Flashcards in OB - Module 8 Deck (75)
When is kidney function complete in the neonate? when is it functioning at the adult level?
35 weeks; 2 years
What eliminates waste from the fetus?
Placenta. Kidneys produce the urine
How much does a baby urinate after birth?
1-3 mg/kg/hr within the first 24 hours
Why are infants at risk for fluid loss?
Increased water loss, kidneys cannot handle fluid overload, and urine dilutes like an adult, but they only have half the ability of adults to concentrate urine
What is the normal intake of fluid for infants?
40-60ml/kg daily the first 2 days, and 100-150 ml/kg after.
How many times does an infant void?
atleast 1-2 during first 2 days, atleast 6 by the fourth day.
What is Mogan/Gomco?
Physician cuts the foreskin off, administering lidocain (anesthetic), and applying vaseline after cutting as well as cleaning.
Change the gauze pad, apply more vaseline after diaper change, and REPORT bleeding greater than the size of a quarter.
What is Plastibell?
plastic ring is put over the penis that collects foreskin and a thin thread is tied that cuts off the foreskin in 7-10 days. the ring then falls off with little risk of bleeding
Normal. Hands and feet are blue
Normal. Protective cheesy stuff around the baby
What are mongolian spot\s
Bruise-like marks found on the back/buttocks that are NORMAL
What are Nevus simplex, flammeus, and vasculosus
Flat pink area located anywhere on the head as a result of capillary dilationl; permanent purple birthmark that can be removed by laser; Rough, red collection of capillaries that appears as a raised surface and disappears in time.
Cafe au lait spots
Permanent light brown spots found anywhere on the body. Report 6+ spots greater than 0.5 cm as it can indicate neurofibromatosis.
Fine, thin hair on the infants body that protect them and disappears. NORMAL
Tiny, white bumps that are immature sebaceous glands. NORMAL
Short-lasting benign rash. NORMAL
What is an indicatiion for down's syndrome?
Simian crease. single crease across the palm
True club foot
cannot move foot into neutral position. requires extensive treatment.
Moveable club foot
can manipulate into place
Three immunoglubulins involved in the neonate immune system. Roles?
IgG - Passive immunity, given by mother
IgM - First one produced, does not cross placenta. high levels indicate infection in utero.
IgA - Does not cross placenta, but comes through breastmilk colostrum. protects from GI/respiratory infections
6 behavioral states
Quiet sleep, active sleep, drowsy, quiet alert, active alert, crying.
Sleep, drowsy, alert, crying. Infant moves to these states in THIS ORDER.
Best time to breast feed?
Quiet alert. Have to do before they reach crying stage.
Infant nutritional intake
110-120kcal/day and water. Average newborn takes in 19-21 oz/day. breastfeeding q2-3hrs, bottle fed q3-4hrs.
What is formula typically made of?
80% are made of cow's milk others are of soy
Infant feeding education
NO MICROWAVE, don't prop it up, head slightlyelevated
Does breastmilk cause allergies?
When should a mother not breastfeed?
Active TB, Hepatitis B,C, HIV, or taking certain drugs as it passes through the breast milk.