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Maternal-Child Nursing Care
Vocab from Chapter 18
29
Nursing
Undergraduate 2
12/13/2010

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Term
Plethora
Definition
A deep purplish color related to an increased number of circulating red blood cells. Further evaluation is warranted.
Term
Petechiae
Definition
Pinpiont hemorrhagic areas. Further assessment warranted.
Term
Milia
Definition
Small white papules or sebaceous cysts on the infant's face that resemble pimples.
Term
Erythema Toxicum
Definition
A transient rash that covers the face and chest with spread to the entire body. Most common normal skin eruption in term neonates. "Newborn Rash"
Term
Mongolian Spots
Definition
Areas taht appear gray, dark blue, or purple and are most commonly located on the back and buttocks, although they may also be found on the shoulders, wrists, forearms, and ankles. They will fade and disapear as the child grows older.
Term
Brown Nevi
Definition
Brown skin marks, or birth marks, whose color can vary from brown to deep black. Parent should routinely check the area for changes which could indicate a precancerous lesion.
Term
Nervus Flammerus
Definition
"Port wine stain." Capillary angioma located directly below the epidermis. Does not blanch. Usually on the face. May be an indicator of a neurological problem if accompanied by convulsions.
Term
Telangiectatic Nevus
Definition
A red birthmark often seen at the nape of the neck and commonly referred to as a "stork bite" or "angel kiss." Usually disappears by second birthday.
Term
Nevus Vasculosus
Definition
"Strawberry Mark." red, raised capillary hemangioma that can occur anywhere on the neonate's body. Usually has sharp borders and rough surface.
Term
Caput Succedaneum
Definition
Diffuse edema that cross the cranial suture lines and disappears without treatment during the first few days of life.
Term
Cephalhematoma
Definition
More serious than caput. Results from a subperiosteal hemorrhage that does not cross the suture lines. May persist for several weeks. Neonate may have s/sx jaundice.
Term
Epstein's Pearls
Definition
Whitish hardened nodules (cysts) on the gums or roof of the mouth that can be visualized or palpated. Usually disappear within a few weeks.
Term
Microcephaly
Definition
A small head, often associated with mental retardation.
Term
Choanal Atresia
Definition
Malformation of the bucconasal membrane. When present bilaterally, circumoral cyanosis is noted when the infant's mouth is closed, but resolves when it is opened. Inability to pass a small catheter into the nares confirms.
Term
Retractions
Definition
In-drawing of tissues between the ribs, below the rib cage, or above the sternum and clavicles. Sign of respiratory distress.
Term
Tetralogy of Fallot
Definition
Congenital heart defect that involves four distinct cardiac anomalies: transposistion of the aorta and pulmonary arter, right ventricular hyprtrophy, pulmonary stenosis, and ventricular septal defect. Infant will not show signs of distress until the ductus begins to close at about 24 hours of life. Cardiac instability and central cyanosis.
Term
Necrotizing Enterocolitis
Definition
Life-threatening condition that occurs when a lack of blood flow to the bowel results in destruction of the intestinal mucosa. Loss of bowel function results and toxins are released from the necrotic tissue. Requires surgical intervention.
Term
Omphalitis
Definition
Infection of the tissue surrounding the base of the umbilical cord that is readily treated with antibiotics.
Term
Hypospadias
Definition
Meatus of the penis found on the ventral surface. Requires surgical repair.
Term
Epispadias
Definition
Meatus of the penis found on the dorsal surface. Requires surgical repair.
Term
Imperforate Anus
Definition
Absence of an opening in the anal ring. Medical emergency.
Term
Developmental Dysplasia of the Hip (DDH)
Definition
Congenital condition that could affect the infant's future ability to walk and maintain balance.
Term
Polydactyly
Definition
Extra fingers or toes.
Term
Syndactyly
Definition
Webbing of the fingers or toes.
Term
Simian Crease
Definition
A single, straight crease that appears in the middle of the palm on one or both hands. Could indicate Down syndrome if it occurs with other findings.
Term
Moro Reflex
Definition
As the head is lifte, the nurse mimics a release and watches for extension of both arms along with flexion of the legs (confirms Moro reflex).
Term
Meningocele
Definition
The lesion of spinal bifida. Resembles a skin-covered sac located between the fifth lumbar and first sacral vertebrae. It (the meningocele) may contain dura mater and spinal fluid.
Term
Myelomeningocele
Definition
Contains dura mater, spinal fluid, and a portion of the spinal cord. No bowel & bladder control or motor ability below the waist.
Term
Anecephaly
Definition
Caused by incomplete closure of the anterior portion of the neural tube. Portions of the brain, forehead, skull and occiput may be missing.
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