Quiz 2

Question 1

Surfactant

Answer 1

A lipoprotein made by type II lung cells that lines the infant’s lungs

Question 2

Acrocyanosis

Answer 2

Blueish discoloration of hands and feet that is normal in the first 24 hrs after birth

Question 3

Leukocytes

Answer 3

wbc

9000-30,000

Question 4

Platelets

Answer 4

demonstrate aggregation

150,000-300,000

Question 5

Thermoregulation

Answer 5

maintenance of balance between heat loss and heat production

Question 6

Hypothermia

Answer 6

Occurs due to excessive heat loss

Question 7

Neutral thermal environment

Answer 7

Ideal environment where infant can maintain and balance a normal temperature to minimize o2 and glucose consumption

Question 8

Thermogenesis

Answer 8

Where infant generates hear by increasing muscle activity

Question 9

Non-shiver thermogenesis

Answer 9

Metabolizing brown fat or increasing metabolic activity in brain, heart, and liver

Question 10

brown fat

Answer 10

Only newborns have this and it is much richer in vasculature
- deposits in intrascapular region, thoracic inlet, vertebrae column, and kidneys

Question 11

hyperthermia

Answer 11

abnormally high body temp of 37.5 celsius & is excessive heat production

Question 12

acute bilirubin encephalopathy or

kernicterus

Answer 12

When bilirubin crossing blood brain barrier causes neurotoxicity

Question 13

jaudince

Answer 13

visible yellow color of skin and sclera

Question 14

pathologic or non-physiological jaundice

Answer 14

Occurs from pathology in origin or severe enough to need investigation

Question 15

breast feeding associated jaundice

Answer 15

Jaundice at 2-5 days of age that is due to lack of effective breast feeding that causes the hyperbilirubemia

Question 16

breast milk jaundice

Answer 16

Happens 5-10 days of age with an uncertain cause but it does go away on its own

Question 17

milia

Answer 17

White small sebaceous glands that you can see on newborns face

Question 18

Desquamation

Answer 18

Peeling of the skin which doesnt occur until few days after birth
- can indicate post maturity

Question 19

Mongolian spots

Answer 19

blue black areas of color on skin that are commonly found in back andbuttocks

Question 20

Nevus Simplex

Answer 20

salmon patches
stork bites
angel kisses

small, flat, and pink spots that you can blanch

Question 21

nevus flammeus

Answer 21

post-wine stain due to asymmetrical postcapillary venule that is pink and flat at birth but darkens over time

Question 22

Erythema Toxicum

Answer 22

transient rash ; erythema neonatorum or newborn rash or flea bite

Lesions of different stages - macules, papules, and vesicle .. which can appear suddenly due to inflammation

Question 23

Caput succedaneum

Answer 23

edematous area of the scalp that is on occiput and is easily identifiable

Question 24

cephalhematoma

Answer 24

collection of blood between skull and perisoteum (will not cross line)

Question 25

Subgaleal hemorrhage

Answer 25

Bleeding into subgaleal compartment or loosely connected tissue

Question 26

Developmental dysplasia of the hips

Answer 26

Easily dislocatable hips at birth - sometimes already dislocated tho.

Question 27

sleep wake states

Answer 27

variations in state of consciousness that the baby goes through

Question 28

Habituation

Answer 28

protective mechanism that allows infant to become used to environmental stimuli

Question 29

apgar score

Answer 29

routine assessment of newborns overall status and response to resuscitation

• HR, respiratory effort, msucle tone, reflex, skin color

Question 30

appropriate age for gestation

Answer 30

birth weight between 10th and 90th percentile . grew normally

Question 31

large for gestation age

Answer 31

above 90th percentile and grew at an accelerated rate

Question 32

small for gestational age

Answer 32

below 10th percentile in weight & grew slow

Question 33

preterm

Answer 33

premature - 37 0/7

Question 34

late preterm

Answer 34

34 0/7 - 36 6/7 weeks

Question 35

early term

Answer 35

37 - 38

Question 36

full term

Answer 36

39 - 40

Question 37

late term

Answer 37

41

Question 38

post term

Answer 38

42

Question 39

opthalmia neonatorum

Answer 39

neonatal conjuctivitis

inflammation of eye caused by sexually transmitted bacteria during birth

Question 40

subconjuctival hemorrhage

Answer 40

result from rupture of capillaries by increased pressure during birth

Question 41

exchange transfusion

Answer 41

portion of infants blood is swithced w donor blood to reduce bilirubin levels

Question 42

hypoglycemia

Answer 42

not enough glucose to support organ function

Question 43

circumcision

Answer 43

removal of foreskin of the penis or prepruce

Question 44

positional plagiocephaly

Answer 44

results from infant laying on their back too much ; flatter appearance

Question 45

lactation consultants

Answer 45

provide info to support mothers with feeding infant

Question 46

supply meets demand system

Answer 46

if milk is removed from breast, more will be produced

Question 47

milk ejection reflex or let down reflex

Answer 47

a reflex that causes mom to produce more milk due to oxytocin
- baby crying, odors, etc

Question 48

lactogenesis 1

Answer 48

16-18 weeks

colostrum

Question 49

lactogenesis 2

Answer 49

with birth, progesterone levels drop sharply and placenta is removed

Question 50

lactogenesis 3

Answer 50

mature breast milk becomes established

Question 51

growth spurts

Answer 51

when baby grows - 24 to 48 hrs where baby drinks more

Question 52

feeding readiness cues

Answer 52

early signs of hunger

Question 53

Latch

Answer 53

placement of infant mouth over nipple to create a seal for adequate suction

Question 54

rooting reflex

Answer 54

mouth opening widely to latch

Question 55

demand feeding

Answer 55

infant determining feedings but needs 8 feedings still per day

Question 56

plugged milk ducts

Answer 56

occur bc of inadequate removal of milk due to tight clothing,

Question 57

mastitis

Answer 57

inflammation of the breast