Week 2 (Newborn) Flashcards

Question

**What are the 4 modes of heat loss?** | **KNOW THIS!!!!**

Answer 1

* **Convection** * **Radiation** * **Evaporation** * **Conduction**

Answer 2

**the flow of heat from the body surface to COOLER AIR** * keep babies away from open windows & colder environments ## Footnote * Warm body heat is lost to a source of cooler air **CO**nvection = **CO**ol (air)

Answer 3

**Loss of heat from the patient's body to the environment** * window, fan, AC, natural drafts, & cold walls - keep baby away from cooler sources ## Footnote * Body heat is lost due to a cooler object nearby

Answer 4

**Heat loss from liquid turning to vapor** * cold with the wetness -- must *dry off baby immediately after birth!* ## Footnote * moisture from the skin & lungs is lost to the air

Answer 5

**Loss of heat from the BODY SURFACE to COOLER SURFACES in direct contact** * Cold changing tables, medical instruments, & surfaces the baby's body will touch * **PREVENT:** keep infants partially covered on a warm surface during exams or diaper changes **&** warm stethoscopes & other instruments before putting them on the baby ## Footnote Con**D**uction **= D**irect

Answer 6

**Generation of heat** * babies do NOT shvier

Answer 7

**A dark-colored adipose tissue with many blood vessels involved in the rapid production fo heat in babies**

Answer 8

**Should void by 24 hours of life** * day 1 = 1 void * day 2 = 2 void * etc.

Answer 9

**the first BM of the newborn** * dark

Answer 10

**maternal insulin**

Answer 11

**2 hours**

Answer 12

**Continuous quivering or shaking** * stop with gentle restraint

Answer 13

**Sudden, uncontrolled electrical disturbances in the brain** * do not stop with restraint **S/S:** * eye deviation * staring * apnea * high HR * increased salivation

Answer 14

**Jaundice**

Answer 15

**From increased bilirubin** * surplus of RBCs * 60 - 80% of babies

Answer 16

**Infants nursing infrequently or inefficencly are at risk for elevated bilirubin levels** * decreased calories * dehydration * delayed meconium stooling

Answer 17

Occuring in the breastfed infant * **breastmilk PREVENTS bilirubin breakdown**

Answer 18

caused by **ABO incompatability**

Answer 19

**Inflammation of the chorion & amnion (amniotic sac)**

Answer 20

**waxy or "cheesy" white substance found coating the skin of newborns** * keep on skin = protection

Answer 21

**Temporary cyanotic condition, usually in newborns resulting in a bluish color around the lips, hands, & fingernails, feet, & toenails** * may last for a few hours & disappears with warming

Answer 22

**A bluish discoloration around the mouth**

Answer 23

An evaluation of a newborn infant's physical status **performed at 1, 5,** 10 minutes & every 5 minutes until 20 minutes; snapshot in time * **7 - 10 = no difficulty** * **4 - 6 = moderate difficulty** * **0 - 3 = distress**

Answer 24

**Head Circumference**

Answer 25

**Prevents gonorrhea transmission from mother to baby** * **erythromycin 0.5 - 1 mg within 1-2 hours** * do NOT wipe it off

Answer 26

**Given to prevent hemorrhage because the baby's gut is sterile** * aquamephyton 0.5 - 1 mg

Answer 27

**Given at birth, 1-2 months, 6-18 months** *OR* * HBIG for positive mom's to prevent transmission

Answer 28

* family history -- htn, DM, preeclampsia, infection * how was delivery * **how long was mom ruptured? -- if over 18 hrs = risk of infection**

Answer 29

**18+ hours**

Answer 30

**Appropriate for Gestational Age** ## Footnote * 50th percentile

Answer 31

**Large for Gestational Age** ## Footnote * 90th percentile

Answer 32

**Small for Gestational Age** ## Footnote * 10th percentile

Answer 33

**before 37 weeks**

Answer 34

**34 - 36 weeks**

Answer 35

**39 - 40 weeks**

Answer 36

**After 42 weeks**

Answer 37

**Infant born after 42 weeks gestation**

Answer 38

**Test used to estimate gestational age** * based on 6 neuro & 6 physical criteria * done by 12 hours of life

Answer 39

**Newborn rash** ## Footnote * normal finding

Answer 40

**"Storke Bite", pink red capillary on face or neck**

Answer 41

**Small raised white spots on the nose, chin, & forehead**

Answer 42

**When baby's cheek is rubbed the baby will automatically turn TOWARD the stimuli**

Answer 43

**Startle reflex**

Answer 44

**Infant grasps your finger when you place it in their palm**

Answer 45

**Infant reflex where if you stroke their foot, the baby's toes fan OUTWARD**

Answer 46

**Infant lies in a "fencing position"** * may prepare infant for involuntary reaching

Answer 47

**Body curves toward side of trunk that is stroked**

Answer 48

Reflex that causes newborn babies to make **little stepping motions if they are held upright with their feet just touching a surface**

Answer 49

**Newborn's instinct to move toward the nipple & suckle**

Answer 50

**12 - 18 months**

Answer 51

**2 - 3 months**

Answer 52

**Soft tissue dependent edema of the scalp** * will resolve in the first week of life * NORMAL FINDING * **edema crosses the suture line**

Answer 53

**Bleed that does NOT cross suture lines** * independent edema

Answer 54

**Bleeding into the subgaleal compartment** * shock * high mortality

Answer 55

**30 - 60 BPM**

Answer 56

**A single straight palmar crease** * abnormal finding associated with Down Syndrome

Answer 57

**Sac of clear fluid in the scrotum**

Answer 58

**Abnormal congenital opening of the male urethra on the UNDERSURFACE of the penis**

Answer 59

**Asses O2 on R hand (preductal), L foot > 95% AND difference should be < 3%** * > 3% is abnormal and indicative of CCHD

Answer 60

**Given to babies during circumcision to stimulate opioid receptors**

Answer 61

* Yellow exudate after circumcision -- do NOT remove * Have they voided? ## Footnote *Types:* 1.) gomco 2.) mogen 3.) plastibell