Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NRSG 328 > Newborn Care > Flashcards

Newborn Care Flashcards

(54 cards)

Start Studying
1
Q

What is the first stage of lactation?

A

Secretory differentiation

Occurs mid pregnancy and involves colostrum production, which is rich in vitamins A, E, essential minerals, and antibodies.

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

what is cephalohematoma

A

when blood collects under the scalp of the newborn and causes swelling

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

What is the second stage of lactation

A

Secretory activation

This leads to the removal of inhibitory hormones like progesterone and an increase in prolactin.

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

What is galactopoiesis?

A

Stage 3 of lactation and it is long term milk production

It is driven by milk removal.

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

What happens during the involution stage of lactation?

A

Milk production ceases

This occurs 40 days after the last breastfeed.

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

What hormones are involved in breast milk production?

A

Prolactin and oxytocin

Prolactin stimulates milk secretion, while oxytocin causes milk release.

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

What is foremilk?

A

Lower in fat, watery, quenches thirst

It is produced at the beginning of breastfeeding.

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

What is hindmilk?

A

High fat milk that satisfies hunger

It is produced later in the feeding session.

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

When should breastfeeding be initiated?

A

Within the 1st hour after birth

Focus on getting colostrum flowing and proper positioning/latch.

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

How many times should a newborn be fed in 24 hours?

A

At least 8 times

Early feeding cues include opening mouth, rooting, and turning head.

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

What is the normal respiratory rate for a newborn?

A

30-60 breaths per minute

Further assessment is needed if the rate is less than 30 or greater than 60.

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

What is the normal heart rate range for a newborn?

A

110-160 beats per minute

May drop to 90-100 during deep sleep or exceed 160 when crying.

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

What is the normal temperature range for a newborn?

A

36.5-37.5 degrees Celsius

If outside this range, skin-to-skin contact is recommended.

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

What are signs and symptoms of cold stress and why do they occur

A

-Hypoglycemia (using glucose to generate heat)
-Respiratory distress (Higher metabolic rate which consumes more O2)
-bradycardia
-tachypnea

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

how many veins and arteries are in the umbillical cord

A

1 vein and two arteries

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

how does blood flow through the vessels of the umbillical cord

A

-the 1 vein carries oxygenated blood to the fetus
-the two arteries carry deoxygenated blood from the fetus to the placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are the three anitomical shunts

A

-Ductus venosus
-Foramen ovale
-Ductus arteriosus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does the term ‘caput succedaneum’ refer to?

A

Swelling of the soft tissues of the scalp

It crosses suture lines and generally subsides without treatment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when should the first void occur for a newborn

A

Should occur within the first 24 hours

Urine may appear cloudy due to mucus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is physiological jaundice?

A

normal jaundice that presents after the first 24 hours of life

Usually evident between 2-3 days of life and lasts about a week.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the recommended vitamin D intake for newborns?

A

10 mcg / 400 IU

Important for bone health and immune function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what should a newborns blood glucose be after two hours of age

23
Q

after 2 hours of age what will a baby sustain their blood glucose at

24
Q

What is the typical weight range for newborns?

Study These Flashcards
A

2500 - 4000 grams

Newborns may lose up to 10% of their birth weight before regaining it by 14 days.

25
What are signs of hypoglycemia in newborns?
* Jitteriness * poor muscle tone * sweating * resp difficulty * low temp * lethargy ## Footnote Other signs include low temperature, poor suck, high-pitched cry, lethargy, and seizures.
26
What are warning signs that require immediate attention after newborn discharge?
* Temperature > 38 * Refusal of 2 feedings in a row * Two green watery stools * Frequent or forceful vomiting * Lack of voiding or stooling * Change in usual behavior ## Footnote These symptoms may indicate complications that need evaluation.
27
what are risk factors for hypoglycemia in a newborn
* preterm * post-term * SGA or LGA * diabetic mother * stress due to hypoxia
28
What is the recommended sleeping position for preventing SIDS?
lay baby on back to sleep ## Footnote This positioning is crucial for reducing the risk of sudden infant death syndrome.
29
What is babies activity level during deep sleep
Sleeps and does not move
30
What is babies activity level during light sleep
-limb and mouth movement -Eye movement -Resps irregular
31
what is a drowsy babies activity level
-quiet and relaxed -not very responsive to environment
32
what stage of sleep wake cycle is a baby most responsive
when they are in the quiet alert stage
33
what is an active alert baby like
has diffuse motor activity
34
What protective measures can be taken to prevent SIDS?
* Protect from tobacco smoke * Sleep in a crib, cradle, or bassinet * No pillows, blankets, or bumper pads * Do not overdress * Share a room but not a bed * Use pacifiers * Swaddling (discontinue when able to roll over) ## Footnote These practices help create a safer sleep environment.
35
what is cryptorchidism
when testes do not descend properly and remain in abdomen or inguinal canal
36
What is Neonatal Abstinence Syndrome (NAS)?
Withdrawal symptoms in newborns due to opioid exposure in utero ## Footnote Symptoms depend on various factors like frequency and type of substance.
37
What is the timeline of newborn stools
-meconium for 12-24 hours after birth -transitional stools from day 2-4 -from day 4 onwards should be soft/yellow
38
how many stools should a newborn have per day after first few days of life
3-6 per day
39
What is the Finnegan scoring system used for?
To assess withdrawal symptoms in newborns ## Footnote It helps in determining the severity of NAS.
40
What are common symptoms of NAS?
* Body tremors * High-pitched crying * Reduced sleep periods between feeds * Poor feeding * Diarrhea, sweating, sneezing may also be present ## Footnote These symptoms typically appear within the first 48-72 hours after birth.
41
What is a key nursing intervention for NAS?
Non-pharmacological care as first line ## Footnote Includes skin-to-skin contact, swaddling, and decreased stimulation.
42
What causes pathological jaundice in newborns?
jaundice that indicates and underlying medical condition that causes a rapid rise in billirupbin levels ## Footnote Pathological jaundice develops within the first 24 hours of life.
43
When does breastmilk jaundice typically peak?
2 weeks of age ## Footnote It usually resolves over 3-12 weeks without stopping breastfeeding.
44
What is Kernicterus?
A neuro complication from untreated hyperbilirubinemia that can lead to brain damage ## Footnote Prevention focuses on monitoring bilirubin levels and providing phototherapy.
45
What is the indirect Coombs test used for?
used to test Rh negative mothers who are going to give birth to Rh+ babies to see if they have any antibodies that will attack the newborns blood ## Footnote It helps in assessing the risk of hemolytic disease of the newborn.
46
What is Transient Tachypnea of the Newborn (TTN)?
A condition usually seen after C-section or rapid delivery where there is retained fluid on the newborns lungs that can cause respiratory distress ## Footnote It typically resolves within 24-48 hours.
47
What is Meconium Aspiration Syndrome (MAS)?
A condition where meconium is expelled and inhaled by the newborn during or after birth ## Footnote It can lead to respiratory distress requiring supportive care.
48
What are common characteristics of infants of diabetic mothers?
* Hyperglycemia leading to fetal insulin production * Macrosomia (large infant) * Low blood glucose levels after birth * Cushingoid appearance * Possible SGA due to inadequate placental perfusion ## Footnote These infants often require careful monitoring for various complications.
49
What is the most common chromosomal abnormality?
Down syndrome ## Footnote It is characterized by Trisomy 21.
50
What are typical physical features of Down syndrome?
* Upward slant of eyes * Protruding tongue * Mouth breathing * Flat nose * Single palmar crease * Hypotonicity of muscles ## Footnote These features can help in the identification of Down syndrome at birth.
51
where does the ductus venosus shunt blood to
connects umbillical vein to the inferior venacave to divert blood away from NB liver
52
where does the foramen ovale divert blood to
diverts blood from left atrium to right atrium allowing blood to bypass the lungs
53
where does the ductus arteriosus divert blood to
diverts blood from the pulmonary artery into the aorta
54
what are the components of the APGAR
Activity Pulse Reflexes color resps

NRSG 328 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions