Maternal Child Nursing Care Chapter 25

Front 1

Tool used to rapidly assess the newborn's transition to extrauterine existence at 1 and 5 minutes after birth.

Back 1

Apgar Score

Front 2

The Apgar score is based on 5 signs that indicate his or her physiologic state namely:

Back 2

1. heart rate
2. respiratory rate
3. muscle tone
4. reflex irritability
5. color

Front 3

Device used to suction mucus and secretions from the newborn's mouth and nose immediately after birth and when needed.

Back 3

Bulb syringe

Front 4

Automatic sensor usually placed on the upper quadrant of the abdomen immediately below the right or left costal margin; it is attached to the radiant warmer and monitors the newborn's skin temperature.

Back 4

Thermistor probe

Front 5

Inflammation of the newborn's eyes from gonorrheal or chlamydial infection contracted by the newborn during passage through the mother's birth canal.

Back 5

Ophthalmia Neonatorum

Front 6

Ointment is usually instilled into the newborn's eye's within 1-2 hours after birth to prevent infection.

Back 6

Erythromycin or Tetracycline

Front 7

Medication administered intramuscularly to the newborn to prevent hemorrhagic disease of the newborn; it is administered in a dose of 0.5 to 1mg using a 25-gauge, 5/8 -7/8-inch needle.

Back 7

Vitamin K

Front 8

Scale currently used to assess and estimate a newborn's gestational age at birth; the initial assessment should be preformed within the first 48 hours of life to ensure accuracy and assess physical and neurologic maturity

Back 8

Simplified Ballard Scale

Front 9

Term that describes an infant whose birth weight falls between the 10th and 90th % as a result of growing at a normal rate during fetal life regardless of length of gestation.

Back 9

Appropriate for gestational age (AGA)

Front 10

Term that describes an infant whose birthweight falls above the 90th % as a result of growing at an accelerated rate during fetal life regardless of length of gestation.

Back 10

Large for gestational age (LGA)

Front 11

Term that describes an infant whose birthweight falls below the 10th % as a result of growing at a restricted rate during fetal life regardless of length of gestation.

Back 11

Small for gestational age (SGA)

Front 12

Infant born at 34-36 weeks of gestation; this infant has risk factors because of his or her physiologic immaturity that require close attention by nurses working with them.

Back 12

late preterm

Front 13

Pinpoint hemorrhagic areas acquired during birth that may extend over the upper trunk and face; they are benign if they disappear within 2-3 days of birth and no new lesions appear.

Back 13

Petechiae

Front 14

One of the products derived from the hemoglobin released with the breakdown of RBC and the myoglobin in muscle cells; its accumulation in the blood results in a yellowish discoloration of skin, sclera, and oral mucous membranes.

Back 14

Bilirubin

Front 15

Yellowish discoloration of the integument and sclera that first appears after the first 24 hours of life and disappears by the end of the 7th day of life.

Back 15

Physiologic jaundice

Front 16

Test performed to distinguish cutaneous jaundice of the skin from normal skin color. It is performed by applying pressure with a finger over a bony area, usually the nose, forehead or sternum, for several seconds to empty all capillaries in the spot. The area will appear yellow when the finger is removed if jaundice is present.

Back 16

Blanch test

Front 17

Level of serum bilirubin, which if left untreated, can result in sensorineural hearing loss, mild cognitive delays, and deposition of bilirubin in the brain; it typically appears during the first 24 hours following birth.

Back 17

Pathologic jaundice

Front 18

Yellow staining of brain cells that may result in bilirubin encephalopathy.

Back 18

Kernicterus

Front 19

Device used for noninvasive monitoring of bilirubin via cutaneous reflectance measurements; it allows for repetitive estimation of bilirubin and works well on both dark and light skinned newborns.

Back 19

Transcutaneous bilirubinometry (TcB)

Front 20

Breast feeding associated jaundice that begins at 2-4 days of age; typically it results from decreased caloric and fluid intake by breast fed infants before the milk supply is well established, because fasting is associated with decreased hepatic clearance of bilirubin.

Back 20

Early-onset jaundice

Front 21

Breast feeding associated jaundice that may begin at age 4-6 days or sooner with the rising levels of bilirubin peaking during the second week and gradually diminishing; it may be associated with factors in breast milk that inhibit bilirubin clearance or with less frequent stooling by breast fed infants that extends the time bilirubin can be absorbed from stools.

Back 21

Breast milk jaundice (late-onset jaundice)

Front 22

Blood glucose concentration less than adequate to support neurologic. organ, and tissue function during the early newborn period; the precise level at which this occurs in every neonate is not known although intervention is usually required if the blood glucose level falls below 45mg/dl

Back 22

Hypoglycemia

Front 23

Serum calcium levels less that 7.8 to 8 mg/dl in the term infant and less that 7mg/dl in the preterm infant

Back 23

Hypocalcemia

Front 24

Newborn respiratory rate of 30 breaths per minute or lower

Back 24

Bradypnea

Front 25

Newborn respiratory rate of 60 breaths per minute or higher

Back 25

Tachypnea

Front 26

The most important single measure in the prevention of neonatal infection

Back 26

Hand washing (hand hygiene)

Front 27

An alternative device for phototherapy in the treatment of hyperbilirubinemia; it involves a fiberoptic panel attached to an illuminator.

Back 27

Fiberoptic blanket

Front 28

Surgical procedure that involves removing the prepuce (foreskin) of the flans penis.

Back 28

circumcision

Front 29

A newborn male is estimated to be at 40 weeks of gestation following an assessment using the New Ballard sale. Which of the following would be a Ballard scale finding consistent with this newborn's full term status.

Back 29

1. Thinning of lanugo with some bald areas
2. testes descended into the scrotum
3. Elbow does not pass midline when arm is pulled across the chest

Front 30

The nurse evaluates the laboratory test results of a newborn who is 4 hours old. Which of the following results would require notification of the pediatrician.

Back 30

1. Glucose 34 mg/dl
2. Total serum bilirubin 3.1 mg/dl
or
3. Hematocrit 54%

Front 31

A newborn male has been designated as large for gestational age. His mother was diagnosed with gestational diabetes late in her pregnancy. The nurse should be alert for signs of hypoglycemia. Which of the following assessment findings would be consistent with a diagnosis of hypoglycemia?

Back 31

1. unstable body temperature
2. jitteriness
3. loose, watery stools
or
4. laryngospasm

Front 32

A radiant warmer will be used to help a newborn girl to stabilize her temperature. The nurse implementing this care measure should do which of the following

Back 32

1. undress and dry the infant before placing her under the warmer
2. set the control panel between 35-38C
3. Place the thermistor probe on her abdomen just below her umbilical cord
or
4. assess her rectal temperature every hour until her temperature stabilizes.

Front 33

A newborn male has been scheduled for a circumcision. Essential nursing care measures following this surgical procedure would include

Back 33

apply petroleum jelly or A&D ointment to the site with every diaper change until site is healed