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NBS Boards 2 Associated Clinical Science > Neonate > Flashcards

Neonate Flashcards

1
Q

Exam

A

APGAR

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2
Q

APGAR

A
  • done 1 minute after birth and 5 minutes after birth
  • Appearance (color), Pulse (heart rate), Grimace (irritability), Activtiy (muscle tone), Respiration

-2 points each (10 points total = perfect score)

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3
Q

Infant

  • pulse
  • BP
  • Respiration
  • temperature
A

Pulse 120-160
BP 60-90/30-35
Respiration 25-40
Temp 99

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4
Q

Toddler

  • pulse
  • BP
  • Respiration
  • temperature
A
  • pulse 80-130
  • BP 70-80/45-65
  • Respiration 20-35
  • temperature 98.6
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5
Q

School age

  • pulse
  • BP
  • Respiration
  • temperature
A
  • pulse 70-110
  • BP 90-110/50-70
  • Respiration 15-25
  • temperature 98.6
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6
Q

Adolescent

  • pulse
  • BP
  • Respiration
  • temperature
A
  • pulse: 60-100
  • BP 95-130/60-80
  • Respiration 10-20
  • temperature 98.6
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7
Q

Adult

  • pulse
  • BP
  • Respiration
  • temperature
A
  • pulse 50-90
  • BP 110/70
  • Respiration 15-20
  • temperature 98.6
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8
Q

Birth weight

A

Normal = greater than 2500 grams

Preemie = <2500 grams, <37 weeks, smoker, “extension”, ears not rolled out (decreased cartilage)

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9
Q

Meconium

A

Fetus feces

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10
Q

Vernix Caseosa

A

Cheesy, sticky, lotion

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11
Q

Lanugo

A

Soft hair

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12
Q

Cephalhematoma

A

Unilateral bruise from suction cups

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13
Q

Caput succedaneum

A

“Cap = B/L = crosses sutures”

From delivery suction cups

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14
Q

Anterior fonanelle closes

A

18 months to never

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15
Q

Posterior fontanelle closes

A

2 months

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16
Q

Pyloric stenosis

A

Projectile vomiting, RUQ olive mass, “string sign” on X-ray (pyloric channel)

17
Q

Jaundice

A

Less than 24 hours is life threatening

More than 3 days is self limiting

18
Q

Cradle cap

A

Infant seborrheic dermatitis

19
Q

Infant supplementation

A

Iron - human milk is low, helps RBC’s

Vitamin D - muscle/bone integrity

Zinc - deficient in preemies, helps protein synthesis

Vitamin A - kids low more likely to die from measles

20
Q

Grasp reflex

A
  • primitive reflex

- MOST primitive reflex

21
Q

Suckling

A
  • primitive reflex

- tap under lip and baby purses lips (disappearance variable but often soon after birth)

22
Q

Rooting

A
  • primitive reflex

- touch cheek, turn toward stimulus (disappears within 3-4 months )

23
Q

Tonic neck

A
  • present at birth
  • lay the baby supine, turn their head, arm and leg extend on the ipsilateral side, flex on the contra lateral side
  • disappears within 2-6 months
24
Q

Moro’s

A

Startle and acoustic reflexes

  • baby raises arms bilaterally in response to loud noise or light change (disappears in 4-6 months)
25
Q

Babinski’s

A

Stroke ball of foot and dorsiflexion occurs, normal for up to 2 years

26
Q

Chvostek’s

A

Tap the cheek
Test for tetany (CN VII)

Positive for calcium balance problem

27
Q

Erb-Duchene

A

Upper

  • internal rotation and addiction of shoulder
  • waiters tip
28
Q

Djerine-Klumpke’s

A
  • lower
  • elbow flexed and pronates with wrist flexed
  • occasionally accompanies with claw hand or horner’s syndrome

NBS Boards 2 Associated Clinical Science (17 decks)

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