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67 Cards in this Set
- Front
- Back
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1. Rh sensitized infants get more maternal antibodies. (Good or not good?) Extra blood does --------- iron stores.
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Not good, increase
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2. Newborns heart rate is usually 110-160 but may go as low as --- when sleeping or as high as --- when crying. Newborns normal blood pressure is --/--
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-100, 180, 80/42
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3. Infants are nose breathers, reflex to open mouth not present until ------------- weeks old.
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-3
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4. An infants first urine may be pink what is this due to?
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-Uric acid crystals that were formed in the bladder in utero
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5.Newborn has ------------------- of inflammatory & immune response. So there at risk for -------------- for the first few months (major cause of NB illness &death)
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-Hyopfunction / infection
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6.How often should a newborn feed if being breast fed? Bottle fed?
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-q 2-3hrs. / q 3-4hrs
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7.Stool present around days 2-3. Its thin, slimy, brown-green.
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-Transitional
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8. What does stool look like on day 4 if BF? Bottle fed?
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-Loose, golden yellow, sweet smelling / soft, pale yellow, odorous
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9. What color is the stool if the baby is under photo therapy lights?
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-Bright green
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10.Blueish tint around the mouth (a sign of a respiratory problem) is called….
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-Circumoral cyanosis
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11.Occasionally when infant lies on side, dependent side red and upper side pale. Goes away with position change. This is called…
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-Harliquin sign
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12. These are groups of pigments. Cause gray patches on lower back or buttocks (usually). Seen in dark-skinned. Fade over months or years.
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-Mongolian spots
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13. These consist of dilated newly formed capillaries. Raised, red, rough. 75% on head. Can remain until school age, sometimes longer.
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-Strawberry hemangiomas
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14. This is edema of the scalp at the presenting part of the head. Due to pressure. Crosses suture lines. Present at birth. No treatment. Goes away in 3 days.
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-Caput succedaneum
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15. A pool of blood between eriostemon of skull bone and bone itself. Due to ruptured capillaries from pressure at birth. Confined to individual bones and doesn’t cross suture lines. Black and blue. As blood absorbs can cause jaundice.
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-Cephalohemtoma
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16.What are 4 ways a baby can loose heat?
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-Conduction, convection, evaporation, and radiation
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17. How do you do the trunk incurvation reflex and what does it do?
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-With the infant prone touch along paravertebral area With finger, infant will flex trunk and swing
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18. What is scarf sign?
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- When the elbow wont reach mid-chest
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19. How do you do the palmer grasp reflex and what does it do?
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-When object is placed in palm infant will grasp it.
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20.When an object touches sole at base of the infants toes the infant grasps it with his toes. What reflex is this?
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-Plantar grasp reflex
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21.While stroking the infants sole in a J curve from heel upward, infant fans toes. What reflex is this?
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-Babinski reflex.
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22. When applying pressure to soles (with infant supine) infant pushes against pressure. What is this reflex?
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-Magnet reflex
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23. How do you do the rooting reflex?
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-Stroke near corner of mouth (infant will turn head in that direction)
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24. How do you do the sucking reflex?
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-touch infants lips (infant will suck)
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25. With infant on back, turn head to one side, arm and leg on that side extend, opposite arm and leg contract. What reflex is this?
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-Tonic neck reflex
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26. Startle infant by jarring crib or loud noise, or holding baby in both hands and lower hands rapidly about 1in infant abducts and extends arms and legs then embraces arms and draws up legs. This is what reflex?
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-Moro reflex
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27. Suspend infant in a prone position infant attempts to hold spine in horizontal plane. What reflex is this?
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-Landau reflex
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28. Infant loose -----------------% of his birth weight during the 1st few days after birth.
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-5-10
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29. NB losing weight is due to…
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-Lower calories, and no maternal hormones from mom which are salt and fluid retaining.
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30. First bottle feeding should be sips of ------------ ------------- to check swallowing
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-Sterile water
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31. To see if baby is positive for PKU a --------------- -------------- test is done after -- hrs. of feeding.
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-Guthrie Blood/ 24
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32. Vitamin K should be give after a circumcision. True or False?
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-False (It should be done before)
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33. How do you care for a circumcised penis?
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-Apply Vaseline every diaper change until the end of the penis is the same color as the rest. Never
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34. Call a Dr. if vomiting or diarrhea last over ---- hrs.
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-8
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35.If not excreted bilirubin is ------. If it accumulates, blood levels increase causing --------------------------- and indirect bilirubin is absorbed to sc fat which causes ------------------. High levels can cause staining of brain tissue (know as -------------------) which can lead to brain damage.
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-Toxic/ Hyperbilirubinemia/ Jaundice/ Kernicterus
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36.What is the main reason for Hyperbilirubinemia?
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-Increased RBC destruction
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37.What are 2 ways to prevent Hyperbilirubinemia?
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-Prevent chilling and respiratory distress, and don't delay feedings which would delay the stool passage which causes reabsorption of bilirubin.
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38. This type of jaundice occurs second or third day of life and gone in a week. Jaundice is never present the first 24hrs.
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-Physiological Jaundice
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39. If you did see jaundice in the first 24hrs what could that be from?
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-Blood incompatibility
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40.Jaundice is seen when bilirubin reaches ----- mg
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-5
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41. With physiological jaundice bilirubin doesn’t increase by greater than --- mg per day, indirect bilirubin doesn’t go above ------mg, and direct bilirubin doesn’t go above --------- mg
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-5/ 12/ 1.5
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42. This type of jaundice is seen in the 1st 24hrs. Caused by excess destruction of RBC
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-Pathological Jaundice
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43. With pathological jaundice bilirubin -------------- by > 5 mg/day, indirect bilirubin goes ---------- 12 mg, and direct bilirubin goes ------------ 1.5 mg
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-Increases/ above/ above
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44. -------------------% of babies with Kernicterus die
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-50-75
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45. Survivors may have what 3 things?
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-MR, CP, and hearing loss
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46. What is the most common cause of pathological jaundice?
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-Rh incompatibility
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47. Is the 1st baby usually affected by the mixing of blood in the moms body after delivery?
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-no
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48. If mom doesn’t receive RhoGam all future Rh+ babies will be affected. True or False?
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-TRUE
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49. When is RhoGam given to unsensitized Rh- women with an Rh- baby after delivery?
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-72 hrs
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50. What is it called when a mom does from antibodies after a birth of a baby and did not receive RhoGam and her second Rh+ baby RBC are being destroyed by moms antibodies?
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-Erythroblastosis fetalis
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51. This can cause sever anemia with generalized edema. This is called…
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-Hydrops fetalis
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52. What is an indirect coombs test?
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-Test done on a mom who is Rh- to see if she has antibodies against Rh+.
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53. If the test comes back negative what does the mother get and when?
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-RhoGam at 7 months and 72hrs after delivery
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If you get a positive indirect coombs test you want to repeat the test frequently to see if the titer is rising. If it is rising what does that tell you?
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-Fetus will be in danger
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Breast begin to feel full and tingly. What has just happened?
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-Let down reflex
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What color is breast milk?
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-Bluish white
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What should you do to keep the breast from obstructing the babies breathing?
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-Pull the babies legs closer
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58.How should you remove a baby from your breast?
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-Stick a finger in babies mouth to break suction. Don’t just pull baby off!
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59.When should you burp the baby when BF?
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-Between breasts and after done feeding
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60.What can you do for inverted nipples?
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-Nipple rolling, use the pump to pull out nipple
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61.What can you do for plugged ducts?
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-Massage and add heat
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62.When weaning how many feeding do you want to omit a day?
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-1 feeding
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63.Don’t prop bottles or feed flat because this can cause ----------------------
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-Increased ear infections
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64. What is a babies normal Hgb?
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-17-19 goes down to 12 by 3 months
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65. What is a babies normal Hct?
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-57-58
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66.What is a babies normal WBC?
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-15,000-18,000
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67.What is a baby's normal blood volume?
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-100ml/kg doubling in 1 year.
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