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Details

OB Test 3
Normal Newborn
42
Nursing
Undergraduate 4
04/13/2010

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Cards

Term
Ductus Arteriosus

Connection and closure
Definition
Pulmonic + Aortic

2 wks
Term
Foramen Ovale

Connection and closure
Definition
R + L atria

Immediate closure
Term
Ductus venosus

Connection
Definition
Inferior vena cava + Umbilical vein
Term
Normal FHR
Definition
100-160
Term
Normal BP
Definition
60-80 / 40-50
Term
Normal RR
Definition
30-60
Term
Normal temp
Definition
97.7-99 F

36.5-37.2 C
Term
Normal Cardiac
Definition
Acrocyanosis 24 h
Hgb 14-24
Hct 44-64
Leukocytes 18,000- not good indicator of inf.
Term
Normal Respiratory
Definition
Nose breather (suction)
Term
Major causes of newborn respiratory distress
Definition
Prematurity
Hypothermia
Infection
Term
Normal renal/urination
Definition
Void w/in 24 h
6-10 diapers/day
Pale, straw, brick red normal
Term
Normal Digestion
Definition
50-60 cc stomach
Digest CHO/Protein, trouble w/ fats
Reflux (immat. cardiac sphincter)
Sterile gut
Term
Types of baby poops
Definition
Meconium (1st 24h)
Transition stool (Thin, brown/green)
3 days breast (Loose, golden yellow)
3 days bottle (Formed, pale yellow)
Term
What is Aquemephyton for?
Definition
Babies can't use K to coagulate yet b/c of poor flora; this increases vitamin K in the liver
Term
Hyperbilirubinemia levels
Definition
>12 mg/100 ml
Term
Jaundice
Definition
2-7 days it's normal to show up
If >12 b4 24h = BAD

Breast milk jaundice- Dehyd or poor feed
Term
Kernicteris
Definition
Bilirubin in the neurons
>20 mg/100 ml
Term
Hyperbilirubinemia needs to be on what precautions?
Definition
Seizure
Term
Physiologic hyperbilirubinemia
Definition
"normal" response to baby's poor ability to excrete bilirubin 4 first few days
Term
Primary Prevention (2)
Definition
1. Breast feed 8-12x/day 1st few days
2. Don't give H20 or dextrose H20 if baby's not dehydrated!
Term
Secondary Prevention (2)
Definition
1. Draw Coombs/antibodies
2. Assess q 8-12 h
Term
Newborn thermoregulation
Definition
Can't shiver
Brown fat metabolized quickly (Spine, adrenal, kidney)
Term
Convection
Radiation
Evaporation
Conduction
Definition
Convection: Body to air
Radiation: Body to indirect surface
Evaporation: Liquid to vapor
Conduction: Body to direct surface
Term
Causes of poor weight and sub-q fat (thermoregulation) (4)
Definition
IUGR
Postterm
Resp. problems
Prematurity
Term
When do babies form their own antibodies?
Definition
1st 3 months

Don't take out for 2 weeks
Term
Cephalohematoma
Definition
Blood swelling beneath scalp
Vacuum, forceps
Gone in 6-8 wks
Term
Caput succedeneum
Definition
Scalp swelling d/t being pushed thru vag
Gone 24-48 h
Term
Female reproductive normals
Definition
Pseudomenstruation 1st 24 h
Vag tags
Edema, vernix
Breast tissue swollen
Term
Male reproductive normals
Definition
Descend 90%
Retractable foreskin
Term
Skeletal normals
Definition
Arms longer than legs
Head 1/4 body length
Symmetrical hip skin folds
Term
Molding
Definition
Overlap suture lines
Can cause caput succedeneum then cephalohematoma
Term
Polydactyly
Syndactyly
Definition
Polydactyly: Extra digits
Syndactyly: Webbed digits
Term
Nutrition reflexes at birth
Definition
Rooting
Sucking
Swallowing
Term
Why can't we spoon feed newborns?
Definition
Extrusion reflex; Gone in 3-6 mo
Term
Calories/day?
Fluid/day?
Definition
108 kcal/kg/day
105 ml/kg/day
Term
Lactation
Definition
Empty q day (prevent mastitis)
Prolactin r/t frequency, intensity, duration
1. Lactogenesis
2. Let down
3. Colostrum
3. True milk (blue)
Term
Bottle feeding
Definition
Positioning
Burp q 1/2 oz.
Term
What scale do we use to measure behavior? What factors affect behavior?
Definition
BNBAS
Age, time, stimulation, ethnicity, meds
Term
Dx tests b4 D/C (4)
Definition
1. Glucose
2. PKU
3. Thyroid
4. Hearing
Term
Who do we not let around the baby? (W/out a mask) (3)
Definition
1. URI
2. Sores
3. Fever blisters
Term
Teaching for baby's safety (3)
Definition
1. No pillows
2. No sign in yard
3. No sick people
Term
Newborn Prophylactic abx are for...
Definition
Gonorrhea
Chlamydia
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