Unit 10

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shannonm2003
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155768
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Unit 10
Updated:
2012-05-25 00:05:27
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Unit 10
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Fetal Assessment
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  1. What would be a warning sign of ineffective adaptation to extrauterine life if noted when assessing a 24-hour-old breastfed newborn before discharge?
    Apical heart rate of 90 beats/min, slightly irregular, when awake and active
  2. When caring for a newborn, the nurse must be alert for signs of cold stress, including:
    Increased respiratory rate.
  3. When weighing a newborn, the nurse should:
    Weigh the newborn at the same time each day for accuracy
  4. Vitamin K is given to the newborn to:
    Enhance ability of blood to clot.
  5. The nurse notes that, when the newborn is placed on the scale, he immediately abducts and extends his arms and his fingers fan out with the thumb and forefinger forming a "C." This response is known as a:
    Moro reflex.
  6. A newborn male, estimated to be 39 weeks of gestation, would exhibit:
    Testes descended into scrotum.
  7. The nurse must administer erythromycin ophthalmic ointment to a newborn after birth. The nurse should:
    Cleanse eyes from inner to outer canthus before administration.
  8. Following circumcision of a newborn, the nurse provides instructions to his or her parents regarding postcircumcision care. The nurse should tell the parents to:
    Expect a yellowish exudate to cover the glans after the first 24 hours.
  9. When placing a newborn under a radiant heat warmer to stabilize temperature after birth, the nurse should:
    Prewarm the radiant heat warmer and place the undressed newborn under it. (The thermistor probe should be placed on the upper abdomen away from the ribs.)
  10. maintenance of balance b/t heat loss and heat production
    thermoregulation
  11. what is heat production
    thermogenesis
  12. what is heat production process unique to the newborn accomplished primarily by brown fat and secondarily by increased metabolic activity in the brain, heart, and liver
    nonshivering thermogenesis
  13. flow of heat from the body surface to cooler ambient air. 2 measures to reduce heat loss by this method would be to keep the ambient air at 24 C and wrap the infant
    convection
  14. loss of heat from the body surface to a cooler, solid surface not in direct contact but in relative proximity. To prevent this type of heat loss, cribs and examining tables are placed away from outside windows and care is taken to avoid direct air drafts
    radiation
  15. loss of heat that occurs when a liquid is converted to vapor, in the newborn heat loss occurs when moisture from the skin is vaporized. this heat loss can be intensified by failure to dry the newborn directly after birth or by drying the newborn slowly after a bath
    evaporation
  16. loss of heat from the body surface to cooler surfaces in direct contact. When admitted to the nursery, the newborn is placed in a warmed crib to minimize heat loss. Placing a protective cover on the scale when weighing the newborn will also minimize heat lost by this method
    conduction
  17. high body temp that develops more rapidly in the newborn than in the adult. Newborn has a decreased ability to increase evaporative skin water losses b/c sweat glands do not function sufficiently to allow the newborn to sweat; serious overheating can cause cerebral damage from dehydration or heat stroke and death
    hyperthermia
  18. pinkish, easily blanched areas on the upper eyelids, nose, upper lip, back of head and nape of neck. Known as stork bites
    telangiectatic nevi
  19. overlapping of crainal bones to facilitate passage of the fetal head through the maternal pelvis during the process of labor and birth
    molding
  20. generalized, easily identifiable edematous area of the scalp usually over the occiput area
    caput succedaneum
  21. collection of blood b/t skull bone and its periosteum as a result of pressure during birth
    cephalhematoma
  22. white, cheesy substance that coats and protects the fetus's skin while in utero
    vernix caseosa
  23. white facial pimples caused by distended sebaceous glands
    milia
  24. yellowish skin discoloration caused by increased levels of serum bilirubin
    jaundice
  25. thick, tarry, dark green-black stool usually passed w/in 24 hours of birth
    meconium
  26. sudden, transient newborn rash characterized by erythematous macules, papules, and small vesicles
    erythema toxicum
  27. transient cross-eyed appearance lasting until 3rd or 4th month of life
    pseudostrabismus
  28. color variation related to vasoconstriction on one side of the body and vasodilation on the other side of the body.
    harlequin sign
  29. accumulation of fluid in the scrotum, around the testes
    hydrocele
  30. monilial infection of the oral cavity resulting in white plaques on buccal mucosa and tongue that bleed when touched
    thrush
  31. Membranous area formed where skull bones join
    fontanel
  32. soft, downy hair on face, shoulders and back
    lanugo
  33. flat red to purple birth mark composed of a plexus of newoly formed capillaries in the papillary layer of the corium, varies in shape, size and location, usually found on neck and face
    port wine stain
  34. birth mark consisting of dilated newly formed capillaries occupying the entire dermal and subdermal layers with associated connective tissue hypertrophy
    strawberry hemangioma
  35. slightly blood-tinged mucoid vaginal discharge associated with an estrogen decrease after birth
    pseudomenstruation
  36. foreskin
    prepuce
  37. white cheesy substance commonly found under the foreskin
    smegma
  38. small, white, firm cysts seen at the tip of the foreskin
    epithelial pearls
  39. extra digits, fingers or toes
    polydactyly
  40. fused fingers or toes
    syndactyly
  41. variations in the state of consciousness of newborn infants
    sleep-wake cycles
  42. what does the apgar score consist of
    • HR
    • RR
    • muscle tone
    • reflex irritability
    • color
  43. device used to suction mucus and secretions from the newborn's mouth and nose immediately after birth and when needed
    bulb syringe
  44. automatic sensor usually placed on the upper quadrant of the ab immediately below the R or L costal margin, attached to the radiant warmer and monitors the newborn's skin temp
    thermistor probe
  45. inflammation of the newborn's eyes from gonorrheal or chlamydial infection due to passage through birth canal
    ophthalmia neonatorum
  46. One of the products derived from the hemoglobin released with the breakdown of RBCs and the myoglobin in muscle cells, its accumulation in the blood results in a yellowish discoloration of the skin, sclera and oral mucous membranes
    bilirubin
  47. yellowish discoloration of the integument and sclera that first appears after the 1st 24 hours of life and disappears by the end of the 7th day of life
    physiologic jaundice
  48. test performed to distinguish cutaneous jaunidice of the skin from normal skin color
    blanch test
  49. level of serum bilirubin which if left untreated, can result in sensorineural hearing loss, mild congnitive delays, and deposition of bilirubin in the brain, appears during 1st 24 hours after birth
    pathologic jaundice
  50. yellow staining of brain cells that may result in bilirubin encephalopathy
    kernicterus
  51. serum Ca+ levels less than 7.8-8 in the term infant and less than 7 in preterm infant
    hypocalcemia
  52. structures in the breast that are composed of alveoli, milk ductules and myoepithelial cells
    lobes
  53. milk-producing cells
    alveoli
  54. breast structure that connects several alveoli
    ductules
  55. breast structure that connects a duct to the lactiferous sinus
    lactiferous duct
  56. process of milk production
    lactation (lactogenesis)
  57. lactogenic hormone secreted by the anterior pituitary gland in response to the infant's suck and emptying of the breast
    prolactin
  58. posterior pituitary hormone that triggers the let-down reflex
    oxytocin
  59. reflex triggered by the contraction of myoepithelial cells. Colostrum, and later milk, is ejected toward the nipple
    let down or milk ejection
  60. reflex stimulated when a hungry baby's lower lip is touched. Baby opens its mouth and begins to suck
    rooting reflex
  61. what reflex is described: place infant supine on flat surface and make a loud abrupt noice (symmetric abduction and extension of arms, fingers fant out and thumb and forefinger form a C, arms are then adducted into an embracing motion and return to relaxed felxion and movement)
    moro reflex
  62. place finger in palm of hand or at base of toes - infant's fingers curl around examiner's finger, toes curl downward
    grasp
  63. use finger to stroke sole of foot beginning at heel, upward along lateral aspect of sole, then across ball of foot - all toes hyperextend, with dorsiflexion of big toe
    Babinski
  64. touch infant's lip cheeck, or corner of mouth with nipple - turns head toward stimulus, opens mouth, takes hold and sucks
    rooting

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