Clinical Reasoning and Newborn Exam II Flashcards Preview

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Flashcards in Clinical Reasoning and Newborn Exam II Deck (36):
1

components of info from mother

prenatal care
previous pregnancies
health of other children
complications
family history genetics
lab finding (group B strep)

2

central cyanosis

entire body

3

acrocyanosis

only of extremities

4

harlequin skin

one side red one side not

unknown cause
of no consequence
goes away

5

newborn temp

36.5-37.5 C

6

newborn resp

30-60 breaths/min

7

newborn HR

100-160 bpm

8

newborn vitals

temp
resp
HR
length, weight, head circumference

9

APGAR

at one minute and 5 minutes

appearance, pulse, grimace, activity, respiration

scored 0-10

10

baby problems

typically respiratory

11

caput succedaneum

edema above periosteum which crosses suture lines

just watch it, should reabsorb

12

cephalohematoma

bleeding under periosteum
-does not cross suture lines

13

edema crossing suture lines

caput succedaneum

14

choanal atresia

failure of communication between nose and pharynx

difficulty breathing and cyclic cyanosis

can pass feeding tube to check

15

eye exam

look for red reflex

symmetry, set/shape, discharge, erythema, red light reflex

16

cataract in eye

retinoblastoma
galactomsemia

17

epstein pearls

white dots in mouth

not infection

18

cleft palate and lips

look for other abnormalities

19

neck

palpate clavicles
-for fracture after hard delivery

20

cardiac exam

min of 4 spots

dextrocardia - listen on right side

also check femoral pulses

21

meconium stained umbilical cord

meconium in amniotic fluid

can get sucked into lung

need resuscitated right away

22

umbilical hernias

will typically go away

sometime surgically removed

23

exam of back

sacral dimples
abnormal coloration
neurotube defect findings

24

spina bifida

no external

sacral hair

25

sacral dimple

used to need justification on MRI that things are fine

-now just monitor carefully

26

butterfly mark

vascular problems
-need to be investigated

27

barlow test

hips

push up and in

28

ortolani test

hips

down and out

29

subcoronal hypospadias

near head of penis

30

midshaft hypospacias

along shaft of penis

31

penoscrotal hypospadias

where penis and scrotum meet

32

combined ventricular output

CVO

cardiac output with fetal circulation

40% to umbilical placental circulation

20-30% to fetal brain

33

ductus arteriosus

patency maintained by prostacyclin I2 (PGE2)

34

after birth - lung compliance improves

because of surfactant

35

after birth and glucose

gluconeogenesis and glycogenolysis maintain levels


glycogenolysis - end of 3rd trimester

36

neonatal seizures

can be suttle
-flickering of eyes
-result of hypoglycemia

-common cause is problem in glucose transition

-or insulomas