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MCN DOC FAB > NEWBORN (1&2) > Flashcards

NEWBORN (1&2) Flashcards

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1
Q

flow of heat from newborn’s body surface to surrounding air

A

CONVECTION

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2
Q

eliminating drafts from windows or air conditioners reduces _____ heat loss

A

convection

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2
Q

decrease in pressure causes closure of ____, a fetal shunt

A

ductus arteriosus

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2
Q

ex: a baby placed on a cold counter or on cold base of a warming unit quickly loses heat to the colder metal surface

A

CONDUCTION

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2
Q

covering surfaces with a warmed blanket or towel
helps to minimize ____ heat loss

A

CONDUCTION

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3
Q

transfer of body heat to a cooler solid object in contact with a baby

A

CONDUCTION

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3
Q

effectiveness depends on velocity of flow (a current of air cools faster than nonmoving air)

A

convection

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3
Q

newborns are wet, so they lose a great deal of heat as
____ on their skin evaporates

A

amniotic fluid

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3
Q

as lungs inflate for the 1st time, pressure decreases in ____ (the artery leading from the heart to the lungs)

A

pulmonary artery

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3
Q

moving an infant as far from the cold surface as possible helps reduce this type of heat loss

A

RADIATION

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3
Q

CARDIOVASCULAR SYSTEM:
one ___, two ______

A

one umbilical vein;
two umbilical arteries

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3
Q

transfer of body heat to a cooler solid object not in contact with the baby, such as a cold window or air conditioner

A

RADIATION

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3
Q

be certain to remove any wet blankets used to dry infant
immediately and place infant on a warm, dry blanket

A

evaporation

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4
Q

pressure increases in left side of the heart from increased blood volume causes closure of _____

A

foramen ovale

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4
Q

prolonged coagulation or prothrombin time due to ______

A

decreased vit K

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4
Q

to prevent this heat loss, dry newborns as soon as possible,
especially their face and hair as head, a large surface area in
a newborn, can be responsible for a great amount of heat
loss

A

EVAPORATION

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4
Q

meconium is usually passed within ______

A

24 hours after birth

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4
Q

loss of heat through conversion of a liquid to a vapor

A

EVAPORATION

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4
Q

covering head with a cap after drying further reduces
possibility of _______

A

EVAPORATION

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4
Q

Present as soon as nose is clear of secretions; turn to mother’s breast out of recognition of smell of breast milk

A

SMELL

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4
Q

first breath is a major undertaking because it requires a tremendous amount of pressure about ________

A

40 to 70 cm H2O

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4
Q

sticky, tar- like, blackish-green, odorless material formed from mucus, vernix, lanugo, hormones, and carbohydrates that accumulated during intrauterine life

A

meconium

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4
Q

begins in utero and is acute after birth

A

HEARING

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4
Q

blinking at strong light or following a bright light

A

VISION

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5
taste buds are developed and functioning; like sweets better
TASTE
5
second or third day of life, newborn stool changes becoming green and loose
transitional stool
5
Generalized mottling of the skin
Cyanosis
5
newborns who do not void within 24 hours time should be examined for the possibility of __________
urethral stenosis or absent kidneys or ureters
5
Cyanosis of the trunk
Central cyanosis
5
____ is usually passed within 24 hours after birth.
meconium
5
well developed sense. Reacts to soothing touch and painful stimuli
TOUCH
5
Blueness of the hands and feet
Acrocyanosis
6
Yellow discoloration of skin caused by breakdown of RBCs after birth
Jaundice
6
Yellow discoloration of skin caused by breakdown of RBCs on 2nd to 3rd day after birth
Physiologic jaundice
6
newborn who has been lying on his side appears red on the dependent side of the body and pale on the upper side
Harlequin sign
6
Yellow discoloration of skin caused by breakdown of RBCs on 1st 24 hours
Pathologic jaundice
6
Unconjugated bilirubin (lipid soluble) could cross the BBB and cause ______
encephalopathy (Kernicterus)
6
Result of anemia
Pallor
6
macular purple or dark-red lesion that is present at birth
Nevus Flammeus (port-wine stain)
6
Nevus flammeus lesion that are light and pink patches at the nape of the neck (covered by hairline)
Stork’s beak mark
7
Dilated vascular space; Resemble a strawberry hemangioma but does not disappear with time
Cavernous hemangioma
7
elevated areas formed by immature capillaries and endothelial cells
Strawberry hemangioma
8
Collection of pigment cells that appear as slate-gray patches across the sacrum or buttocks and possibly on arms and legs
Mongolian spots
8
white, cream-cheese like substance that serves as skin lubricant in utero
Vernix Caseosa
8
peeling of some areas of the skin similar to a sunburn due to dryness of infant’s skin
Desquamation
8
fine, downy hair that covers a newborn’s shoulders, back, and upper arms, forehead and ears
Lanugo
8
newborn rash caused by newborn’s eosinophils reacting to the environment as immune system matures
Erythema toxicum
8
pinpoint white papule found on cheek or across the bridge of the nose of the newborn
Milia
8
circular or Linear contusion matching the rim of the blade of the forceps on the infant’s cheek; Disappears 1-2 days
Forceps Mark
8
Red spot on the sclera due to pressure during birth which ruptures a conjunctival capillary
Subconjunctival hemorrhage
8
Head is ______ of the total body length
¼
8
Prominent and asymmetric head due to its engagement in the cervical contours
Molding
8
Edema of the scalp at the presenting part of the head the crosses the suture line; Disappears during the 3rd day of life
Caput Succedaneum
9
Separating lines of the skull
Sutures
9
Collection of blood between periosteum of skull bone caused by rupture of periosteal capillary due to pressure of birth; Appears 24 hours after birth
Cephalhematoma
9
spaces or openings where skull bones join
Fontanelles
9
accumulation of blood between galea aponeurotica and membrane tissue periosteum that covers surface of a newborn’s skull
Subgaleal Hemorrhage
10
Thin, watery fluid secreted by the breast of newborn baby
Witch’s milk
10
Check for placement of ears: Low set ears may indicate a _____
congenital anomaly
10
APGAR scoring system used to assess newborns at ____________ after they're born
1 minute and 5 minutes
10
Small round, glistening, well-circumscribed cysts present on the palate; Extra load of calcium
Epstein’s Pearls
10
undescended testes
Cryptorchidism
11
stroke the internal side of the thigh and the testis on that side moves
Cremasteric reflex
11
Mucus vaginal secretions which is sometimes blood-tinged
Pseudomenstruation
11
meatus on ventral surface
Hypospadias
11
meatus on dorsal surface
Epispadias
11
New Ballard score examination is accurate whether the infant is sick or well to within _____
within 2 weeks of gestational age
11
examination consists of 6 neuromuscular and 6 physical criteria
New Ballard score
11
by doing ENBS, _______ may be detected even before clinical signs and symptoms are present.
metabolic disorders
11
______ created the APGAR score system in 1952
Dr. Virginia Apgar
11
in newborn screening, initial specimen drawn between _________
24 and 72 hours of life
11
antibiotic administration will increase chance of a _____ NBS
false-positive NBS
11
_____ is based on understanding that passive tone is more useful than active tone in indicating gestational age
neuromuscular criteria
11
a population-based system for identification and early treatment of potentially devastating medical conditions
newborn screening
11
A _______ means that the ENBS result is normal.
NEGATIVE SCREEN
11
_______ program increased the screening panel of disorders from six (6) to more than twenty-eight
expanded newborn screening

MCN DOC FAB (1 decks)

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