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15 Cards in this Set

  • Front
  • Back
What is sensitivity?
the assurance that if something is to be found, it will be found
What is specificity?
the assurance that if it is found, it is a true finding and not a misinterpretation or false-positive finding
When are APGAR scores recorded?
1 & 5 minutes
Of the APGAR observations which is the least reliable?
color, because most new babies have blue fingers & toes
What does the APGAR test fail to address?
problems suggested by increased irritability, tachypnea, or tachycardia
Because menstrual histories are often inaccurate what other means are helpful in determining gestational age?
b4 36 wks vs 40 wk
*_____ in sole of foot
*______ size of breast modules
*_______ ear cartilage
*_______ testes in scrtum and scrotum rugae
Before 36 weeks:
Only 1 or 2 transverse creases present on sole of foot
Breast nodule is less than 3mm diameter
No cartilage is present in helix of ear
Testes are seldom in scrotum
Scrotum has few to no rugae

By 40 weeks:
Many creases present on soles
Breast nodule exceeds 4mm
Cartilage present in helix of ear
Testes descended into scrotum
Scrotum covered with rugae
What is increasing muscle tone with a posture of predominantly flexed extremities a sign of?
increased gestational maturity
What are indications of respiratory distress in newborns?
Premature infants often have brief periods of apnea lasting up to 20 seconds.

Respiratory distress indicated by:
sustained increased rate of respiration
grunting
seesaw sinking of chest with rising abdomen
flaring of nostrils
retraction of intercostal & subcostal spaces & suprasternal notch
While major congenital anomalies are usually obvious there are exceptions. What is an exception?
diaphragmatic hernia
What is the effect of a mother's use of sedatives & anticonvulsants on newborns?
can affect baby's state on consciousness
What is the effect of a mother's use of narcotics on newborns?
can cause neonatal withdrawal syndrome
What may indicate intestinal obstruction in a newborn?
distended abdomen & resonate on percussion
What problem may pregnant women experience late in pregnancy when attempting a supine position for exam?
hypotension
What are basic ADLs?
bathing
dressing
toileting
ambulation
feeding
What are instrumental ADLs?
housekeeping
grocery shopping
meal prep
medication compliance
communication skills
money management