Newborn Physiological and Behavioral Responses Flashcards

1
Q

Expected findings for term neonate:

Posture

(what should be happening w/ extremeties)

A

Extremities should be flexed.

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2
Q

What is the regular RR of a newborn

A

30 to 60 breaths per min

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3
Q

Expected findings for term neonate:

Weight

A

2500 to 4000 g

(5lb 8oz to 8 lb 13oz)

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4
Q

what is acrocyanosis

A

Hands and/or feet are blue

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5
Q

What are mongolian spots?

A

Flat, blush discolored area on the lower back and/or back

resolves on its own

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6
Q

What is lanugo?

A

Fine, downy hair that may be seen on neonates back, shoulders and forehead

assists on estimating gestational age, often a sign of prematurity

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7
Q

What is milia?

A

white papules on the face;
more frequently seen on the bridge of the nose and chin

Resolves on their own

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8
Q

What is vernix caseosa?

A

white, creamy, naturally occurring biofilm covering the skin of the fetus during the last trimester of pregnancy

assist on estimating gestational age

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9
Q

What is a caput succedaneum?

A

swelling (edema) of the scalp in a newborn.
Can cross suture lines.

Results from prolonged labor, forceps delivery, or use of vacuum

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10
Q

What is a cephalohematoma?

A

Blood swelling under the scalp of neonate

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11
Q

What characterstic is unique of caput succedaneum compared to cephalohematoma?

A

caput succedaneum can cross suture lines

cephalohematoma is unilateral

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12
Q

What are epstein’s pearls?

A

white, pearl-like cysts in a neonates gum margins and palate

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13
Q

What is the moro (startle) reflex?
How is it initated?

A

Hold the baby in a semi-sitting position and the let head slightly drop back

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14
Q

What is the tonic neck reflex?
How is it initated?

A

with the neonate in the supine position, turn the head to the side so that chin is over the shoulder

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15
Q

What is the rooting reflex?

How is it initated?

A

Neonate turns the head toward direction of stimulus and opens the mouth

Brush the side of a cheek or corner of the mouth

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16
Q

What is the sucking reflex?

How is it initated?

A

Sucking motion

gloved finger in neonate mouth

17
Q

What is the palmer grasp?

How is it initated?

A

Neonate grasps fingers tightly

place a finger in the palm of neonates hands

18
Q

What is the plantar grasp?

How is it initated

A

Toes flex tightly down in grasping motion

Place a thumb firmly agianst the ball of the infants foot

19
Q

What is the neonate babinski reflex?

How is it initated

A

Hyperextension and fanning of toes

Stroke the lateral surface of the sole in an upward motion

20
Q

What is the stepping reflex?

How is it initated

A

The neonate steps up and down in place

Hold the neonate upright w/ feet touching a flat surface

21
Q

What is the purpose of ballard maturational assessment?

A

estimate babies gestational age

22
Q

What are the two screening tests for neonates before discharge?

A
  1. Phenylketonuria (PKU)
  2. Hearing test

pku = heel stick blood test

23
Q

What medication is given as a prophylaxis for gonoccocal and chalmydial eye infections upon birth?

A

Erythromycin

24
Q

How many doses is Heb B given?

A

3

(before discharge, 1 to 2 months, & 6 to 8 months)

25
Q

Nursing Interventions

Transition period of newborn

(4)

A
  1. Maintain respiratory function
  2. Mantain body heat
  3. Decrease risk of infection
  4. Assist parents in providing nutrition, hydration, and newborn care.
26
Q

Why is a neutral thermal environment needed to support newborn transition?

A

Neutral thermal environment is needed to support and prevent cold stress to newborn

cold stress leads to hypothermia

27
Q

Nursing Intervention

Hypoglycemia in newborn

(4)

A
  1. Maintain neutral thermal environment
  2. Regularly check blood glucose levels.
  3. Establish feeding
  4. Assess for s&s of hypoglycemia
28
Q

What is the purpose of the Vitamin K injection for the neonate?

A

prophylaxis to decrease the risk of bleeding related to vitamin K deficiency

29
Q

What is considered appropriate weight loss for an infant in the first week of life?

A

Newborns usually lose 5 to 10% of birth weight during the first week of life due to diuresis.

30
Q

What newborn assessment is used to assess for congenital hip dislocation?

A

Barlow’s and Ortolani’s maneuvers

31
Q

What is the newborn change in stools for the first 4 days?

A

Day 1 = one stool
Day 2 to 4 = three stools

32
Q

What is the newborn change in urine output in the first 4 days

A

Day 1 = one wet diaper
Day 2 = two wet diapers
Day 3 = five to six wet diapers
Day 4 = six wet diapers

33
Q

By what day does meconium stool usually change to transitional greenish black/brown?

A

Day 3