Test 2- Ch. 5 Assessment of the Neonatal and Infant Patient Flashcards

1
Q

The infant’s tongue is proportional ________ than adults

A

larger

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2
Q

The epiglottis of the infant is

A
  • proportionally larger
  • less flexible
  • omega-shaped
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3
Q

The diameter of the trachea above the carina is roughly ___ mm at birth, compared to ___ mm in adult

A

4mm;
16 mm

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4
Q

Neonates have a large amount of skin surface area relative to their body weight proportional to size and weight

A

!

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5
Q

The large surface area makes the neonate particular prone to what?

A

heat loss and often susceptible to cold stress

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6
Q

How much percentage of the neonate’s total body weight is water?

A

80%

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7
Q

The metabolic rate in neonates and infants is higher that in aduts

A

!

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8
Q

The purpose of the physical assessment is just that to determine how well the…

A

extra-uterine transition is taking place

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9
Q

History includes

A
  • Obstetric history
  • Pregnancy History
  • Labor and Delivery History
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10
Q

What is Lanugo and when does it appear?

A

Fine, downy hair that covers the fetal body;
Around week 26 and covers the thorax, head, and extremities

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11
Q

Examination of the ______ of the external portion of the ear, is helpful in determining gestational age

A

pinna

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12
Q

Deep creases of wrinkles appear on the sole of the foot beginning at the anterior end near the toes and proceeding to the heal

A

IMPORTANT

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13
Q

The creases appear as faint red lines at which week

A

26

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14
Q

At ___ weeks, the creases have covered the anterior portion of the foot

A

30

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15
Q

By 34 weeks….

A

2/3 of the sole is covered w/ creases

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16
Q

By term the entire sole is covered by

A

deep creases that are readily apparent

17
Q

Appropriate for gestational age (AGA)

A

80% of all neonate needs are within normal range

18
Q

Small for gestational age (SGA)

A

Below 10th percentile

19
Q

Large for gestational age (LGA)

A

Above 90th percentile

20
Q

During a quiet examination, what do you observe?

A
  • Color
  • Skin and lanugo
  • Activity
  • Overall look
  • Respirations
21
Q

Hands-on examination includes

A
  • Inspect head and mouth
  • Auscultate chest/ heart and lungs
  • Evaluate pulses
  • Measure BP
  • Palpate abdomen