Newborn Physiologic Adjustments (Integumentary System) Flashcards

1
Q

What is vernix caseosa?

A

A cheeselike, whitish substance that is fused with the epidermis and serves as a protective covering.

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2
Q

What is significant about vernix caseosa?

A

Has emollient and antimicrobial properties and prevents fluid loss through the skin it also has antioxidant properties.

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3
Q

There is evidence that leaving residual vernix intact after r birth has positive benefits for new neonatal skin such as

A

Decreasing the skin pH
Decreasing skin erythema
Improving skin hydration

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4
Q

Why do the hands and feet of newborns appear slightly cyanotic?

A

This is caused by vasomotor instability and capillary stasis.

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5
Q

Acrocyanosis is normal and appears intermittently over the first ____ to _____ days, especially with exposure to _____.

A

7 to 10

Cold

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6
Q

Fine lanugo may be noted over what locations?

A

Face, shoulders, and back

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7
Q

The simian line, a single palmar crease, is often seen in

A

Asian infants

DS

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8
Q

Increased numbers of crease correlate with what?

A

Greater maturity rating

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9
Q

What are milia?

A

Distended, small, white sebaceous glands noticeable on the newborn’s face

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10
Q

Term infants usually do not sweat for the first ____ hrs

A

24

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11
Q

By day ___ sweating begins on the ___ and later progresses to the _____.

A

3 days
Face
Palms

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12
Q

What is desquamation?

A

Peeling of the skin of the term infant does not occur until a few days after birth.

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13
Q

Desquamation present at birth may be an indication of _____.

A

Postmaturity

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14
Q

What is mongolian spots?

A

Bluish-black areas of pigmentation, may appear over any part of the exterior surface of the body, including the extremities.

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15
Q

What ethnicity is more prone to mongolian spots?

A

Mediterranean, Latin american, Asia, or Africa

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16
Q

Why do mongolian spots need to be documented?

A

Can be mistaken for bruises once the infant is discharged, which can raise suspicion of physical abuse.

17
Q

What is nevus simplex?

A

Are flat, pink capillary hemangioma that are easily blanched.

18
Q

Where do nevus simplexes appear?

A
Upper eyelids
Nose
Upper lip 
Lower occiput bone
Nape of the neck
19
Q

Bruising can increase the risk of…

A

hyperbillirubinemia