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Flashcards in Neonate video Deck (34):
1

What is the ear finding that can distinguish term from preterm?

Cartilage will be fully developed in the term infant, and will cause the ear to bounce back

2

What foot findings can distinguish term from preterm?

Wrinkles increase with gestational age

3

What is lanugo?

Fine, white hair that preterm infants may have--this usually is shed before birth

4

What is the relationship of muscle tone with the term of the infant?

Closer to term they are, the more tone they have

5

What skin findings may indicate preterm infants?

Translucent skin

6

What skin findings may indicate postterm infants?

Cracked, peeling skin

7

What genital findings may indicate preterm infants?

Males = undescended testes

Females = prominent labia minora

8

When should meconium pass? If this does not occur, what pathology may this indicate?

Within 24 hours AFTER birth

Early passage = some stressor to the baby

Failure to pass may indicate Hirschsprung's disease

9

What is the concern with meconium passing prior to birth? How can you tell if this is happening?

Aspiration
If infant is crying = okay. If not, need suction

10

What is the appropriate suction tool for meconium aspiration?

ET tube suctioning

11

What does it mean if you are able to suction meconium out of the trachea? What should be done if this occurs?

Not yet aspirated
Suction again until they breathe

12

What are the three major steps after birth?

-Vigorous drying
-Auscultate the heart
-Suction if needed

13

Why must you vigorously dry the infant after birth?

Stimulates breathing

14

What is the best way to communicate the heart rate to the medical team?

Tap it out

15

What is the best place to find the pulse in a newborn?

Umbilical stump

16

How do you suction appropriately (mouth or nose first)? Why?

Mouth first, then nose

Want to clear mouth first so there is less of a risk of aspiration

17

What should be done after suctioning?

Change blanket

18

How do you fold the blanket for an infant?

Tight wrap + hat

19

When does APGAR scoring begin?

1 minute into life

20

What are the components of the APGAR score?

Appearance/activity
Pulse
Grimace
A
Respirations

21

True or false: the APGAR scoring system is used to determine the need for intervention

False-- should not preclude interventions if necessary

22

What must be done if there are points taken off of the APGAR score? What is the one exception to this rule?

Appropriately address the issue that caused it

Acrocyanosis does not indicate the need for intervention

23

What are you assessing for with the appearance of the APGAR score?

Color

24

Red color of the baby indicate what point on APGAR? Blue in the extremities? Fully blue?

Red = 2
Blue = 1 or 0

25

What is the normal pulse rate for a newborn?

100-160

26

What does a 2 and 1 point indicate on the APGAR scoring system?

Greater than 100 = 2
Less than 100 = 1
No pulse = 0

27

What is an appropriate intervention for bradycardia?

Vigorous drying

28

What is a 0, 1, and 2 for the grimace section?

0 = none
1 = not responding appropriately to stimuli
2 = crying loud and proud

29

What is the appropriate intervention for a lack of grimace?

Flick foot or vigorous drying

30

What is a 0, 1, and 2 for the activity section?

0 = no movement
1 = Not all extremity moving and flexing
2 = vigorously moving and flexing

31

What is a 0, 1, and 2 for the respirations section?

0 = none
1 = Weak cry, ssx of respiratory distress
2 = good respiratory effort and crying

32

What is the full score for APGAR?

10

33

When is APGAR assessed?

1 and 5 minutes. If less than 7 on the 5 minute assessment, continue until 20 min mark

34

What should be done when the APGAR score is complete?

Wrap baby, and hand off to mom