Neonate Flashcards

(39 cards)

1
Q

Acrocyanosis

A

Cyanotic appearance of the newborns hands and feet in the immediate newborn period; Docks one point on apgar score;
ONLY normal in first 24 hours

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

AGA

A

Refers to the newborn: Appropriate for Gestational Age

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

Babinski’s Reflex

A

Stroke the plantar from heel upward and across the ball to the great toe; Expected response: toes fan and hyperextend with dorsiflexion of the great toe

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

Ballard tool

A

Physical/neurological assessment of the newborn; used to determine accuracy of gestational age

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

Barlow’s test

A

Assessment of newborn’s hips in which the hip is flexed and the the thigh is abducted as it is pushed posteriorly to the line of the femur’s shaft; used to detect hip dysplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Caput succedaneum

A

Edematous area on the newborn skull; most often evident on the occiput following vaginal delivery

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

Cephalohematoma

A

Unilateral swelling of the newborn head present within the first 3 days of life caused by collection of blood between the skull bone and periosteum

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

Colostrum

A

Thin, yellow breast milk seen in late pregnancy and first 1-3 days postpartum

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

Epispadias

A

Abnormal positioning of the urinary meatus on the dorsal (upper) side of the penis

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

Erythema toxicum

A

Newborn rash, often to face and trunk, characterized by pustules with red base; usually resolves spontaneously

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

Extrusion reflex

A

Outward protrusion of the newborn’s tongue when touched

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

Grasp reflex

-Palmer/plantar

A

Newborn’s finger/toes curl in response o examiner’s finger placed in the palm or ball of foot

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

Hyperbilirubinemia

A

Excess of serum bilirubin resulting from breakdown of rbc’s, leading to jaundice

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

Hypospadias

A

Abnormal positioning of the urinary meatus on the ventral (upper) side of the penis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Imperforate anus

A

Congenital defect in which the opening to the anus is missing or forms a blind pouch

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

Kangaroo Care

A

Positioning the newborn and mother skin-to-skin for added warmth

17
Q

Lanugo

A

Downy hair on arms, back, face of the newborn

18
Q

LGA

A

Large for Gestational Age

19
Q

Mastitis

A

Inflammation and infection of the breast

20
Q

Meconium

A

First newborn bowel movement; greenish-black and tarry

21
Q

Milia

A

Small white spots on the newborn nose caused by unopened sebaceous glands; disappear spontaneously

22
Q

Molding

A

Elongated shape of the newborn skull resulting from overriding cranial bones to facilitate passage through the birth canal

23
Q

Mongolian spot

A

Dark bluish spot that appears most commonly on the buttocks of dark-skinned newborns that gradually fade; may be mistaken as bruise

24
Q

Moro reflex (startle reflex)

A

Newborn symmetrically abducts arms with fingers spread to form a “C” before returning to flexed position; asymmetric response may indicate clavicle or brachial plexus injury

25
Polydactyly
Extra digit on hand or foot
26
RDS
Respiratory Distress Syndrome; due to immature lungs and usually lack surfactant
27
Rooting reflex
Turning of head and opening of the newborn mouth elicited by stroking lower lip or cheek
28
SGA
Small for Gestational Age
29
Syndactyly
Webbing between the fingers or toes
30
Tonic neck reflex
Infant's head turned to left, arm/leg on that side extend; same is true when head turned to right
31
Trunk incurvation reflex
With the infant in prone position, stroke along one side of the spine; infant will curve body toward that side
32
Newborn VS
Axillary temp: 97.7-98.6 F (decreased sign of sepsis) Auscultate apical for full min: 110-160 bpm (report if resting pulse is 160) RR: 30-60 (report if RR 60)
33
Neonate Period
From birth through the first 28 days life | Transitions from intrauterine to extrauterine life
34
Focus nursing care on neonate
- Maintaining body heat - Maintaining RR - Decreasing risk for infection - Assisting parents in providing appropriate nutrition and hydration - Assisting parents in learning to care for their newborn
35
Signs of respiratory distress in neonates
- Cyanosis -Hypotonia - Abnormal pattern (apnea/tachypnea) - Retractions of the chest wall - Grunting - Flaring Nostrils
36
2 major respiratory risk factors
1. Decreased surfactant levels R/T immature lungs | 2. Persistent hypoxemia & acidosis that leads to constriction of pulmonary arteries
37
Ductus Venosus
Connects the umbilical vein to the inferior vena cava; closes by day 3 of life and becomes a ligament; Blood flow through the umbilical vein stops once the cord is clamped
38
Foramen Ovale
An opening between the right atrium and left atrium, closes when the left atrial pressure is higher than the right atrial pressure Significant neonatal hypoxia can cause a reopening of the foramen ovale
39
Ductus arteriosus
Connects the pulmonary artery with the descending aorta Closes within 15 hours post-birth Remains open if lungs fail to expand or PaO2 levels drop