__________ is present for several __________ until the pulmonary changes have stabilized and oxygenated blood has reached the hands and feet.
Cyanosis around the lips or face is NOT normal and is a sign of:
Caput succedaneum is __________ of the newborn's scalp that is present at __________ that disappears __ to __ days.
It does not need __________.
Caput succedaneum may cross __________ lines and is caused by:
caused by head compression against the cervix
Cephalohematoma is a collection of blood between the __________ and the __________.
periosteum and the skull
Cephalohematoma appears several __________ to a day after birth.
What is caused by a rupturing of the periosteal bridging veins because of the friction and pressure during L&D?
A cephalohematoma is largest on the __ day and reabsorbs in __ to __ weeks.
The surgical removal of the foreskin that covers the glans penis:
Circumcision is considered an __________ procedure and parents must give written consent.
Reasons for and against circumcision:
prevent the need for procedure later in life
may reduce UTI, penile cancer, and STD's
possibility of hemorrhage
What is the procedure for circumcision?
infant is placed on circumcision board
physician makes a slit in the foreskin and either uses Gomco clamp or Plastibell to control bleeding of foreskin as it is cut off
Vaseline gauze is placed on penis to prevent the diaper from sticking to the site
New ointment is applied at each diaper change for at least 24-48 hrs
What are the nursing responsibilities during a circumcision?
set up equipment/supplies
keep bulb syringe close by
keep infant warm
afterwards, check hourly for 12 hrs for bleeding and to assure infant is voiding
ensure the parents know how to care for the circumcision
Most infants are not fed __ to __ hrs before circumcision to prevent __________.
What causes cold stress?
decreased oxygen --> metabolic rate can't increase --> results in not maintaining temp
Four ways to lose heat:
The loss of heat by direct contact with a cooler object is:
cold hands, cold stethoscope, cold scale
The loss of heat by movement of air:
air current from open doors, air conditioning, people moving around
The loss of heat when water is changed to vapor:
when wet body dries, during a bath or wet from amniotic fluid or from we diapers
The loss of heat by transfer to cooler objects nearby, but not enough for direct contact:
infant near a cold window, cold walls of an incubator
__________ is placement of the urinary meatus on the underside of the penis.
__________ is placement of the urinary meatus on top of the penis.
Small whitish-yellow epithelial cysts are called:
Epstein's pearls are found on the __________, disappear in a few __________, and may be confused with thrush.
What happens if an infants temp is not raised by non-shivering thermogenesis?
metabolism of brown fat begins
Brown fat is only found in __________.
Brown fat appears at about __ to __ weeks of gestation and increases until about __ to __ weeks of age (unless depleted by cold stress).
Where is brown fat located?
back of neck
around heart and abdominal aorta
What happens once all an infants brown fat is metabolized?
they do not have a method of heat production
Eye infection that occurs at birth or during the first month:
What is the most common cause of opthalmia neonatum?
gonorrhea or chlamydia
If left untreated, opthalmia neonatum can result in:
severe vision impairment
__________ ointment is a prophylactic that is instilled into each eye soon after birth.
Management of opthalmia neonatum depends on the __________ organism, but __________ and __________ are commonly used.
Rocephin and Penicillin
Blood tinged mucous discharge from the vagina of an infant:
withdrawal of maternal hormones
A white, creamy substance called __________ may cover the skin, but usually disappears by term. It may remain found in __________.
An infant's nipples may secrete a whitish fluid called:
What is the first priority of infant care after delivery?
The first and most important care given is to clear the __________ and then the __________ of the mucous and amniotic fluid to open the airway.
__________ scoring assesses the infant's cardiopulmonary adaptations to extrauterine life. The scale is from 0-10, worst to best.
APGAR stands for:
Apgar scoring should be performed on every baby at __ min and at __ min. If the scores are low, do them again at __ min and __ min.
1 and 5
10 and 15
High levels of bilirubin in the blood causes __________ and is caused by an increase in the destruction of RBCs. Tx is __________, the babies are placed under the bili lights or bili blankets (breaks down bilirubin).
Fine, downy hair, __________, is most abundant between __ to __ weeks gestation and disappears as the gestational age increases.
The earliest stools of an infant is called:
White, pinhead-sized, distended sebaceous glands on the cheeks, nose, chin, and ocacasionally the trunk are called:
The shaping of the fetal head to adapt to the mother's pelvis during labor is called:
In __ to __ days, the cranial bones typically return to their proper placement after molding.
Deep blue areas of coloration, usually in the sacral region, at birth are called:
An environment in which the newborn can maintain internal body temp with minimal oxygen consumption and metabolism is called __________.
In this environment, the newborn's body can focus more on __________ and __________.
neutral thermal environment
growth and development
When a newborn produces heat, it is called:
Thermogenesis can be done through:
If shivering is seen in an infant, this indicates:
metabolic rate has already doubled
When in a cool environment, the infants metabolic rate __________ and the newborn may cry and have muscular activity in order to produce heat.
Things to assess on a newborn:
The __________ reflex is also known as the "startle reflex".
The moro reflex is checked by:
hold infant in semiseated position, allowing head to fall backward to 30 degree angle
or having infant lie on flat surface and hitting the surface to startle them