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37 Cards in this Set
- Front
- Back
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Gravida indicates
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total number of pregnancies
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Para indicates
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outcomes of pregnancies (full-term, premature, abortion, living child)
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Assesses the newborn immediately after birth?
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Apgar score
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The newborn is assessed with the Apgar score at what time points?
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1 and 5 minutes after birth (continue evey 5 min until the score is >7
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What scores can the baby recieve on the apgar score?
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0, 1, 2
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What are the five things scored on the apgar?
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HR, respiratory effort, muscle tone, reflex irritability, and color
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What is a 0, 1, and 2 with HR?
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0= absent
1= <100 2= >100 |
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What is a 0, 1, and 2 with respiratory effort?
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0= absent
1= slow/irregular 2= good, strong |
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What is a 0, 1, and 2 with muscle tone?
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0= flaccid
1= some flexion of extremities 2= active movement |
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What is a 0, 1, and 2 with reflex irritability?
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0= no response
1= grimace 2= crying, sneeze, cough |
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What is a 0, 1, and 2 with color?
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0= blue
1= pink body with blue extremities 2= pink |
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What is a normal apgar score?
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8-10
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What score indicates some nervous depression?
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5-7 at 1 min
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What score indicated severe depression and immediate resuscitation?
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0-4 at 1 min
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What score indicates high risk for subsequent CNS and other system dysfunction?
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0-7 at 5 min
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When is the newborns most responsive?
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1-2 hours after feeding
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Why is there immediate assessment of the newborn?
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to determine general condition, developmental status, abnormalities in gestational development, and congenital abnormaalities
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What is the most easily used measure of systolic blood pressure in infants?
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Doppler method
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What is the Doppler method?
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detects arterial blood flow vibrations, converts them to systolic bp levels, and transmits them to a read out
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What is normal systolic pressure in males at birth?
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70 mm Hg
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What is the normal systolic blood pressure for males at 1 month?
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85 mm Hg
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What is the normal systolic blood pressure for males at 6 months?
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90 mm Hg
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What causes hypertension in a newborn?
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renal artery dosease, congenital renal malformations, and coarctation of the aorta
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What is the average HR at birth?
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140 (90-190)
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What is the average HR at 0-6 months?
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130 (80-180)
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What is the average HR at 6-12 months?
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115 (75-155)
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What does an extremely rapid pulse indicate (too rapid to count)?
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paroxysmal supraventricular tachycardia
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What causes bradycardia?
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drugs, hypoxia, neurological conditions, cardiac arrhythmia
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What is the rate of respiration in newborns?
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30-60
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What causes rapid, swallow respiratory rates?
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cyanotic cardiac disease and right to left shunting, and metabolic acidosis
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What respiratory rate is most reliable?
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sleeping respiratory rate
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What effect does fever have on respiratory rate?
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can increase 10 respirations/min for each degree centigrade
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Tachypnea cutoffs are
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birth-2 months: >60/min
2-12 mo: >50/min |
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Tachypnea is a sign of
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pneumonia
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Where should a temperature be obtained in infants?
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auditory canal or rectum
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What is the average rectal temperature in infants?
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99.0 degrees F (can get as high as 101)
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Temperature instability is a result of?
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sepsis, metabolic abnormality, or other serious manifestations
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