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Maternity
newborn G & D
| Question | Answer |
|---|---|
| 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
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