Term
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Definition
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Term
| Immediate care of newborn includes: |
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Definition
| position R side (closure of foramen ovale), suction, dependent position, clamp & cut cord, dry & prevent heat loss, in radiant warmer, Apgar, ID bands, |
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Term
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Definition
Chemical - chemoreceptors in carotids & arota (cord clamping)
Mechanical - negative intrathoracic pressure (squeezed thru birth canal)
Thermal - decreased room temp stimulates resp center in medulla
Sensory - touch, suction, pain, light, sounds, smell - stimulate resp center in medulla |
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Term
| Normal neonate heart rate |
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Definition
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Term
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Definition
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Term
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Definition
| nasal flaring, dyspnea, grunting w/expiration, sternal retractions, facial grimacing |
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Term
| jaundice seen in first 24 hrs |
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Definition
pathologic
due to Rh or ABO incompatibility |
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Term
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Definition
7-10 = good adaptation
4-6 = moderate difficulty
0-3 = severe distress |
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Term
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Definition
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Term
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Definition
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Term
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Definition
1. evaporation - moisture converts to vapor
2. conduction - to surface in direct contact
3. convection - to cooler air
4. radiation - to surface not in direct contact |
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Term
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Definition
ability to produce heat
(non-shivering metab of brown fat - increased metab activity in brain, heart & liver) |
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Term
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Definition
| interscapular, axillae, thoracic inlet, vertebral column, around kidneys |
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Term
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Definition
* Inc O2 consumption
* Inc resp rate
* Pulmonary & peripheral vasoconstriction
* Decreased O2 uptake by lungs/tissue
* Decreased PO2 and pH
RESULT = METABOLIC ACIDOSIS |
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Term
| Do neonates sweat like we do? |
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Definition
| No! Can end up in hyperthermia if too hot for too long. Can result in sepsis & cerbral damage. |
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Term
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Definition
sys 50-90
dias > 30
Really want to see 80/40 to 80/46 @ 24 hrs. |
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Term
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Definition
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Term
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Definition
| can indicate Down's Syndrome |
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Term
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Definition
| at top of stomach - not well developed - so need to burp after each breast or after each 1/2 ounce. Keep upright after feeding @ 30 min. |
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Term
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Definition
| unable to synthesize clotting factors II, VII, IX & X due to sterile gut - no intestinal flora |
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Term
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Definition
Hgb - 14-24
Hct - 44-64
WBC - 10-30K
RBC - 4.8 - 7.1
Platelets - 150-300K |
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Term
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Definition
| perm closure by 3rd month |
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Term
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Definition
| perm closure by several wks to 4 months |
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Term
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Definition
| hard, raised yellow/white on hard palate or gums |
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Term
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Definition
| 'tongue tied' - effects feeding & speech |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| to determine if hip(s) dislocated - rotation of joint and if hear a click then have a dislocation. Can double diaper to help put pressure on the joint. |
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Term
| Pass meconium by what age? |
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Definition
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Term
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Definition
| blinking, yawning, coughing, sneezing |
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Term
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Definition
| rooting, sucking, swallowing, gagging |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| newborn rash - may have macules & vesicles |
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Term
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Definition
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Term
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Definition
| white, cheezy covering - purpose is to protect fetal skin from effects of amniotic fluid |
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Term
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Definition
| 'stork bite' - blanchable birth marks - usually fade at 2 yrs |
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Term
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Definition
| nonblanchable birth marks - often on sacral area - most common with Hispanic & Mediteranean descent |
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Term
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Definition
| dry, cracked & peeling skin - more prominent in post-term infants |
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Term
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Definition
| swelling of the presenting part of the head - crosses suture lines |
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Term
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Definition
| blood between skull bone and its periosteum - does NOT cross suture lines |
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Term
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Definition
| jaundice of the brain - can result in cerbral palsy, epilepsy, mental retardation. bilirubin > 25 mg/dL |
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Term
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Definition
| occurs within first 24 hrs - ABO or Rh incompatibility |
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Term
| physiologic jaundice / hyperbilirubinemia |
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Definition
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Term
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Definition
* inc bilirubin due to inc RBCs
* shorter RBC life span - die and give off bilirubin
* liver immature - can't conjugate all the bilirubin being released by dieing RBCs
* Bilirubin reabsorbed in small intestines
* cephalohematoma increased risk
WILL SEE YELLOWING AT BILI LEVELS OF 5 to 7 |
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Term
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Definition
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Term
| non-water soluble bilirubin |
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Definition
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Term
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Definition
| @ 3 days after start feeding - greenish to yellow/brown |
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Term
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Definition
breastfed - yellow/golden - seedy & loose.
bottle fed - pale yellow/light brown - firmer & stinkier |
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Term
| fluid requirements of newborn |
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Definition
60-80 ml/kg/day in first 24 hrs
100-140 ml/kg/day thereafter |
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Term
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Definition
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Term
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Definition
1. PKU (phenoketonuria - liver issue)
2. Galactosemia (ability to convert galactose to glucose)
3. Thyroid (expect to see T4 elevated)
4. Sickle Cell |
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Term
| How long is the artifical passive immunity effective in the neonate? |
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Definition
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Term
| first period of reactivity |
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Definition
| 1st 30 min of extrauterine life |
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Term
| period of decreased responsiveness |
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Definition
| 30 to 100 minutes after birth |
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Term
| second period of reactivity |
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Definition
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Term
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Definition
1. Heart rate
2. Resp effort
3. Muscle tone
4. Reflex irritability
5. Color
~~~ He Really Makes RNs Cry ~~~ |
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Term
| What does the Ballard Assessment measure? |
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Definition
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Term
| 6 assessments in the Ballard process? |
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Definition
1. arm & leg recoil
2. sqaure window
3. scarf sign
4. posture
5. heel to ear
6. popliteal angle |
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Term
| What will you suspect is wrong with a FLACCID baby? |
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Definition
| really premature or neuro issues |
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Term
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Definition
| large for gestational age - > 90th percentile |
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Term
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Definition
appropriate for gestational age -
> 10th and < 90th percentile |
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Term
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Definition
| small for gestational age - < 10th percentile |
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