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68wm6 p2 Nor Ter New

The Normal Term Newborn

What is Molding? Changes in the shape of the head that allow the newborn to pass through the birth canal.
Fill in the blanks: Seperation of the lobes may be the _________ result of molding or, if it persists or widens, may indicate ______ ________ ________ Temporary, Increased Intracranial Pressure
What are the areas of the head where sutures between the bones meet? Fontanelles
How quickly does Caput Succedaneum resolve? 12 hours to several days
What is Caput Succedaneum result from? as a result of pressure against the mother’s cervix during labor or from the use of a vacuum extractor
Cephalohematoma occurs in what percentage of births? 1% - 2%
Does a cephalohematoma or a Caput Succedaneum cross suture lines? Caput Succedaneum, Cephalohematoma does not cross suture lines
How quickly does a cephalohematoma resolve? few weeks to months
An infant with a Cephalohematoma is at increased risk for what, and why? Jaundice, Due to the breakdown of RBCs
What are you looking for in the newborn head exam? *Molding *Seperation of skull bones *Fontanelles *Caput Succedaneum *Cephalohematoma
Where do cephalohematomas occure? between the periosteum and the skull
What do you asses in the facial exam of a newborn? *Assess for symmetry *Positioning of the facial features *Movement *Expression
True or False. Facial asymmetry can be temporary True. A transient asymmetry from pressure may occur, lasting a few weeks of months
What are Epstein pearls? protein-filled cysts on the gums or roof of the mouth, they are very common.
What infants generally have more lanugo? Dark skinned infants
What is lanugo? Fine hair that covers the fetus in utero
What are Milia? White cysts, 1 to 2 mm in size over the forehead, nose, cheeks, and/or chin
What does milia result from? Resulting from distention of sebaceous glands (oil glands) that are not yet functioning properly
How often should the newborns respirations be assessed? Every 30 min
What is Choanal atresia? Choanal atresia is a narrowing or blockage of the nasal airway by tissue. It is a congenital condition, meaning it is present at birth
What is the most common form of newborn respiratory distress? Tachypnea
What respiratory rate is considered tachypneic in newborns? >60 breaths/min
True or False: Tachypnea is a serious abnormal condition in the first hour post birth False. Is not unusual during the first hour after birth and during the second period of reactivity, but continued tachypnea is abnormal
When are accessory muscle contractions during breathing common in the newborn? Occasional mild retractions are common immediately after birth but should not continue after the first hour
What does cyanosis of the trunk indicate? Indicates that not enough oxygen is reaching the vital organs and requires immediate attention
What may look like cyanosis in the newborn? Bruising
How do you differentiate bruising and cyanosis? To differentiate cyanosis from bruising, apply pressure to the area. A cyanotic area will blanch, but a bruised area remains blue
What can cyanosis on exertions or crying indicate? A congenital heart defect
What are seesaw respirations? the chest falls when the abdomen rises and the chest rises when the abdomen falls, causing a seesaw effect
When is BP taken on all extremities? When the infant is quiet
What stools should occur the first 12 hours after birth? stools that are dark greenish-black, tarry, odorless, but very tenacious material (meconium)
What is rooting? When the side of the infants cheek near the mouth is stimulated and the infant turns head toward that side and opens the lips
What is the Moro Reflex (startle reflex) Occurs when the infant’s head and truck are allowed to drop back 30 degrees when the infant is in a slightly raised position
How does the infant react to a moro reflex test? Infant’s arms and legs extend and abduct, with the fingers fanning open and thumbs and forefingers forming a C position
What is the Palmar Grasping reflex? Occurs when the infant’s palm is touched near the base of the fingers
How does the infant react to a palmar grasping reflex test? Hand closes into a tight fist.
What is the Plantar Grasp Reflex? Occurs when the area below the toes is touched
How does the infant react to a plantar grasp reflex test? Infant’s toes curl over the examiner’s fingers
What is the Tonic Neck Reflex? In a supine position, the infant's head is quickly turned to one side, arm and leg will extend on that side, and opposite arm and leg will reflex; posture resembles a fencing position.
What is the Babinski test? Elicited by stroking the lateral sole of the infant’s foot from the heel forward and across the ball of the foot
How does the infant react to the babinski test? Causes the toes to flare outward with dorsiflexion of big toe
What is the Dance or Stepping Reflex? Occurs when infants are held uprights with their feet touching a solid surface
How does the infant react to the Dance or Stepping Reflex test? They lift one foot and then the other, giving the appearance that they are trying to walk
What is the average newborn length? 19-21 inches (48-53 cm)
What is the average newborn weight range? 5 lb 8 oz to 8 lb 13 oz (2500-4000 gm)
What is the AVERAGE newborn weight? 7.5 lb (3400g)
What is the weight changes in the newborn during the first 7-10 days? They should lose less than 10% of the birth weight
What is the average newborn head circumference? 13-14 in (33-35.5 cm)
What is the average newborn chest circumference? 12-13 inches (30.5 to 33 cm), 2-3 cm less than head circumference
What is the prefered temperature site in newborns? Axillary
What is the normal newborn respiratory rate? 30 to 60 breaths/min
When and how is Vitamin K administered to a newborn? One dose IM within the first hour after birth
What is Colostrum? A thick yellow substance from the breast which is high in protein, minerals, fat soluble vitamins and immunoglobulins, which transfers some immunity to the infant
What are the three stages of breast milk production? *Colostrum *Transitional *Mature
Created by: Shanejqb