes the first breath (external stimuli?)

A

Cold air and touch stimulate skin sensors — > impulses from skin sensors and responses to sound and light affect respiratory center —> infant draws first breath —> chest compression and release during birth causes air to be drawn into lungs.

30
Q

What’s the normal RR for a bambino? What is apnea?

A

30-60 RPM. Apnea is defined as 20 seconds without a breath.

31
Q

If the baby gets too hot, what happens to their breathing? Too cold?

A 
Warm = panting. 
Cold = conserve energy.
32
Q

Is grunting a good thing?

A

NO - it may sound cute, but it is NOT

33
Q

What is the normal pulse rate? What is bradycardia defined as?

A

120-160 - bradycardia is defined as less than 80 BPM.

34
Q

What’s the normal BP?

A 
Systolic = 65-95
Diastolic = 30-60
35
Q

Weak femoral pulse = what?

A

Might have pressure issues.

36
Q

MAP - should be equal or great then what?

A

Gestational age.

37
Q

What should the temp be? What’s the preferred method for measuring it?

A

97-99.

Axillary.

38
Q

Bowel sounds occur within __ hour of birth.

A

1 hr

39
Q

Gut is sterile prior to birth - but changes a few days after birth. T/F?

A

TRUE

40
Q

Abdomen should be soft & rounded but not distended. T/F?

A

TRUE

41
Q

Stools should occur within 24 hours of birth. T/F?

A

TRUE

42
Q

meconium - sticky and tar like.
Transition - light green.
then depends on what is being eaten.

T/F?

A

TRUE

43
Q

What is hypospadius?

A

Opening of pee pee is on the underside.

44
Q

What is epispadias?

A

Opening of the pee pee is on the top.

45
Q

What is cryptorchidism?

A

Undescended testy.

46
Q

What is phimosis?

A

Tightening of the foreskin.

47
Q

What is a hydrocele?

A

Fluid filled sac - typically goes away on their own.

48
Q

Is it normal for girls to have some mucus and discharge after birth?

A

YES - parents worry but still.

49
Q

Babies should void within 12-24 hours. T/F?

A

TRUE

50
Q

1-2 voids a day for first 2 days is common, then 6 a day. T/F?

A

TRUE

51
Q

For a circumcision, there shouldn’t be a dripping/discharge but a yellow crust is okay. Although, it heals within 10 days. T/F?

A

TRUE

OB - Spring 2016 (18 decks)

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