Well Newborn

Question 1

The first breaths of air initiate a sequence of events that

Answer 1

empties airways of fluid

Question 2

Intrauterine development: the lungs are filled with fetal lung fluid produced by the pulmonary epithelium which stretches the lung tissues and stimulates growth of

Answer 2

alveoli

Question 3

what coats the inner surfaces of the alveoli and is critical for stability

Answer 3

liproprotein

Question 4

when is liproproteins peak production

Answer 4

35 weeks.

Question 5

what do you give if baby lungs are before 35 weeks

Answer 5

betamethasone (24-34 weeks)

Question 6

what closes 30 m to two hours PP

Answer 6

foramen ovale

Question 7

ductus arteriousus closes due to elevation of systemic vascular pressure when?

Answer 7

18 hours to 3 weeks. murmurs past this point are an anomaly

Question 8

where do you feel baby pulses

Answer 8

femoral or brachial since pedal may be difficult to assess

Question 9

RR of NB

Answer 9

30-60

Question 10

why are babies obligatory nose breathers

Answer 10

high position of the epiglottis, position of the soft palate, feed without choking

Question 11

prenatal and postnatal hemmorrhage can lead to

Answer 11

decreased hematocrit level and could lead to hypovolemia

Question 12

2 vessel cord usually means

Answer 12

fetal abnormalities KIDNEY

Question 13

Heat loss. Air conditioned room

Answer 13

convection

Question 14

Heat loss: transfer of body heat to indirect surface/objects

Answer 14

radiation

Question 15

Heat loss: due to being wet from amnionic fluid

Answer 15

evaporation. PRIMARY HEAT LOSS. DRY BABY

Question 16

Heat loss: direct contact with cold object

Answer 16

conduction

Question 17

Page 8 poop and pee

Answer 17

study

Question 18

strong and lusty cry

Answer 18

normal

Question 19

high pitched/shrill cry

Answer 19

hypoglycemia or neuro

Question 20

inconsolable cry

Answer 20

GI, feeding intolerances

Question 21

weak or absent cry

Answer 21

CNS or laryngeal disorder

Question 22

how do you suction

Answer 22

mouth then nose

Question 23

APGAR (page 14 of outline)

Answer 23

Appearance, PUlse, Grimace, Activity, Respiration

Question 24

hands and feet blue and body pink

Answer 24

acroycyanosis

Question 25

pattern of dilated blood vessels under skin

Answer 25

mottling

Question 26

deep red color develops over one side of the body and the other remains pale

Answer 26

harlequin sign (clown)

Question 27

jaundice AFTER 48 hours

Answer 27

physiological. Likely due to RH/ABO incompatability

Question 28

jaundice before 24 hours

Answer 28

pathological

Question 29

erythema toxicum

Answer 29

newborn rash

Question 30

exposed sebaceous glands, white spots on face, especially nose

Answer 30

milia

Question 31

pale pink or red spots on NB. Commonly found on eyelid, nape of neck

Answer 31

stork bite

Question 32

bluish black or gray, resembles bruises, buttocks and back, asians, hispanics, blacks

Answer 32

mongolian spots

Question 33

red to purple area, does not fade, grow, or blanch. common on face and does not disappear, may be surgically removed

Answer 33

port wine stain

Question 34

dark, red and raised with rough appearance. grows rapidly in size after birth, disappears after 1-3 months

Answer 34

straberry

Question 35

when does anterior fontanel close

Answer 35

within 18 months

Question 36

when does posterior fontanel close

Answer 36

8-12 weeks