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Cyanosis of the extremities.
Swelling or edema occcuring in or under the fetal scalp during labor
Subcutaneous swelling containing blood found on the head of an infant several days after birth.
How long before cephalohematoma disappears?
Usually within a few weeks to 2 months
Small white blebs found along the gum margins annd at the junction of the hard and soft palates; commonly seen in the newborn as a normal manifestation.
Innocuous pink papular rash of unknown cause with superimposed vesicles.
When does erythema toxicum appear and resolve?
Appears within 24-48 hours after birth and resolves spontaneously within a few days
Fine, downy hair found on all body parts of the fetus.
When does lanugo start to develop?
after 20 weeks gestation
Dark green or black material present in the lg intestine of a full-term infant; first stools passed by newborn.
Tiny white papules appearing on the face of a newborn as a result of unopened sebaceous glands.
When do milia disappear?
spontaneously within a few weeks
Macular areas of bluish black or gray-blue pigmentation found on the dorsal area and the buttocks of newborns.
Raised, clearly delineated, dark-red, rough-surfaced birthmark commonly found in the head region (capillary hemangioma).
Nevus vasculosus (strawberry mark)
Capillary angioma directly below the epidermis; non elevated, sharply demarcated.
Nevus flammeus (port wine stain)
A common metabolic disease caused by an inborn error in the metabolism of the amino acid phenylalanine.
Small clusters of pink-red spots appearing on the nape of the neck and around the eyes of infants; localized areas of capillary dilation.
Telangiectatic nevi (stork bites)
A fungal infection of the oral mucous membranes caused by Candida albicans. Most often seen in infants; characterized by white plaques in the mouth.
What is vernix caseosa?
A protective, cheeselike, whitish substance made up of sebum and desquamated epithelial cells that is present on fetal skin.
What is the purpose of the Apgar?
to evaluate the physical condition of the newborn at birth
Five criteria for Apgar.
- Heart rate
- Respiratory effort
- Muscle tone
- Reflex irritabilty
How long does nevus flames (port wine stain) last?
It does not fade
When do babies get nevus vasculosus (strawberry mark) and when do they disappear?
- Usually begin to grow rapidly during the 2nd or 3rd week of life
- may not reach full size til about 6 mos of age
- begin to shrink & start to resolve spontaneously several weeks to months after they reach peak growth
What signals the start of resolution of nevus vasculosis (strawberry mark)?
a pale purple or gray spot on the surface of the hemangioma
Physiological causes of hyperbilirubinemia.
- Accelerated destruction of fetal RBCs
- Impaired conjugation of bilirubin
- Increased billirubin reabsorption from the GI tract
- (increased levels of unconjugated billirubin)
When do the signs of physiologic jaundice appear?
AFTER the first 24 hrs (slides)