peds 2 Flashcards
true or false
during bresdt feeding there is no dimpling of the babys cheeks, no clicking sound with sucking if they have a proper latch.
true
mouth should cover the entire the aereola, and the tip of the nose is against the breast
first year of life obligate nasal breathers
true
in consideration of jaundice in the neonate the NP knows
A. neonatal jaundice usually starts first in the trunk and extremities and then progresses to the face
B. using visual evaluation of bilirubin levels to estimate the degree of jaunice is an acceptable war to evaluate the newborn
C. the onset of phsysiologic jaundice is usually within the first 12 hours of life
D. encourage breastfeeding at minimum every 2-3 hours while avoiding dextrose and water feedings will help minimize the newborns risk of hyperbilirubinemia
D. encourage breastfeeding at minimum every 2-3 hours while avoiding dextrose and water feedings will help minimize the newborns risk of hyperbilirubinemia
with c phsiologic means in the presence of no liver disease and jaundice in the first 12 hours is almost always pathologic.
usually starts after the 1st 24 hours of life
you are providing counseling for the parents and caregivers of a healthy full term newborn who is being breastfed, the counseling should include information on all of the following except.
A. the abbt should amke at least 6 wet diapers a day
B. Newborns oftern lose up to 10% of birth weight in the first week of life.
C. A breastfed baby usually has 4 or more BMs a day
D. The baby should be back to birth weight by 3-4 weeks of age
D. The baby should be back to birth weight by 3-4 weeks of age
should be back up to birth weight before 3-4 weeks
bottle fed babies have 1-2
they do not have ability to store large amounts of sugar in the liver that is why they need to be fed often
galactorrhea
breast milk prduction in the abscence of lactation
you see alexandra born full term who is now 14 days old. according to her mother she is a vigorous eater and is both breastfed and formula fed. on examination you note bilateral breast engorgement with psychological galactorrhea on the left. you appreciate all of the following are correct concerning this condistion except:
A. its onset is usually at approximately 3-4 days of life
B. that maternal hormonal influences are likely the cause
C. this breast engorgement will resolve without intervention within the first 2 months of life
D. Further evaluation is needed
D. Further evaluation is needed
it could also be a male and be normal
seen in about 5% of infants
mothers estrogen is causing it
females may have spotting
A 12 day old infant who is otherwise well presents with a 2 day hx of irritation of both eyes. he was born at a local birth center and received standard newborn care including occular chemoprophylaxis (erythromycin or silerntrate).
examination reveals bilteral lid swelling, chemosis (conjuctival eryhtema), and mucoid eye discharge. the most likely cause of this condition is?
A. chemical irritation from neonatal irritation from occular prophylaxis
B. Chlamydia
C. gonococcal
D. neonatal adenovirus
B. Chlamydia with this infection signs and sx appear 5-14 days post exposure and CHEMOSIS is common. prevented with maternal screening
Gonococcal presents 2-7 days and the prophylaxis given at birth prevents this
Neonatal adenovirus is associated with URI sx and mildly red eyes
Chlaydial conjustivitis is confirmed with a cx then tx is po erythromycin x 2 weeks secondary to PNA risk
yes
you are rounding in the nursery and see the neonate of mother who is HBsAG-positive, your most appropriate action is to:
A. check the baby for HBsAb
B. inform the mother that she should not breast feed
C. Administer hep B immunization to mother and baby
D. Give hep b immunization and B immunoglobulin to the new born
mom is positive
D. Give hep b immunization and B immunoglobulin to the new born
MOM CAN BREASTFEED
without intervention 40% of these babies will develop chronic Hep B
INdicate the appropriate neonateal/infant refel for each description: A. moro B. paplmar C. babinski D. stepping E. rooting
Stepping: walking motion appears at 3-4 months then again at 12-24
rooting: Turning of the head and sucking when cheek is stroked. should be gone by 6-12 months
morrow: Throwing the arms and legs and then pulling them back after a sudden movement or loud noise. Should be gone by 16 weeks
Babinski: stroking the sole of the foot elicits fanning if the toes. no longer seen by 6 months
PAlmar: Grasping of an object when placed in the palm. no longer seen by 2-3 months
persistant presence of neonatal/infant reflexes in a couse for:
concern and further evaluation
Whne does morrow reflex go away?
4 months
when does babinski reflex go away?
6 months
