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15 Cards in this Set

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Common 4 times to perfrom exams
delivery room
recovery room
detailed exam
discharge within 24 hours
identify risk factors
maternal physical/mental complications
intrauterine factors
medications taken by mother
analgesia/anesthesia
external stimuli
malformation/congential anomalies
extrauterine factors of newborn or stressors
color of baby
cyanosis
acrocyanosis
jaundice
lesion
stain
tag
trauma
determine what is pathological and what is normal for age
skin assessment
nail presence and length
lanugo, peeling, cracking dryness texture
head
OFC normal valures to be measure d at end of exam because disturbs baby
shape
hair distribution, color, texture
head-skull
presence and amount of overriding
anterior fontanel, close at 18-24 months
posterior closes at 2-3 months
note fullness, bulging or depressed
eyes
important organ fro attachmetn to parents
note if discharge cataracts, red reflexes (both eyes)
nose
position midline adn placed vertically in the midline
generally smaller and flatter than adult- designed for breatfeeeding
nares
mouth
pink, lips, and mucous membranes
philtrum midline groove between nose and upper lip
hard and soft palates intact
uvula
reflexes- suck
retentions cysts. epstein's perals common
natal teeth, cysts on gumes
frenulum attaches the underside of the tongue to floor of mouth-not restricted
neck
symmetry and shape
palpate anteriorly, laterally, and posteriorly, including thyroid gland
check clavicle for fracture
chest and lungs
shape and symmetry
breast position and presence of tissue in cm and engorgement/milk
respiration, easy, symmetrical 40-60 pm
no nsal flaring, nor grunting
circumference 33 (2 or 3 cm <OFC)
apnea is the cessation of breathng of >20 seconds
if exists may be sepsis, hypoglycemia, CNS injury, cold stress, maternal drugs
breath
respiratory structural changes
stimulated by hormones, catecholamines, neurological system, thermla changes, pressure and fxn
the lungs go from fluid filled organ to one ready for gas exchange by reduction of lung fluid>pulmonary blood flow, surfactant production and >musculature support
removal of fluid
cardiovascular changes
changes in ductal flow
decreasing pulmonary and vascular reistamce adn increasing systemic vascular resistance occur over the first few hours and days of life
assess
cardiac changes
cutting ofthe umbilical cord changes the pumonary bed from a high resistance circuit to a low resistance circuit, which allows blood to flow more easeily ot the area
cardiac changes
rising PaO2 (>O tension adn < prostaglandin from the removal of the placenta influence PDA closure. PDA is made of smooth muscle and muciod substances)
GO is a one way valve permtting blood from IVC to go through R atrium