New born vocabulary Flashcards
(29 cards)
neonatal period
birth to 1 month
time of extensive an ongoing transition from uterine environment to external world
neonate
a new born child
thermogenesis
production of heat
thermal neutral regulation
the thermoneutral zone is defined as the range of ambient temperatures where the body can maintain its core temperatures solely through regulating dry heat loss (skin and blood flow)
Apgar score
a measure of the physical condition of a newborn infant: HR respiratory effort muscle tone response to stimulation skin coloration.
10 is the best possible condition
meconium stool
dark green substance forming the first feces of a newborn infant, it comes from things ingested while in the uterus still.
transitional stools
stools gradually change during the first week, becoming loose, yellow greenish with mucus
caput succadenum
Caused by the pressure of the presenting part of the scalp against the dilating cervix
(Tourniquet effect of the cervix during delivery)
Fluid outside of skull
Edema- crosses saggital suture
Cephalohematoma
collection of blood between the periostcum of the skull bone and the bone itself, due to capillary rupture from pressure during birth, swelling often not visible until 24 hours, looks like a little egg and is discolored, does NOT cross suture line
Milia
keratin-filled cysts that appear just under the epidermis and have no visible openings
vernix caseosa
cheesy substance covering the skin of the fetus
What protects the fetus’s skin within the water-filled amniotic sac
leave on NB to promote re-absorption, has many immune system properties.
Lanugo
soft fine hair on the baby
Flammeus Nevus
Stork bites
light pale pink spots on the back of the neck
Mongolian spots
A bluish-black pigmented area on the newborn’s buttocks or back. Seen in newborns with dark skin and typically fade over time. Can easily be confused for bruising
Molding
reshaping of the skull bones in response to pressure against the maternal pelvis
Witches Milk
Infants may have transient enlargement of breast tissue when born due to maternal estrogen. Sometimes express a milky white substance-referred to as witches milk. Resolves in 2 weeks to 3 months.
Pseudomenstruation
vaginal discharge composed of mucous mixed with blood may also be present in the first few weeks of life. No treatment necessary
cold stress
excessive heat loss in newborn
- mottled skin and metabolic/resp acidosis
pre warm objects, dry them, assess them quickly then swaddle!
circumcision
Surgical removal of the foreskin
Newborn screening test
Screening tool used to identify babies at risk of serious but rare medical conditions and metabolic disorder
Completed 24 hrs after first feeding or prior to discharge
State newborn screen
MI
55 conditions
Screen so they can get early treatment
Mechanisms of heat loss: Evaporation Conduction Convection Radiation
Evaporation: the loss of heat that occurs when a liquid is converted to a vapor
Conduction: the loss of heat from warm body surface to cooler surfaces in direct contact
Convection: flow of heat from the body surface to cooler ambient air, contact with cold air.
Radiation: the loss of heat from the body surface to a cooler solid surface NOT in direct contact, but in relative proximity.
Hyperbilirubinemia
excessive level of bilirubin (bile pigment) in the blood
You will notice a yellow undertone to the newborn.
Physiological Jaundice
Physiological hyperbilirubinemia (jaundice is just a symptom) is a build-up of bilirubin due to the normal hemolyisis of red blood cells that were needed for fetal circulation before birth and discarded afterward
