107 Ch. 24 Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
What is the neonatal period | birth to 28th day of life |
what are 2 phases of transition period for neonate | 1st/2nd periods of reactivity |
what happens in 1st period of reactivity | lasts up to 30 min. after birth, HR incr to 160-180, then falls to 100-120. May have crackles, grunting, nasal flaring, retractions of chest (all signs of resp distress usually) |
what is 2nd period of reactivity | 4-8 hrs after birth, tachy/tachypnea, meconium passed, incr muscle tone, color, spitty/gaggy |
what are normal respirations for newborn | 30-60 b/min with periodic breathing(pauses), apnea(stop 5-15sec) nose breathers, suction mouth first |
what are 4 causes of respiration in NB | chemical: pH more acidic, incr CO2, decr O2 mechanical:squeeze in vag canal (C-sect not, so hard to get pink) Thermal: shock stimulates to breath Sensory: lights, smells, snds, touch, gravity |
what is surfactant and how help lungs | keep alveoli walls from being sticky and collapsing, lowers surface tension, so less inspiratory pressure needed to keep alveoli open Peaks - 35 wks |
what is Functional Residual Capacity | Air that resides in lung to keep open |
What happens to HR in baby | birth: 110-140 cry: 175-180 sleep: 80-90 |
How asses NB HR | ascultate 1 min., murmurs normal if stay pink |
Normal NB BP | NB: 60/40, 80/50 1st hour: drop 15mm 10 days: 95/45, 100/75 |
How does circulation change to neonate | 300ml with 100ml incr. Preterm > term b/c > plasma vol. Late clamping of cord incr volume |
what are lab values for NB | Hb: 14-24, Hct: 44-64%, then drops WBCs 1st day incr (23,000-24) then drop to 11,500 |
what are signs of resp distress | >160, retractions, flaring of nares, cyanosis, grunting, seesaw resp, asymmetry |
why a risk of hemorrhaging and clotting deficiency | No Vit K at birth, casue gut is sterile adn made from intestinal bacteria. Give IM of Vit. K |
what is normal blood glucose | 40-60mg/dl adult: 70-110 |
what is thermogenesis | non-shivering, how does baby keep warm, brown fat adn incr metabolic activity in brain, heart, liver |
what does cold stress do to baby | vasoconstricts, decr 02 to lungs and perfusion to tissues, anaerobic glycolysis then acidosis = hypoglycemia |
what are four methods of heat loss | conduction: heat loss w/ contact, warmed crib Convection: heat loss from air mvmt, cap/blanket radiation: heat loss, no contact, away from windows evaportation: dry after bath |
what is TNZ, thermal neutral zone for full term | 89.6-93.2F, lower for adults, higher for preterm |
what enzymes are not produced in NB | lipase, pancreatic amylase (6mos), amlase(3mos) |
when is meconium seen | 1st 24-48 hours, sterile 3rd day - transitional stools 4th - milk stools |
Sucking reflexes are coordinated wtih swallowing by when | after 33wks |
what is jaundice | manifestation of bilirubin in tissues above 5mg/dl |
when is iron stored for NB | stored in utero |
what is kernicterus | yellow staining of brain cells lead to bilirubin encephalopathy. s/s: CNS depression/excite, lethargy, seizures |
what is normal values of unconjugated bilirubin | 0.2 - 1.4 jaundice not good if before 24 hrs |
what is caput succedaneum | swelling of scalp, cross suture line |
what is cephalhematoma | blood underneath, not cross suture line, may cause jaundice |
what is subaleal hematoma | Bleeding beyond bone vital to early detect, monitor LOC and decr Hct |
what is telangiectatic nevic | stork bite, fades |
what is erythema toxicum | newborn rash |
what is vernix caseosa | cheese like coating after birth |
what is milia | sebaceous glands (white pearls) |
what is nevus flammeus | port wine, permanent |
what is desquamation | peeling, sign of post maturity |
what determines term infant in reproductive system | F: vag discharge, not as edematous M: rugae on scrotum, lgr, |
what do signs of asymmetry of folds of skin in legs indicate | hip dysplagia, do Ortolani Test |
what is polydatyly? syndactyly? | poly: xtra digits syn: fused digits |
Know these reflexes | moro(startle), plantar grasp, Babinski(foot), rooting, suck, fencing(tonic neck), stepping when upright, crossed extension |
These help determine term or preterm | posture: flexed/extended square window: bend hand/not arm recoil, popliteal angle, scarf sign, heel to ear: term fights plantar creases: lots/smooth ear boing! |
what is witche's milk | baby discharge from breast |
what is optimum awake state | quiet alert others: drowsy/active alert/crying |
what is habituation | expose to same stimuli, decr response |
Created by:
palmerag
Popular Nursing sets