Module 6 (Exam 1) ****2**** Flashcards Preview

Semester Three - Half Two - Nursing 212 > Module 6 (Exam 1) ****2**** > Flashcards

Flashcards in Module 6 (Exam 1) ****2**** Deck (31)
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1

12-24 hour Neonatal Stool

meconium stools: viscous, greenish-black

2

2nd to 3rd day Neonatal Stool

transitional stools: thin, brown to green

3

Breastfeeding infant Stool

large, loose, yellow, frequent, non-irritating to skin

4

Formula feeding infant Stool

yellow, formed, pasty, irritating to skin

5

Preferred site for safe neonatal injection

Middle third of the vastus lateralis muscle

6

Care of umbilical cord

  • Assess stump and base of cord for edema, inflammation, purulent drainage
  • Note of cord clamp is on/off
  • Clamp usually stays on 24 hours after birth

7

Nursing care associated with cicumcision

  1. Assess per protocol for hemorrhage
  2. Observe for voiding
  3. Observe for S&S of infection
  4. Observe for restlessness, poor feeding

8

Convection

Heat transfer VIA air currents

9

Radiation

Heat transfer from warmer to cooler places

10

Evaporation

Heat loss as moisture dries

11

Conduction

Heat loss VIA direct contact with cooler objects

 

12

Risk factors: Impaired Thermoregulation

  1. Large body surface to body mass ratio
  2. Head is 1/4 total body size (compared to 1/8 for adult)
  3. Head circumfrance is 32-38cm
  4. Head circumfrance is 2-3cm>chest circumfrance

13

Normal characteristics of neonatal respirations

  • Rapid
  • Shallow
  • Irregular
  • Periodic

14

Periodic breathing

5-10 second pauses in respiratory effort followed by 10-15 seconds of rapid respirations

15

What does grunting mean?

Respiratory distress. Grunting is the neonate's way of holding on to the breath for longer

16

What does flaring of nares mean?

Respiratory distress

17

Which form of cyanosis signifies respiratory distress?

Circumoral/central

18

What do persistent crackles on auscultation signify?

Possible respiratory distress - fetal lung fluid incompletely reabsorbed

19

Circumoral Cyanosis

blue coloration around mouth. Concerning alert for respiratory distress

20

Anterior frontanels

Soft, flat, diamond shaped

Closes between 12 and 16 months

21

Posterior frontanels

Soft, flat, triangle-shaped

Closes between2 and 3 months

22

Molding

Asymmetry of cranial bones due to birthing

Resolves rapidly and without consequence

23

What purpose do frontanels serve?

  1. Brain growth
  2. Molding

24

Caput succedaneum

  • Localized edema over vertex (back of head)
  • Develops over 1st 24 hours
  • Normal

25

Cephalohematoma

  • Bleeding between skull and peristerum (tissue surrounding bone)
  • Develops slowly over the first 24 hours
  • Generally located over parietal bones or vertex
  • Can not cross suture lines
  • Concerning
  • Jaundice

26

Milia

Immature sebaceous glands on the forehead, nose, chin

normal, goes away on own

27

Erythema Toxicum

  • diffuse, red blotchy areas with raised, white centers
  • usually on face, trunk, shoulders, back, legs
  • No lotions for a few weeks
  • Resolves on its own

28

Blue-Gray Maculae

  • Highly pigmented areas
  • Usually on shoulders, buttocks, sacral area
  • Usually fade; sometimes go away completely (but not always)

29

Nevus Simplex/Telangiectatic Nevi

  • "Stork bites"
  • Dilated capillaries
  • Usually on eyelids, glabella, nape of neck, small of back
  • Don't always go away but usually fade

30

Vernix Caseosa

  1. Cremy, protective covering inutero
  2. FT infant presents with very little vernix (in skin creases only)

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