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Flashcards

Then term newborn

Ruffled Tulip English 138 cards

Cards in this deck (138)

  1. 1Adjustment to life outside uterus is dependent uponGenetic background
    Health of the recent uterine environment
    A safe delivery
    Care during the first month of life
  2. 2Respirations stimulated due tochilling and chemical changes in the blood
  3. 3the first breath:opens alveoli
  4. 4Ability to metabolize food hamperedby immaturity of digestive system
  5. 5digestive system is immature because of ______ in ________ from the ________diffiency, enzymes, pancreas and liver
  6. 6The kidney's ability to ________ and maintain fluid balance is limited due to decreased ______________ and limited __________________ reabsorptionsconcentrate urine, rate of glomerular flow, renal tubular
  7. 7directs most of the body's activitythe nervous system
  8. 8infants moves arms and legs but cannotcontrol them
  9. 9full term infants are born with these reflexesblinking, sneezing, gagging, sucking, grasping
  10. 10if crib is jarred infants draw their legs up and the arms fan out and then come toward midline in an embrace position, this is called the:moro reflex
  11. 11infants head falls back because they cannot lift ithead lag
  12. 12ReflexesMoro
    Rooting
    Tonic neck
    Dancing
  13. 13absence of the moro reflex may indicateabnormalities of the nervous system
  14. 14postural reflex that is sometimes assumed by sleeping infants, the head is turned to one side, the arm and leg are extended on the same sid and the opposite arm and leg are flexed in a fencing positiontonic neck reflex
  15. 15tonic neck reflex disappears by5-7th month
  16. 16moro reflex disappears by3-6 months
  17. 17palmar grasp reflex disappears by3 months
  18. 18babinski reflex diappears byvariably when the infant begins walking
  19. 19swelling of the soft tissues of the scalp as a result of the delivery processcaput succedaneum
  20. 20a collection of blood beneath the periosteum of the cranial bonecephalohematoma
  21. 21ccheplahematoma does not crosssuture line
  22. 22protect the head during deliver and allow further brain growthfontanelles
  23. 23normal limits of head circumference32 to 36 cm
  24. 24diamond shaped and is located at the junction of the two parietal and two frontal bonesanterior fontanellw\e
  25. 25anterior fontanelle usually closes by12 to 18 months
  26. 26triangular and is located between the occiptial and parietal bonesposterior fontanelle
  27. 27the new born can recognizemother's milk on the breast pad
  28. 28most newborns appear _________ because their __________ is not fully developedcross-eyed, eye muscle coordination
  29. 29permanent eye coloring becomes fixed at about ages6 to 12 months
  30. 30tears to not appear until _______ due to immaturity of the _________1 to 3 months, lacrimal gland ducts
  31. 31Infant responds to voices by decreasing _________ and ______________motor activity, sucking activity, turning head toward the sound
  32. 32the eye should be even with the __________upper tip of the pinna
  33. 33the ability to discriminate between the mother's voice and the voices of others may occurs as early asage 3 days
  34. 34analzyes hearing by sending a series of soft clicks into the sleeping infant's earALGO hearing screening test
  35. 35when the infant's brain responds with a specific brain wave that is referred to as anauditory brainstem response
  36. 36measures sounds from the cochlea in response to sound stimulationotoacoustic emissions test
  37. 37this is expecially vulnerable to injurytympanic membrane
  38. 38neonate sleeps approx15 to 20 hours
  39. 39Phases of sleep-wake cycle used to adjust to sleep wake cycle outside of uterusFirst reactive
    Sleep
    Second reactive
    Stability
  40. 40Specific pattern of reactivity that can influence response to stimuli and bondingQuiet sleep
    Rapid eye movement sleep
    Active alert
    Quiet alert
    Crying
    Transitional
  41. 41during the first 30 minutes of life the newborn is alert and this is the best time to initiate bonding between the parent and newbornfirst reactive phase
  42. 42During the next few hours of love the infant gradually become sleepier and less responsiveSleep phase
  43. 43After age 24 hours the sleep wake pattern becomes more stabilized the pattern sleep gradually develops into one which the newborn is awake during the day and they sleep during the nightStability phase
  44. 44an infant held ________ on the _________ and rocked in a __________ is more likely to maintain an alert stateupright, shoulder, vertical position
  45. 45infant sleeps and does not movequiet sleep
  46. 46respirations are more _____ during REM sleepirregular
  47. 47infant displays diffuse motor activityactive alert
  48. 48infant is awake relaxed and quiet, most responsive to testing and bodning effortsquiet alert
  49. 49pain producescatecholamines and cortisol
  50. 50Pain pathways and structures required for long-term memory are well developed by24 weeks gestation
  51. 51Unrelieved pain can causeexhaustion, irritability, and delay the healing process
  52. 52ComfortAlertness calmness muscle tone movement facial tension and respiratory response into physiological items
  53. 53a 7-point scale that scores each item from 1 to 5 with a high cumulative score indicating increased distressCOMFORT
  54. 54CRIEcry, requires o2, increased vital signs, expressions
  55. 55Crie is a 10-point scale includes:facial expression, cry, movement of arms and legs, consolability, o2 sat
  56. 56FLACC parameters includeface, legs, activity, cry and consolability
  57. 57each parameter of flacc is scored from0 to 2
  58. 58PIPPpremature infant pain profile
  59. 59based on scales similar to CRIEPIPP
  60. 60PIPP ratieseye squeeze, nasal labial furrow, HR, o2 sat, and brow furro on a scale of 0 to 3
  61. 61NIPSneonatal infant pain scale
  62. 62NIPS is similar to the _____ scaleCRIES
  63. 63the NIPS scale rates:facial expression, arm movement, cry, leg movement, respiration, and arousal on a scale of 0 to 2
  64. 64A nips score of ______ indicates worst level of pain7
  65. 65NPASSneonatal pain, agitation, sedation, scale
  66. 66scores for NPASS are given forcrying or irritability, behavioral state, facial expression, tone of extremities, vital signs, o2 sat
  67. 67NPASS scores range from-2 to +2 for agitated infants
  68. 68Pain Assessment ToolsCOMFORT
    CRIES
    FLACC
    PIPP
    NIPS
    NPASS
  69. 69Evaluation of pain in the neonate can be based on changes in:VS and behavior of infant, decreased o2 sat
  70. 70pain can be relieved bySwaddling
    Cuddling
    Rocking
    Non-nutritive sucking
    Quiet environment
    Oral sucrose
    Morphine, Fentanyl, topical anesthetics
  71. 71Measures inherent neurological capacities and response to selected stimuliNeonatal Behavioral Assessment Scale
  72. 72behavioral areas tested includeAlertness
    Response to visual and auditory stimuli
    Motor coordination
    Level of excitement
    Organizational process in response to stress
  73. 73Most critical period for newbordfirst hour of life
  74. 74First breath helps toexpand the collapsed lungs
  75. 75Full expansion does not occurfor several days
  76. 76Five objective signs measured for apgarHeart rate
    Respiration
    Muscle tone
    Reflexes
    Color
  77. 77Nurse monitors for respiratory distress as evidenced byRate and character of respirations
    Color (cyanosis)
    General behavior
  78. 78must be reported immediately to the health care providerSternal retractions
  79. 79Has approximately _____ of circulating blood volume300 mL
  80. 80If ducts fail to close when they're supposed to the neonate may become _______ because the blood that by passes the _________ does not pick up any _____________cyanotic, lungs, o2
  81. 81result from blood passing through normal valvesfunctional murmurs
  82. 82caused by blood passing through abnormal openingsorganic murmurs
  83. 83body temp falls immediately after birth but eventually climbs back up between97.8 to 98.9
  84. 84metabolism of brown fatnonshivering thermogenisis
  85. 85Acrocyanosis is evident because ofsluggish peripheral circulation
  86. 86room for infant is kept at69-75 f
  87. 87humidity for infant is kept at45-55%
  88. 88a _______ may develop in the overheated infantred skin rash
  89. 89a quivering or shivering like tremor of the chin is not evidence of col but evidences of _________immature neurological system
  90. 90count _________ before taking tempresp rates
  91. 91The nurse should reportTemperature elevations >99.8° F or <97.1° F
    Pulse rates >160 or <110 beats/min
    Respirations >60 or <30 breaths/min
    Noisy respirations
    Nasal flaring or chest retraction
  92. 92average infant bp80/46
  93. 93infant resp are usually30 to 60
  94. 94infant HR usually110-160
  95. 95first muscles under controlhead and neck
  96. 96Because the infants bones are easily _______ position changes must be oftenmolded by pressure
  97. 97infant's resistance to attempts ot bring one elbow farther than the midline of the chestscarf's sign
  98. 98Average length19 to 21.5 inches (46 to 56 cm)
  99. 99Average weight6 to 9 pounds (2722 to 4082 g)
  100. 100In the first 3 to 4 days after birth, the infant loses about5% to 10% of its birth weight
  101. 101Preterm wt. loss may be as high as15%
  102. 102Renal blood flow is abouta third of an adult
  103. 103newborn has about ______ wet diapers/day6
  104. 104renal tubules are short and have limited capacity for absorbing substances such asglucose, phosphate, bicarb
  105. 105Testes descend into scrotum beforebirth
  106. 106opening of the urethra is on the undersurface of the penishypospadias
  107. 107infants with congenital anomalies of the penisshould not be circumsized
  108. 108patroleum jelly is used with thegomco clamp
  109. 109plastibell should fall off within5-8 days
  110. 110jewish faith waits ______ before circumsion and hebrew name is given8 days after birth
  111. 111—made of cells and glandular secretions; thought to protect skin from irritation and effects of a watery environmentvernix caseosa
  112. 112white pinpoint pimples caused by the obstruction of sebaceous glands may be seen on nose and chins, disappear within a few weeksmillia
  113. 113millia type lesions on the midline of the hard palateepstein's pearls
  114. 114epsteins pearls are cause bycollection of epithelial cells
  115. 115flat red areas seen on the nape of the neck and on they eyelidsstork bites
  116. 116mongolian spots are common innative american, african american, and mediterranean descent
  117. 117peeling of the skin that occurs during the early weeks of lifedesquamation
  118. 118normal hgb in newbornsm, 7 days, 3 months,18.5, 17, 11.3
  119. 119normal hct in newborns, 7 days, 3m56, 44, 35
  120. 120wbc cound newborn, 7 dys, 3 m,18,000, 12,000, 10,800
  121. 121bilirubin newborn, 7 day, 3 months6, 12, 1
  122. 122icterometeruses skin color to measure jaundice
  123. 123Bath 2-3 times per weekWater should be 37.8C (100F), room 75-80F
    Keep infant covered for warmth
    Bathe face, then cephalocaudal movement, head(hair) last
    Genitalia front to back
  124. 124powders should be avoided because ofrisk of aspiration
  125. 125stools of breast fed infantbright yellow, soft and pasty
  126. 126number of stools for breastfed infant3 to 6
  127. 127stools of formula fed infantvary from yellow to brown
  128. 128the stomach capacity is90 ml
  129. 129emptying time is2 to 3 hours
  130. 130salivary glands do no secret saliva until the infant is age2 to 3 months
  131. 131infants need extravitamin c and d
  132. 132umbilical cord stump is:primary site of infection if not kept clean
  133. 133immunoglobulin that crosses the placenta and provides the newborn with passive immunityImmunoglobulin G
  134. 134IgG rarely lasts longer than3 months
  135. 135an immunoglobulin produced after the neonatal period that is contained in breast milk and provides some resistance to resp and gi infectionsImmunoglobulin A
  136. 136Infants are at risk for resp and gi infections before1 month of age
  137. 137an immunoglobulin produced by the newborn and an elevated level suggests serious infectionImmunoglbulin M
  138. 138discharge planning areas may includeBasic infant care
    Safety measures
    Immunizations
    Return appointments
    Proper use of a car seat
    Signs and symptoms of problems and who to contact

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Flashcards on Then term newborn , created by Ruffled Tulip on 02/05/2022.
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