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2050 EXAM 1 CH17
NEWBORN ADAPTATION
| Question | Answer |
|---|---|
| The _____ Period is definded as the first 28 days off life. | Neonatal |
| The umbilical vein carries oxygenated blood from the _____ to the _____. | Placenta Fetus |
| The Ductus Venosus allows the majority of the umbilical vein blood to bypass the _____ and merge with blood moving through the _____ _____, bringing it to the heart sooner. | Liver Vena Cava |
| The Foramen ovale allows more than half the blood entering the RA to cross immediatley to the LA, thereby passing _____ _____. | Pulmonary Circulation |
| he ductus arteriosus connects the _____ _____ to the _____, which allows bypassing of the pulmonary circuit. | Pulmonary Artery Aorta |
| Closeure of the Ductus Arteriosus occurs within the first few hours of birth and is highly dependant on _____. | Oxygen |
| Bradycardia in the neonate is often assocciated with _____ and is often seen with _____. | Apnea Hypoxia |
| Fetal RBCs are _____ but few in number. | Large |
| After birth, the RBC count gradually increases as the cell size decreases, because they live in an environment with much higher ___. | PO2 |
| A newborn's RBC have a life span of _____ to _____ days compared to 120 days in an adult. | 80 - 100 |
| _____, _____, and _____ resulting from normal labor becom stimuli for initiating respirations | Hypercapnia HypoxiaAcidosis |
| A surface tension-reducing lipoprotein found in the newborn's lungs that prevents alveolar collapse at the end of expiration and loss of lung volume is ____. | Surfactant |
| Hemoglobin Normal Range: | 17-20 g/dL |
| Hematocrit Normal Range: | 52%-63% |
| Platelets Normal Range: | 100,000-300,000/uL |
| RBC Normal Range: | 5.1-5.8 (1,000,000/uL) |
| WBC Normal Range: | 10-30,000/mm3 |
| What 6 events must occur before the newborn's lungs can maintain respiratory function? | Initiation of respiratory movement Expansion of the lungs Est of functional residual capacity Increased pulmonary blood flow Redistribution of cardiac output |
| After respirations are est in the newborn, they are _____ and _____, ranging from _____ to _____ breaths per minute, with short periods of _____. (<15 seconds) | ShallowIrregular3060Apnea15 seconds |
| On average, a newborn's temperature ranges from: | 36.5 to 37.5 degrees C97.9 to 99.7 degrees F |
| What are four types of heat loss? | Conduction Convection Evaporation Radiation |
| The primary heat regulator is located in the _____ and the _____ _____ _____. | Hypothalamus Central Nervous System |
| The immaturity of the neonate's _____ makes it diffucult for the child to thermoregulate. | CNS |
| Overheating increases what three factors? | Fluid Loss Respiratory Rate Metabolic Rate |
| An environment in which body temperature is maintained without an increase in metabolic rate or oxygen use is called a _____ _____ _____. | NTE Neutral Thermal Environment |
| If the environmental temperature decreases, the newborn responds by ___________. | Consuming more oxygen |
| What are four main functions of the liver in the neonate? | Iron storage, Carbohydrate Metabolism, Blood Coagulation, Conjugation of bilirubin |
| Newborns produce bilirubin at a rate of approximately __ to __ mg/kg/day; more than twice than the rate in adults. | 6 to 8 |
| Bilirubin production typically declines to the adult level within __ to __ days after birth. | 10 to 14 |
| The causes of newborn jaundice can be classified into three groups based on the mechanism of accumulation: | Bilirubin overproduction. Decreased bilirubin conjugation. Impaired bilirubin excretion. |
| Bacterial colonization of the gut is dependant upon _____ _____. | Oral Intake |
| Colonization usually occurs within 24 hours of age and is required for the production of _____ _____. | Vitamin K |
| The stomach of the newborn has a capacity ranging from ___ to ___ mL, with a variable emptying time of ___ to ___ hours. | 30 to 90 mL 2 to 4 hours |
| Term newborns lose __ % to __% oth their birthweight as a result of insufficient caloric intake withing the first week after birth. | 5% to 10% |
| To gain weight, the term nerborn requires an intake of ___ kcal/kg/day from birth to 6 months of age. | 108 kcal/kg/day |
| About __ to __ voidings daily is average for most newborns; this indicates adequate fluid intake. | 6 to 8 |
Created by:
Ringtail
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