Unit 10

What would be a warning sign of ineffective adaptation to extrauterine life if noted when assessing a 24-hour-old breastfed newborn before discharge?

When caring for a newborn, the nurse must be alert for signs of cold stress, including:

When weighing a newborn, the nurse should:

Vitamin K is given to the newborn to:

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:

A newborn male, estimated to be 39 weeks of gestation, would exhibit:

The nurse must administer erythromycin ophthalmic ointment to a newborn after birth. The nurse should:

Following circumcision of a newborn, the nurse provides instructions to his or her parents regarding postcircumcision care. The nurse should tell the parents to:

When placing a newborn under a radiant heat warmer to stabilize temperature after birth, the nurse should:

maintenance of balance b/t heat loss and heat production

what is heat production

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

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

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

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

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

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

pinkish, easily blanched areas on the upper eyelids, nose, upper lip, back of head and nape of neck. Known as stork bites

overlapping of crainal bones to facilitate passage of the fetal head through the maternal pelvis during the process of labor and birth

generalized, easily identifiable edematous area of the scalp usually over the occiput area

collection of blood b/t skull bone and its periosteum as a result of pressure during birth

white, cheesy substance that coats and protects the fetus's skin while in utero

white facial pimples caused by distended sebaceous glands

yellowish skin discoloration caused by increased levels of serum bilirubin

thick, tarry, dark green-black stool usually passed w/in 24 hours of birth

sudden, transient newborn rash characterized by erythematous macules, papules, and small vesicles

transient cross-eyed appearance lasting until 3rd or 4th month of life

color variation related to vasoconstriction on one side of the body and vasodilation on the other side of the body.

accumulation of fluid in the scrotum, around the testes

monilial infection of the oral cavity resulting in white plaques on buccal mucosa and tongue that bleed when touched

Membranous area formed where skull bones join

soft, downy hair on face, shoulders and back

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

birth mark consisting of dilated newly formed capillaries occupying the entire dermal and subdermal layers with associated connective tissue hypertrophy

slightly blood-tinged mucoid vaginal discharge associated with an estrogen decrease after birth

foreskin

white cheesy substance commonly found under the foreskin

small, white, firm cysts seen at the tip of the foreskin

extra digits, fingers or toes

fused fingers or toes

variations in the state of consciousness of newborn infants

what does the apgar score consist of

device used to suction mucus and secretions from the newborn's mouth and nose immediately after birth and when needed

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

inflammation of the newborn's eyes from gonorrheal or chlamydial infection due to passage through birth canal

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

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

test performed to distinguish cutaneous jaunidice of the skin from normal skin color

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

yellow staining of brain cells that may result in bilirubin encephalopathy

serum Ca+ levels less than 7.8-8 in the term infant and less than 7 in preterm infant

structures in the breast that are composed of alveoli, milk ductules and myoepithelial cells

milk-producing cells

breast structure that connects several alveoli

breast structure that connects a duct to the lactiferous sinus

process of milk production

lactogenic hormone secreted by the anterior pituitary gland in response to the infant's suck and emptying of the breast

posterior pituitary hormone that triggers the let-down reflex

reflex triggered by the contraction of myoepithelial cells. Colostrum, and later milk, is ejected toward the nipple

reflex stimulated when a hungry baby's lower lip is touched. Baby opens its mouth and begins to suck

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)

place finger in palm of hand or at base of toes - infant's fingers curl around examiner's finger, toes curl downward

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

touch infant's lip cheeck, or corner of mouth with nipple - turns head toward stimulus, opens mouth, takes hold and sucks