Term
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Definition
| Connects the pulmonary artery with the descending aorta; Closure occurs when the pulmonary resistance becomes less than system vascular resistance which leads to a left to right shunt leading to closure in about 15 hours after birth. May stay open is lungs do not expand or PaO2 levels drop. |
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Term
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Definition
Connects the umbilical vein to the inferior vena cava
Closes by day 3 of life and becomes a ligament; closure forces perfusion of the liver. |
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Term
| 2 arteries and 1 vein (if you have only 1 artery and 1 vein you need to look at the function of the nb's kidneys) |
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Definition
| The umbilical cord has how many arteries and how many veins? |
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Term
Highest immediately after birth and lowest at about 3 hours of age
Normal findings: 50-75/30-45 mm Hg
Not typically taken; measure in both arms and both legs
Blood pressure varies during the first 12 hours of life according to birth weight (if blood pressure on legs is much lower than that is the sign of a heart defect; you would check B/P in all four areas if femoral pulse is not felt) |
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Definition
| Blood pressure in a newborn |
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Term
| convection (type of heat loss in nb) |
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Definition
| heat is lost to air or fluid around the infant that is cooler than infant’s temperature |
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Term
| radiation (heat loss in nb) |
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Definition
| heat is lost to solid objects near the infant that are cooler than infant’s temperature |
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Term
| conduction (heat loss in nb) |
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Definition
| heat is lost to cold surfaces that come in contact with the infant |
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Term
| evaporation (heat loss in nb) |
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Definition
| heat is lost when water evaporates from the infant’s skin surface or respiratory tract (most susceptible at the time of birth) |
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Term
| At about 40 mg/dL (transient from 48-72 hours of life) |
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Definition
| when is a baby considered to have hypoglycemia? |
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Term
| 2500 to 4000 grams (5lb, 8 oz to 8lb 13 oz) |
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Definition
| In a healthy nb the birth weight ranges from... |
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Term
| 33 to 35.5 cm (13 to 14 inches) |
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Definition
| In a healthy nb the head circumference ranges from... |
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Term
| 30.5 to 33 cm (12 to 13 inches) |
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Definition
| In a healthy nb the chest circumference ranges from... |
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Term
| 48 to 53 cm (19 to 21 inches) |
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Definition
| In a healthy nb the length (from head to heel) ranges from... |
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Term
| second period of reactivity |
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Definition
Follows the period of relative inactivity and lasts 2-8 hours
Varies between active alert and quiet alert state
Periods of rapid RR in response to stimuli and activity
HR varies in response to stimuli and activity
Increase bowel activity- may pass meconium stool
Neonate responds to external stimuli |
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Term
| second period of reactivity |
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Definition
Follows the period of relative inactivity and lasts 2-8 hours
Varies between active alert and quiet alert state
Periods of rapid RR in response to stimuli and activity
HR varies in response to stimuli and activity
Increase bowel activity- may pass meconium stool
Neonate responds to external stimuli |
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Term
| period of relative inactivity |
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Definition
Begins at 30 minutes of age and lasts 2 hours
Sleep state
Neonate is unresponsive to external stimuli
RR decreases and can fall slightly below normal range
HR decreases and is within normal range
Oral mucus production decreases |
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Term
| initial period of reactivity |
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Definition
1st 15-20 minutes post birth
Alert and active
Vigorously responds to external stimuli
RR irregular and may be rapid (can be as high as 90 bpm)
May exhibit momentary grunting, flaring and retractions.
Brief periods of apnea may occur
HR is rapid and can be as high as 180 bpm
Brief periods of cyanosis can occur
The amount of oral mucus increases |
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Term
| SGA; small for gestational age |
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Definition
| (<5lb, 8oz for a term infant); less growth occurred in utero than expected; associated risks include: hypoglycemia, asphyxia, RDS, meconium aspiration, intrauterine infection & hyperbilirubinemia [below the 10th percentile?] |
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Term
| LGA (large for gestational age) |
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Definition
| (>8lb, 13 oz for a term infant); associated risks include: birth trauma, hypoglycemia, hypocalcemia, meconium aspiration, polycythemia [between the 10th and 90th percentile] |
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Term
FIRST: make sure they are breathing
APGAR score
Complete head-to-toe assessment
Ophthalmic Erythromycin *
Umbilical cord care- some sites may use triple dye
Vitamin K (Aqua Mephyton) administration*
Blood glucose determination (if indicated)
Early breastfeeding |
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Definition
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Term
Screening for inborn errors (PKU [amino acid] test, ppl who have PKU disease cannot breakdown this amino acid.. May cause mental retardation ect)
State Mandated- different states have different requirements
Done once infant has been feeding at least 24 hours
http://www.mayoclinic.org/laboratorygenetics-rst/newbornscreening.html#Anchor-34521
Hepatitis B Vaccination is offered
Hearing Screening |
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Definition
| What needs to be done before discharge... |
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Definition
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Definition
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Definition
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Definition
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Definition
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Definition
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Definition
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Term
| extremely low birth weight |
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Definition
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Term
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Definition
Through the placenta
Ascending infections related to Prolonged ROM
Intrapartum exposure: during the birth process |
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Term
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Definition
(nosocomial infection)
Transmitted from equipment or staff |
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Term
| When levels are >6-7 mg/dl |
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Definition
| At levels of bilirubin will a nb show jaundice? |
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Term
| direct (conjugated) type of bilirubinemia |
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Definition
| water soluble and easier for the body to eliminate |
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Term
| indirect (unconjugated) type of bilirubin |
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Definition
fat soluble, is harder for the body to eliminate (more dangerous of the two)
Can more easily cross the blood-brain barrier |
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Term
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Definition
| how many mg's of calcium a day do lactating woman need? |
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Term
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Definition
| 6 to 8 feedings of approximately 2 to 4 ounces of formula at each feeding/24 hours |
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