Unit 5 Care Of Newborn

Question 1

Acrocyanosis

Answer 1

Is bluish color color of hands and feet of a newborn that is normal and is caused by sluggish peripheral circulation.

Question 2

Fontanelles

Answer 2

Are unossified spaces or soft spots on the cranium of the infant. They protect the head during delivery by permitting the process of molding.
2 types:
Anterior: diamond-shaped area formed by the intersection of four sutures (frontal, sagittal and two coronal.
Posterior: tiny triangular depression formed by the intersection of three sutures (one sagittal and two lambdoid)
Along with the sutures, these fontanelles allow for the fetal head to change shape as it passes through the pelvis.

Question 3

Molding

Answer 3

The head maybe out of shape due to the molding. The molding is the conforming of the fetal head to the size and shape of the birth canal

Question 4

Cephalohematoma

Answer 4

Cephal= head
Hemato= blood
Toma= tumor
This can protrude from beneath the scalp. It is a condition caused by a collection of blood beneath the periosteum of the cranial bone.
Does not cross the suture lines.

Question 5

Caputsuccedaneum

Answer 5

Swelling of the soft tissue of the scalp.

Crossed the suture lines.

Question 6

Rooting Reflex

Answer 6

Causes the infants head to turn in the direction of anything that touches the cheek, in anticipation of food.

Question 7

Moro Reflex

Answer 7

Where the infant draw their legs up and the arms fan out and then come toward midline in an embrace position. This is a normal response to movement.

Question 8

Circumcision

Answer 8

Is the surgical removal of the foreskin on the penis.

Question 9

Vernix Caseosa

Answer 9

A cheese like substance that covered the skin of the newborn, is made of cells and glands secretions. It protects the skin from irritation and the effects of a watery environment in utero.

Question 10

Milia

Answer 10

White pinpoint pimples caused by the obstruction of sebaceous glands that are seen on the nose and chin. These will disappear within a few weeks.

Question 11

Epstein’s pearls

Answer 11

Lesions on the midline of the hard palate of the infants mouth. Caused by a collection of epithelial cells.

Question 12

Stork Bites

Answer 12

Aka telangiectatic nevi

Are flat, red areas seen on the nape of the neck and on the eyelids. They result from the dilation of small vessels.

Question 13

Mongolian spots

Answer 13

Are blueish discoloration of the skin, are common in infants of African American, Native American and Mediterranean descent.
Found over the sacral and gluteal areas. They disappear during the early years of life.

Question 14

Palmar Grasp Reflex

Answer 14

If you place an object in the infants hand it will grasp it tightly.
Plantar reflex involves curling of the toes when pressure is applied to the sole of the foot.

Question 15

Meconium

Answer 15

The first stool, it is mixture of amniotic fluid and secretions of the intestinal glands. It is dark, greenish black, thick and sticky like tar. Passes 8-24 hours after birth.

Question 16

Gestational age

Answer 16

Refers to actual time, from conception to birth, that the fetus remains in the uterus.

Question 17

Jaundice

Answer 17

Also called icterus. The infants liver is immature when born.
It causes the skin and the whites of the eyes to assume a yellow-orange cast. The liver is unable to clear the blood of bile pigments that result from the normal postnatal destruction of red blood cells.

Question 18

Lanugo

Answer 18

Seen on post-term infants

Downy hair

Question 19

Neonate

Answer 19

Newborn

Question 20

APGAR

Answer 20

Score that is standardized method of evaluating the newborns condition immediately after delivery.
5 objective signs are measured:
A=Appearance P=Pulse G=Grimace A=Activity R=Resp Effort
Obtained 1 min and after birth and again at 5 mins

Question 21

Cryptorchidism

Answer 21

Undescended testes.

Testes of the male at birth and remain in the abdomen and do not descend into the scrotum.

Question 22

Ophthalmia Neonatorum

Answer 22

Caused by Neisseria gonorrhoeae. Pink eye which is treated by erythromycin ointment.

Question 23

Gestation

Answer 23

The process of carrying or being carried in the womb between conception and birth.

Question 24

Foreskin

Answer 24

Ring of tissue that’s covers the penis. The tissue is loose and retractable to show the glans.

Question 25

Pseudomenstruation

Answer 25

Withdrawals of hormones received from mother by a female infant.

Question 26

Mottling

Answer 26

Occurs when the baby’s skin looks blue or pale and blotchy. There could be bluish marbled or weblike pattern to the skin.

Question 27

Nystagmus

Answer 27

Is an involuntary, rapid and repetitive movement of the eyes.

Question 28

Port Wine Stains

Answer 28

Type of birth mark on skin at birth. Start out pinkish at birth then become darker as the infants grows.

Question 29

Ruddiness

Answer 29

A high concentration of red blooded cells that causes hyper viscosity and may slow blood flow through small vessels.
Most newborns dont have symptoms but can be ruddy or dusky in color and are lethargic(sluggish), feed poorly can have seizures.

Question 30

Strawberry Hemangioma

Answer 30

A red birth mark named for its color. The red tinge comes from a collection of blood vessels close to the skins surface. Most commonly occurs in infants.

Question 31

Strabismus

Answer 31

Condition in which the eyes do not properly align with each other when looking at an object.

Question 32

Thrush

Answer 32

Commons but not life threatening.
A type of yeast infection that typically appears as white or yellow, irregularly shaped patch or sores that coat the infants gums and tongue. Caused by a yeast or fungus can Candida albicans.

Question 33

Lacrimal Structures

Answer 33

Become functional at 2 months so infants cry’s are tearless as first.

Question 34

Vision of Newborn

Answer 34

Is poor at first but they can see shapes, sizes, colors and patterns. Eye color will be established by 3 months but can change up to 1 year.