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Neonate & Infant
Quiz 2
171
Nursing
Undergraduate 1
02/14/2011

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Cards

Term
Apgar Scoring System grades the ___
Definition
physical status of newborn
Term
Apgar Scoring System tests at __ and __ minutes
Definition
1 and 5
Term
Apgar Scoring System tests___
Definition
heart rate, respirations, muscle tone, reflex irritability, color
Term
Neonate
Definition
birth to 4 weeks
Term
Neonate's primary needs first week of life
Definition
food, sleep, warmth, nurturing, security
Term
Mottled neonate skin
Definition
patches of read and white
Term
ruddy neonate skin
Definition
pink to reddish when cries
Term
acrocyanosis
Definition
bluish color of hands and feet
Term
lanugo
Definition
downy hair
Term
vernix caseosa
Definition
cheesy substance on skin, especially in folds
Term
normal physiologic jaundice appears __
Definition
on the fourth to fifth day
Term
hemolysis
Definition
breakdown of red blood cells
Term
bilirubin
Definition
bile pigment
Term
jaundice=
Definition
excess # of red blood cells present in fetal life
Term
jaundice=
Definition
high levels of bilirubin in bloodstream
Term
jaundice is first seen ___
Definition
in the eyes
Term
moro
Definition
both sides
Term
rooting
Definition
turns towards touch
Term
tonic neck or fencing
Definition
fencing position after noise
Term
___ periods of rapid physical growth
Definition
1 to 2
Term
cephalocaudal pattern
Definition
growth occurs from top down, head is disproportionately large
Term
proximodistal
Definition
growth occurs from center of body and moves outward > extremities, limbs grow faster than hands and feet, whole hand as a unit before several fingers
Term
average weight in males
Definition
7.8lbs
Term
average weight in females
Definition
7.5lbs
Term
weight should double by __
Definition
5-6 months
Term
weight should nearly triple by ___
Definition
one year
Term
average length
Definition
21 in (53cm)
Term
should grow ___ per month during the first year
Definition
one inch
Term
should be ___ times birth length first year
Definition
1.5 (30inches)
Term
BMI measures __
Definition
sematic growth (body growth)
Term
BMI=
Definition
relationship between height and weight
Term
typical head circumference
Definition
12.5-15.5 inches
Term
typical chest circumference
Definition
1 inch less than head circumference at birth
Term
influences on growth
Definition
endowment and environment
Term
endowment
Definition
genetic influences
Term
most important influence on growth
Definition
combination of endowment and environment
Term
neurolgic
Definition
begins life as a single cell> birth brain, nervous system, 100 billion neurons; multiplication of dendrites and synaptic connections; up in the number of neurons
Term
integration
Definition
the process by which neurons coordinate activites of muscle groups
Term
differentiation
Definition
process by which neurons acquire specialized structure and function
Term
blooming
Definition
synaptic overproduction
Term
pruning
Definition
unused connections - replaced or disappear
Term
myelin
Definition
coating of neurons with fatty substance
Term
myelination
Definition
glial cells produce myelin, enables faster communication between cells, continues adulthood
Term
bhavior characteristics express ___
Definition
neuromuscular maturity
Term
haptic system
Definition
sense of touch
Term
what is more fully developed at birth than other senses?
Definition
sense of touch
Term
1st sense to develop
Definition
touch
Term
sense of touch is ___ at birth
Definition
myelinated
Term
which reflex is related to touch
Definition
rooting
Term
tracking
Definition
visually follows large moving objects (not to peripheral)
Term
fixation
Definition
directs both eyes limited time (4-18 seconds)
Term
conjugation
Definition
moves eyes together
Term
accommodation
Definition
vision to an object close and far away
Term
least developed sense at birth
Definition
eyesight
Term
visual pathways at two months
Definition
distinguish red from green, doubled peripheral vision, follow path of an object
Term
vision at four months
Definition
distinguish red, gree, blue, and yellow (prefers red and blue); binocular vision; accommodate on adult level
Term
1-12 months
Definition
infant
Term
1-4 weeks
Definition
neonate
Term
True or false: hearing is functional before birth.
Definition
true
Term
at three months baby can distinguis
Definition
sounds as close as ba and pa
Term
hearing at 2-3 months
Definition
turns head to side when sound at ear level
Term
hearing at four months
Definition
locates sound-turns head to sound and looks in same direction
Term
8-10 months
Definition
turns head diagonally toward sound
Term
1 year
Definition
knows several words heard regularly (5-6 words)
Term
NIH recommends hearing screening all infants when?
Definition
first three months
Term
auditory neuron myelination complete when?
Definition
four years
Term
____ interferes with cognitive growth
Definition
malnutrition
Term
newborns prefer ___ to __ tastes
Definition
sweet to sour/bitter
Term
smell and taste is ___ tahn hearing and vision
Definition
more fully developed
Term
synapses are formed rapidly when?
Definition
the first 15 months
Term
plasticity
Definition
modifiabliity or molding of the brain through experience, cortex is growing and organizing
Term
endocrine system
Definition
immature; susceptible to stress;
Term
the pituitary gland, adrenal cortex, and pancreas do not function well together when?
Definition
during the first 18 months
Term
respiratory system
Definition
immature, obligatory nose breathers first few months,
Term
respiratory rate at birth
Definition
30-40 high
Term
respiratory rate over first year
Definition
20-30, going down
Term
gastrointestinal system
Definition
matures somewhat after 2-3 months, extrusion reflex, stomach capacity grows
Term
___ sucking reflez replaced by voluntary swallowing
Definition
two to three months
Term
peristalisis slows down and reverses less by ____
Definition
8 months
Term
teeth reupt at ___ months
Definition
6
Term
two months stools
Definition
two
Term
four month old gastrointestinal system
Definition
predictable interval between feeding and bowel movement
Term
poop if breast fed
Definition
soft semiliquid, light, yellow
Term
poop if formula fed
Definition
brown and formed
Term
liver not functionally mature until __
Definition
1 year
Term
ossification of skeletal system happens___
Definition
over the first year
Term
milia
Definition
cradle cap, dry skin on head
Term
eccrine glands are ___
Definition
ineffective
Term
immature renal function until ___
Definition
two years
Term
first urinary system viod
Definition
within 24 hours
Term
bladder empties when stretched____
Definition
15 mls
Term
may have ___ urinary voids a day
Definition
20
Term
red blood cells and hemogloban and white blood cells
Definition
high at birth
Term
red blood cells and hemogloban decrease after __ months
Definition
2-3
Term
erythropoiesis begins when red blood cells and hemogloban gradually ___
Definition
goes up
Term
maternal iron stores present at ___ months
Definition
5-6
Term
may have iron deficiency anemia ___
Definition
6 months
Term
white blood cells ___ at birth
Definition
high
Term
white blood cells decline to adult levels by ___
Definition
one
Term
AAP recommends breastfeeding for how long
Definition
birth to 6 months... and breast milk for one year
Term
human milk does not contain ___ vitamins
Definition
D and B12
Term
cow's milk is unsuitable for less than ___ months of age
Definition
6
Term
cow's milk is a poor source of vitamins ___
Definition
C, D, and Fe
Term
__% of the infants body weight is water
Definition
70
Term
weaning is often initiated by ___ months
Definition
6
Term
thumb sucking and pacifier is okay fro the first ___ years
Definition
2
Term
the Denver Developmental Screening Test charts what?
Definition
normal progress between the ages of one month to six years
Term
the DDST is meant to
Definition
identify children who are not developing normally
Term
components of DDST
Definition
gross motor skills, fine motor skills, language development, personality and social development
Term
gross motor skills
Definition
physical skills that involove large muscles (like rolling over)
Term
fine motor skills
Definition
physical skills that involve the small muscles and eye-hand coordination (like grasping a rattle)
Term
language development
Definition
definitions of words
Term
personality and social development
Definition
smiling spontaneously, dressing without help
Term
head control at birth
Definition
life head from prone
Term
head control from birth to one month
Definition
turn head side to side while lying on back
Term
head control at two months
Definition
weight on forearms elevates head
Term
head control at two to three months
Definition
lift head higher and higher and can hold chest up
Term
head control at four months
Definition
keep head erect while being held or supported in sitting position
Term
hand control at birth
Definition
grasping reflex
Term
hand control at two months
Definition
hold rattle for minute or two
Term
3.5 months hand control
Definition
grasp object of moderate size (rattle)
Term
hand control at seven to eleven months
Definition
pick up tiny object (pea), pincer grasp
Term
locomotion at three months
Definition
roll over deliberately
Term
lovomotion at three to four months
Definition
sits with support
Term
locomotion at three to six months
Definition
pulls self to sitting posiion
Term
locomotion at six months
Definition
sits without support, rolls over completely
Term
locomotion at 6-9 months
Definition
creeping or crawling
Term
7 months locomotion
Definition
stand with helping hand or furniture
Term
locomotion at four months
Definition
later let go and stand alone
Term
locomotion at 10-11 months
Definition
cruising
Term
locomotion at two weeks before one year
Definition
stand well
Term
12 months locomotion
Definition
first unaided steps
Term
locomotion at one year +
Definition
walks well
Term
smiles at 1-3 months
Definition
smiles at comforting person
Term
smiles at 3-6 months
Definition
smiles at person deliberately during interaction
Term
smiles at 6-9 months
Definition
engages in social play
Term
smile at 9-12 months
Definition
increasingly sociable
Term
newborns sleep __ to __ hours
Definition
16 to 20
Term
sleep at one month
Definition
longer at night
Term
sleep at 6 weeks
Definition
may sleep 6 hours at night
Term
sleep at 4 months
Definition
closer to adult-like sleep patterns
Term
sleep at 7-8 months
Definition
sleeps 8 hrs without awakening
Term
sleep at 1 year
Definition
12-14 hours a night; 1-4 hours a day
Term
separation anxiety happens at ___ months
Definition
7-8
Term
stranger anxiety occurs at
Definition
6 months
Term
stranger anxiety intensifies at __ months
Definition
9
Term
stranger anxiety lessens at
Definition
12 months
Term
about __ of sleep is spent
Definition
1/2
Term
crib slats have to be
Definition
2.5 inches apart
Term
solution to SIDS
Definition
put on back to sleep
Term
at birth and 1-2 months and > or equal to 24 weeks the immunizations
Definition
Hepatits B (HepB)
Term
at 2, 4, and 6 months immunizations
Definition
diphtheria tetanus pertussis (DTaP)
Term
at 2, 4, and 6 months and greater than 12-15 months
Definition
hemophilus influenzae type B (Hib)
Term
at two and four months and between 6-18 months
Definition
polio (IPV)
Term
between 12-18 months
Definition
measles, mumps, and rubella (MMR)
Term
greater than or equal to 12-18 months
Definition
varicella
Term
at 2,4 and 6 months and greater than 12 months to 15
Definition
Pneumococcal (PCV)
Term
children who are unhealthy get this annulaly and at 6 months
Definition
influenza
Term
greater than or equal to 12 months immunizations
Definition
hepatitis A (HepA)
Term
family developmental tasks
Definition
crisis, life will never be the same, physiologic equilibrium, reworking
Term
infant developmental tasks
Definition
physiologic equilibrium, desire for affection, managing changing body, expression
Term
infant cognitive development
Definition
reflex stage, primary circular reactions, secondary circular reactions, coordination of schema
Term
reflex stage
Definition
0-1 month, behavior is entirely reflexive, stimuli assimilated into mental images
Term
primary circular reactions
Definition
1-4 months, stimulus creates response, gratifying behavior is repeated, beginning intention of behavior is seen, smile at familiar faces, sucks thumb repeatedly, anticipates routines
Term
secondary circular reactions
Definition
4-8 months, learns to initate and recognize new experiences, repeats pleasureable expereiences, no accidental behavior usually, memory traces being established,
Term
coordination of secondary schemata
Definition
8-12 months, clear acts of intelligence and experimentation, activities to attain goals, csomeone else causes activity, retrieves toy that disappeared,
Term
cooing
Definition
2-3 months, soft murmur or hum
Term
babbling
Definition
2-3 months to 8 months, incoherent sounds made by playing with sounds
Term
how many words in the first year?
Definition
6
Term
lalling
Definition
movement of tongue with crying and vocalization
Term
who did trust and mistrust?
Definition
erikson
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