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newborn G & D

choking baby; baby on back to sleep; if choking lay on side, smack between shoulder blades, suck out with syringe; diapers, bathing Education
Breastfeeding; hand washing; no sick people around them Prevent Infection
Vitamin K; helps blood clot and prevent serious bleeding; clotting factor produced Prevent Hemmorhage
Feeding; Holding Promote Bonding
4 ways (evaporation,radiation, convection, & conduction); double wrapping/ hats Promote thermoregulation
On back to sleep; bulb syringe at the head of the bed Maintain airway
extra finger; simple, no bone polydactyly
extra toe; fusion into one; bone syndactyly
crease all across hand; sign of down syndrome; normal: 3 creases in hand simian crease
birth defect; opening to anus is missing or blocked; stool would be a normal sign Imperforate anus
Baseline date; temp. of newborn 97.6-99.0
baseline data; HR of newborn 110-180 BPM ;110-sleeping;180-crying
broken capillaries (face & head); septic; where and how much? Petechiae
red broken blood vessels; slightly raised capillary hemangioma
protective lubricant vernix caseosa
blue( face, head, trunk) cyanosis
hands & feet: blue; bad circulation; usually normal(premature) acrocynanosis
fine hair; protective; more on premature lanugo
blue around mouth; hard time breathing/suction circumoral cyanosis
birth defect; backbone and spinal canal do not close before birth; type of spina bifida myelomeningocele
could be sign of hip dysplasia; click, pop clunk, when externally rotating hip unequal gluteal creases
small dimple or hole located just above the buttocks pilonidial dimple
testes are high in the canal; failure to descend into scrotum undescended testes
accumulation of fluid in sac hydrocele
urethra end up on upper aspect (high up, the groin area) epispadias
urethra is set low on penis; above hypospadias
white heads(head,face,nose);don't pop, may cause infection milia
black blueish around sacrum & coccyx (common in middle eastern, Mediterranean;normal) Mongolian spots
flat red area on skin; stork bite; congenital malformation nervus flammeus
epicanthal folds don't line up with low set ears
broken capillaries; raised; shiny hemangioma
newborn rash; happens from change to intrauterine to extrauterine Erythema toxicum
inspection & palpation (flat & soft); symmetry-hair texture;birth trauma;lacerations;bruising;presence of palsies Head assessment
swelling; bruising;increase of molding of the bones of the head;caused by long or diffiuclt delivery Molding caput succedaneum
semi-circular red mark on face caused by the use of surgical instrument Forcep marks
collection of blood under scalp, caused by pressure during birth; risk for jaundice of liver immaturity; on one side cephalhematoma
flat and soft at the surface posterior and anterior fontanel
broken blood vessels in the eye subconjunctival hemmorahage
folds in the eye epicanthal folds
increased intracranial pressure ; eyes are raised; upward gaze sunset eyes
remain fixed; don't move eyes doll's eyes
short, fatty,creased neck assessment
soft, slightly distended;3 vessel cord, 2 arteries 1 vein abdomen assessment
2 arteries 1 vein; umbilical cord 3 vessel cord
symmetry; 1-2 cm smaller than head circumference chest assessment
extra nipple with no function supernumerary nipples
special bottle used for babies having difficulty sucking and feeding problems; haberman's nipple cleft lip/ cleft palate
ability to suck; palette normal and intact normal mouth
presence of teeth in oral cavity at birth; caused by premature eruption natal teeth
check for patency; block one side then the other patent nares
adjustment of extrauterine life; gestational age; identify abnormal findings or congenital anomalies purpose of assessment
done when first born at 1 min, 5 min, 10 min; when under 7 then done at 10 min also; to assess health of newborn immediately after birth apgar test
hypotonic=bad; may be floppy if sugar is low; good= flexed extremities, good tone general appearance
Asian and Hispanic cultures believe their milk isn't ready yet so bottle feed; first educate that few days their milk has clostridium which is good for immunity of babies cultural considerations
Created by: ArleenB