12, 13, 14 - TERM, PRETERM, POSTTERM, INJURY/MALFORMATION: Key Points Flashcards

1
Q

Assessment of the newborn includes (5)

A
  1. Gestational age
  2. Weight and Length
  3. Reflexes
  4. System assessment
  5. Bonding with parents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Heat loss occurs in the newborn via (4)

A
  1. Conduction
  2. Convection
  3. Evaporation
  4. Radiation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

3 Reflexes the newborn is born with

A
  1. Moro
  2. Rooting
  3. Tonic Neck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Standardized method of evaluating the newborn’s condition (at 1 and 5 minutes after delivery)

A

Apgar Score

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Apgar Score: 5 objective signs measured

A
  1. HR
  2. Respirations
  3. Muscle tone
  4. Reflexes
  5. Color
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Most critical period for the newborn

A

First hour of life (change from life within uterus > life outside uterus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Physiological Jaundice becomes evident after (1) ___, and lasts for about (2)__.

A
  1. the second and third days of life

2. 1 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The newborn must be kept warm because of an unstable ____

A

heat-regulating system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Kidneys function at birth, but ___

A

they are not fully developed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T/F: The newborn’s immune system is not fully activated

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A cheese-like substance that covers the skin of the newborn at birth

A

vernix caseosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

First stool of the newborn

A

meconium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Meconium is a mixture of ____

A

amniotic fluid and secretions of the intestinal glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The stools change in color from __, to __, to __.

A
  1. tarry greenish-black
  2. greenish-yellow
  3. yellow-gold
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Greenish-yellow stool is called

A

transitional stools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Yellow-gold stool is called

A

milk stools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

___ is essential for preventing infection in newborn infants

A

Proper hand washing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Hydration status of newborns can be evaluated by (4)

A
  1. Number/Consistency of Stools
  2. Frequency of Voiding
  3. Appearance of Sunken Fontanelles
  4. Tissue Turgor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Normal infant will lose about ___ of the birth weight in the first few days of life

A

10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The normal infant will return to the birth weight by the age of ___

A

10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Spaces between the skull bones of the newborn that *allow for molding, and *provide space for the brain to grow

A

fontanelles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Known as “soft spots” on the infant’s head

A

fontanelles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Edema of the infant’s scalp that occurs during the birth process

A

caput succedaneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A collection of blood under the periosteum of the cranial bone; the swelling does not cross the suture lines of the skull bones

A

cephalohematoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Goal of the infant bath

A

cleanse the skin and assess the newborn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Discharge teaching begins

A

before birth (and continues to discharge date)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Discharge teaching includes (4)

A
  1. Infant Care
  2. Follow-up visits
  3. Evaluation of Support Systems
  4. Use Car Safety Seats
28
Q

Every week in utero, up to __ __ gestation is important for optimal fetal development

A

39 weeks

29
Q

Early identification of the high-risk fetus facilitates (2)

A
  1. Treatment

2. Nursing Care

30
Q

Studies show that there is a relationship between prematurity and (5)

A
  1. Poverty
  2. Smoking
  3. Alcohol
  4. Narcotics
  5. Lack of Prenatal Care
31
Q

Preterm infants have poor __ __ and less __ __ than full-term infants

A

Poor muscle tone

Less subcutaneous fat

32
Q

Preterm infants have more __ and __ than full-term infants

A

vernix and lanugo

33
Q

The preterm infant is observed for (3)

A
  1. Jaundice
  2. Low O2 Sat Levels
  3. Unstable VS
34
Q

The intake and output of all preterm infants is monitored

A
35
Q

The care of preterm infants is Organized and “Clustered” to minimize __ and __

A

Handling and Stimulation

36
Q

__ __ are used to provide an enclosed space for preterm infants

A

Blanket rolls

37
Q

Nurses support parents and encourage __ in care

A

participation

38
Q

RDS has a high (1)__ rate, and may precipitate (2)____

A
  1. mortality

2. long-term effects

39
Q

Lack of oxygen on the cellular level

A

Hypoxia

40
Q

Decreased oxygen in the circulating blood

A

Hypoxemia

41
Q

Problems associated with prematurity include (7)

A
  1. Asphyxia
  2. Meconium Aspiration
  3. Hypoglycemia
  4. Hypocalcemia
  5. Hemorrhage from fragile vessels
  6. Poor resistance to Infection
  7. Inadequate Nutrition
42
Q

Hypoglycemia is defined as glucose level

A
43
Q

Hypoglycemia is defined as glucose level

A
44
Q

Cold Stress is to be avoided. _____ is essential for the preterm newborn’s survival.

A

Heat or Thermoregulation

45
Q

Nursing Goals in caring for the preterm newborn (7)

A
  1. Improve Respiration
  2. Maintain Body Heat
  3. Conserve Energy
  4. Prevent Infection
  5. Nutrition/Hydration
  6. Skin Care
  7. Support/Encourage parents
46
Q

Kangaroo care promotes stabilization of the infant, as well as __ __ __

A

enhancing later development

47
Q

A disorder of the developing retina that can lead to blindness in the preterm infant

A

Retinopathy of prematurity

48
Q

The postterm newborn is born after __ weeks of gestation

A

42 weeks (Postterm)

49
Q

The postterm newborn shows certain characteristics that place the infant at risk, such as (3)

A
  1. Hypoxia
  2. Poor Nutritional Stores
  3. Polycythemia
50
Q

The post term newborn has little lanugo and vernix, and the skin is _____

A

dry and peeling

51
Q

The nurse manages communication between __ and ___, to meet the needs of the *newborn with congenital problems and of *their family

A

*parents and the *multidisciplinary health care team

52
Q

Measuring __ is important in infants with hydrocephalous

A

head size

53
Q

Congenital embryonic neural tube defect in which there is an imperfect closure of the spinal vertebrae

A

spina bifida

54
Q

____ supplementation during the early weeks of pregnancy can prevent neural tube defects

A

Folic Acid

55
Q

Postoperative nursing care of the infant with a cleft lip, includes preventing _____.

A

the infant from sucking and crying

56
Q

Post-Op: Sucking and crying could impair ___

A

healing of the suture line

57
Q

Newborns feel pain. Adequate pain control after (2) is essential

A
  1. invasive procedures

2. surgery

58
Q

Used to treat developmental hip dysplasia; encircles the waist and extends to the ankles or toes

A

spica cast

59
Q

A positive __ test and __ sign are indicative of developmental hip dysplasia

A
  • Barlow’s test

- Ortolani’s sign

60
Q

Newborn infants are routinely screened for ___

A

phenylketonuria

61
Q

Formula used for infants with phenylketonuria

A

Lofenalac

62
Q

Given to an Rh-negative mother after delivering an Rh-positive fetus to prevent maternal Rh sensitization

A

RhoGAM

63
Q

Hyperbilirubinemia results from ______

A

rapid destruction of RBCs

64
Q

Jaundice that occurs in the first 24 hours of life is considered __

A

pathological

65
Q

Distinguishing pathological jaundice from physiological jaundice can facilitate (1)__ __ , and prevent (2)__ __.

A
  1. early intervention

2. serious complications

66
Q

Condition in which the infant is LGA and usually occus in infants of diabetic mothers

A

macrosomia

67
Q

Blood vessels within the skull are broken, and there is bleeding in the brain

A

intracranial hemorrhage