Normal Newborn Flashcards
to successfully transition from __ to __ life as UC is cut, neonate must make physio changes in ___
successful transition \_\_ clearance \_\_ epansion \_\_ changes w inc \_\_ and \_\_ closure of the \_\_ shunt of fetal circ
intra-extrauterine, CP fxn
alveolar fluid
lung
circ, pulm perfusion, systemic pressure
RtoL
Inc conc of __ and other hormones causes ___ to switch from active sec of __ and __ into air spaces to active resorption of __ and __
Inc __ at birth enhances capacity of epithelium to transport __ and inc ___ of epithelial sodium channel
this promotes resportion of __
Initial __ of neonate generate high __ pressure
Initial neg __ drives alveolar fluid from __ into __ and thus ____
catecholamines, lung epithelium, Cl and liquid, Na/liqud
O2 tension, Na, gene expression
alveolar fluid
effective breaths, transpulm
hydrostatic pressure, air spaces/interstitium, pulm vasculature
thoracic squeeze= pressure upon chest wall of infant during ___ squeezes lungs, causing ___
probably a minor contributor to ___
w first effective breath, __ begin as intrathoracic presure __
inc __ expands alveolar spaces and establishes __
lung expansion stimulates __ to reduce __, inc ___, and stabilizes ___
delivery, fluid clearance
alveolar fluid clearance
air movement, dec
inspiratory pressure, FRC
surfactant release, alveolar surface tension, compliance, FRC
Clamping UC causes rise in neonatal ___
___ reduces PVR and __
dec fetal ___ at the DA results in __ shunt at DA
Inc __ through PA/lungs
Inc __, w inc __ and __, neonatal O2 saturation __,closing the ___
pulm venous return to __ raises LA pressure and __ shunting across __ dec
closing of FO when __ pressure exceeds __ pressure
SBP
lung expansion, PAP
RtoL shunt, LtoR shunt’
blood flow
cerebral O2 sat, lung perfusion/expansion, inc, DA
LA, RtoL shunting, FO
LA, RA
Caphalohematoma
__ collection that does not cross ___
more common when __/__ delivery is performed
resolves in __
comps include __ and __
Caput succedaneum
collection of fluid above __ that does cross __
generally __
resolves in __
superiostal, suture lines
forceps/vacuum
wks
sepsis, Ca
periosteum, suture lines
benign
days
Subgaleal hemorrhage
blood accumulates in __ tissue in space bw _ of skull and ___
__ bw scalp and dural sinuses are __/__ as a result of traction on __ during delivery
presents as diffuse, __ swelling or head that may shift w __, causing __ when pressured
expansion due to __ may occur after delivery
can be __ due to __
loose areolar, periosteum and aponeurosis
emissary veins, sheared/severed, scalp
fluctuant swelling, movement, fluid wave
bleeding,
fatal, high blood loss
Craniosynotosis
Premature closing of __ bw cranial bones
Primary due to defect in __
Secondary due to __ of underlying __ leading to early fusion
sutures
ossification
dysgensis, brain
Newborn PE
Red reflex- nrormal if _ and __ clear
apprx __ away from infant
abnormalities of lens __, vitreous __ or retina __ prodce white pupil aka __
Cleft lip/palate probs w __
require __ to feed
Hip exam O/B check for \_\_ (DDH) do at every \_\_ visit until \_\_ High risk groups: \_\_ F>M Significant \_\_\_
lens/underlying structures
18in
cataract, persistent fetal vasc, retinoblastoma, leukocoria
feeding
special nipple
otrolani/Barlow Developmental dysplasia of hip well child, 6m breech FH
Prune belly triad \_\_ def Severe \_\_ abnorms bilateral \_\_ in males \_\_ dysplasia, \_\_ hypoplasia
Cord vessels
normally _ vessels
2 vessel cord may indicate D, R, V
VACTERL acronym
ab muscle
UT
cryptorchidism
renal, pulm
3
diaphragmatic hernia, renal probs, Vacterl
Vertebral, Anal atresia, Cardiac defect, TE fistula, renal/radial, limb anomalies
Neuro reflexes
Moro- provoked by __, infant throws __ and __/__ out, gone by __
Rooting- provoked by __, infant turns __ in direction of touch and opens __, gone by __
Babinski- provoked by stroking ___/__ of infant foot, infant curls toes if __ stroked, extends toes if __ stroked, gone by ___
Palmar grip- provoked by __ in infant palm, infant will __ and hold __, gone by __
Galant- stroke __ next to SC, infant __ side that was stroked,
sudden noise/movement, head back, arms/legs, 3-4m
stroking infant cheek, head, mouth, 4m
inner/outer sole, inner, outer, 12m
placing something, grip, well, 6m
lower back, curves
APGAR Appearance is \_\_ or \_\_ Pulse above/below \_\_ \_\_ to stimulation Activity how much \_\_\_ respiration during \_\_\_
each area gets a score of __ for max total of ___
do at __ and __ for all infant
if __ is less than 7, continue scoring every __
1 minute assess __ and 5min assesses ___
blue/pink 100 bpm grimace movement infant cry
0-2, 10
1min, 5min
5min, 5min
intrauterine environment, transition
Before discharge
measure __ on right hand and __ for ___
done after __
Metabolic screen done bw __ hrs
__ vaccine given to all kids
if mom is __ child gets vaccine plus __ w/in 12hrs
__ to prevent conjunctivitis, leading cuase of __ in neonates
usually from ___ or ___
__ for congenital hearing loss
proven to improve __ if caught early
O2 sat, either foot, CCHD
24hrs
24-48
HepB
HbSAg+, HBIG
Erythromicin
blindness
N gonorrhea, C trachomantis
hearing test
language skills
ABR
measures summation of __ from cochlear nerve to the ___ of midbrain in response to ___
can detect both _ and __
OAE
measures presence/absence of __ generated by coachlear ____ cells of inner ear in response to ___
__ at external ear canal detects these low intensity __
screens for __ but not ___
AP, inferior colliculus, click stimulus
sensorineural, auditory neuropathy
sound waves, outer ear, sound stimuli
microphone, OAE
SNHL, AN
Supps
VD- common source is __/__, which is __ for infant
___ are unlikely to achieve recommended intake of VD
if formula fed, req __ daily to get required VD
Iron- infants recieve iron from __ during __ and can build stores for __
if formula fed, want to use __
exclusively breastfed infants older than __ need iron supps
___ need more iron than in typical formula
Milk/sunlight, no go
all infants
30oz
mom, 3rd trimester, 4m
iron fortified formula
4m
premature infants
