Newborn Assessment Flashcards Preview

NUR 359: OB > Newborn Assessment > Flashcards

Flashcards in Newborn Assessment Deck (89):
1

when is apgar scoring done

1 and 5 mins after birth

2

what does an apgar measure

how well baby is transitioning

3

apgar score categories

resp (crying)
reflexes (irritability)
pulse (HR)
skin color (body and extremities)
muscle tone

4

apgar scores

0-2

5

cold stress

cold stress
---> hypoglycemia
--> resp distress
--> acidosis

6

when is a baby transferred to a basinet?

when their temps are regulated for a certain amt of time

7

def conduction

loss of heat from body surface to a cold surface

8

def convection

loss of heat from body surface to the air

9

def radiation

loss of heat from body surface to a cooler surface thats close to the baby
ex: nearby window

10

def evaporation

loss of heat moisture from the skin

11

what is kangaroo care

baby is placed on mom only wearing a diaper
skin to skin

12

name the periods of reactivity

first period
sleep phase
second period

13

how long does the first period of reactivity last

30 -60 mins

14

what is monitored during the first period of reactivity

VS
color

15

what should we encourage during the first period of reactivity

attachment and bonding

16

how long does the sleep phase last?

1-4 hrs after birth

17

when does the second period of reactivity occur

4-12 hrs after birth

18

what characterizes the second period of reactivity

intense sensitivity to internal and external stimuli

19

what occurs during the second period of reactivity

baby voids
meconium/bm

20

what should be used after the baby expels meconium

A+D

21

what do we watch for during the second period of reactivity

mucus
apnea
emesis

22

what measurements are taken after the baby is born

head circumfreence
chest circumfrence
abdominal circumfrence
length

23

how are glucose levels obtained in babies

heal stick

24

what is considered a good transition

good reflexes
good muscle tone
passed meconium
breathing well
temp regulation

25

what meds are admin to the baby in the DR

vit k
erythromycin

26

how do you admin erythromycin

-inner canthus to outer canthus

27

bulged fontanelle's indicate

IICP

28

depressed fontanellels indicate

dehydration

29

overriding fontanelles indicate

molding

30

why does molding occur

occurs during birth to fit the babys head

31

def caput succedaneum

soft tissue edema from birth trauma

32

does caput succedaneum cross the suture lines

yes

33

what does caput succedaneum indicate abt the birth

-used a vaccuum

34

what is caput succedaneum caused by

head rubbing up against moms cervix

35

def cephalohematoma

bleeding bx the cranial bone an the periosteum in the periosteal space

36

does cephalohematoma cross suture lines

no

37

what is cephalohematoma caused by

- use of forceps
- pressure from the pelvis

38

how long does cephalohematoma take to resolve

3-6 weeks

39

what will happen when cephalohematoma begins to resolve?

JAUNDICE

40

what is subconjunctival heorrhage caused by

the trauma of birth

41

who is subconjunctival hemorrhage seen in

baby
most likely mom from bearing down so hard during birth

42

when does chemical conjunctivitis occur

if there is a rxn to eye prophylaxis

43

what should illicit the startle reflex

loud noise

44

newborns are typically what kind of breathers

obligate nose breathers

45

what should we monitor for in the nose

nasal discharge

46

newborns sneeze to

clear nostrils

47

what is significant abt the structure of newborns nose

absent bridge

48

what are hallmark signs of potential or actual resp dstress

nasal flaring
grunting
retractions

49

what is the extrusion reflex

when a baby pushes any food that is placed in the front of their mouth out
-protective

50

when does the extrusion reflex disappear

approx 4 months

51

what are epstein pearls?

white, yellowish cysts that form on the gums and roof of a newborns mouth

52

bowel sounds should be auscultated when?

within 2 hrs after birth

53

when should the first void occur

within 24 hrs after birth

54

when should the first meconium be expelled?

within 24-48 hrs after birth

55

where might lanugo be seen?

shoulders
pinna of ears
forehead

56

when will lanugo be absent

post mature babies

57

when will lanugo be abundant

in pre-term babies

58

purpose of vernix

antibacterial properties
protects newborn skin

59

def acrocyanosis

blue extremities

60

what causes acrocyanosis

sluggish peripheral circulation

61

how long should acrocyanosis last for

no more than a few hrs

62

what may acrocyanosis indicate?

decreased temp

63

what is mongolian spots

patch of purple/black/blue color over coccygeal and sacral regions

64

what groups are more prone to getting mongolian spots

afr americans
asians

65

are mongolian spots malignant?

no

66

do mongolian spots resolve

yes- with time

67

what is mottling

generalized white and red discoloration of the skin of chilled infants with fair complexion

68

is hyperbili a/w hemolytic disease?

no

69

when does jaundice occur

24 hrs after birth and peaks @ 72 hrs

70

bili lab values

6-10 mg/dl

71

when does jaundice usually resolve

5-7 days

72

what is milia

tiny white papules located over the nose, cheek, and/or chin

73

erythema toxicum is aka

fleabite rash

74

is tx necesary for erythema toxicum

no

75

when does erythema toxicum appear

in the first 24 hrs of birth

76

where is erythema toxicum most common

trunk
diaper area

77

what are signs of drug wd

excessive crying
fretfullness
inability to quiet self
shaking

78

what tests are run after the baby is born

PKU
t4
hearing

79

when is the gest age assessment done

2 hrs after birth

80

normal wt range

2500-4000 grams

81

normal length

45-55 cm/ 18-22 "

82

head circumfrence range

32-36.8 cm / 12.6-14.5"

83

chest circumfrece range

30-33 cm / 12-13"

84

normal RR

30-60 rpm

85

normal HR

100-160 bpm

86

normal S BP

60-80 mm hg

87

normal D BP

40-50 mm hg

88

normal temp

36.5-37.2/ 97.7-98.9 F- axillary

89

normal glucose range

40-60