Nu 201 - Dawn Exam 3 - Newborn

Front 1

In what position do you put the pp NB?
Why?

Back 1

trendelenburg
to let the mucous come out

Front 2

Why put tetracycline in NB eyes?

Back 2

to prevent Gonorrheal conjunctivitis

Front 3

If bottle feeding NB, why give sterile water?

Back 3

if Tracheal Esophageal Fissure

Front 4

When can you do a PKU test?

Back 4

after 24 hours of feeding

Front 5

What is it when white, raised, creamy, easily removable patches are present on the tongue and other oral mucosal surfaces?

Back 5

Thrush

Front 6

Why would NB have thrush?

Back 6

Mom had yeast infection/imbalance

Front 7

What's mom need to do if sore nipples during BF?

Back 7

Move and position, attach to entire areolar

Front 8

If BF, how do you increase milk supply?

Back 8

BF more, drink enough fluids

Front 9

skin gets dry a few days after birth (if present at birth = postmature)

rx?

Back 9

Desquamation

can lubricate

Front 10

newborn rash, flea-bite rash

What is it? Rx?

Back 10

erythema toxicum.

An inflammatory response from irritation (often linen). NO RX!

Front 11

Mongolian spots Rx?

Back 11

fade over months or years

Front 12

stork bite, pink easily blanched. Appears mostly on eyelids and nape of neck.

Rx?

Back 12

telangiectasis nevi

fade in 1-2 years

Front 13

consist of dilated newly formed capillaries. Raised, red, rough. 75% on head.

Rx?

Back 13

strawberry hemangioma

Can remain until school age or longer

Front 14

group of newly formed capillaries. Red-purple. Not rough or raised. Non-blanching.

Rx?

Back 14

Nevus flammeus

Can be surgically removed later in life

Front 15

black and blue, doesn't cross suture lines

Back 15

Cephalohematoma

Front 16

Why is it hard to breathe for a c/s nb

Back 16

fluid not squeezed from lungs like SVD

Front 17

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 --/--

Back 17

-100, 180, 80/42

Front 18

4. An infants first urine may be pink what is this due to?

Back 18

-Uric acid crystals that were formed in the bladder in utero

Front 19

6.How often should a newborn feed if being breast fed? Bottle fed?

Back 19

-q 2-3hrs. / q 3-4hrs

Front 20

17. How do you do the trunk incurvation reflex and what does it do?

Back 20

-With the infant prone touch along paravertebral area With finger, infant will flex trunk and swing

Front 21

18. What is scarf sign?

Back 21

- When the elbow wont reach mid-chest

Front 22

19. How do you do the palmer grasp reflex and what does it do?

Back 22

-When object is placed in palm infant will grasp it.

Front 23

20.When an object touches sole at base of the infants toes the infant grasps it with his toes. What reflex is this?

Back 23

-Plantar grasp reflex

Front 24

21.While stroking the infants sole in a J curve from heel upward, infant fans toes. What reflex is this?

Back 24

-Babinski reflex.

Front 25

22. When applying pressure to soles (with infant supine) infant pushes against pressure. What is this reflex?

Back 25

-Magnet reflex

Front 26

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?

Back 26

-Tonic neck reflex

Front 27

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?

Back 27

-Moro reflex

Front 28

27. Suspend infant in a prone position infant attempts to hold spine in horizontal plane. What reflex is this?

Back 28

-Landau reflex

Front 29

28. Infant loose -----------------% of his birth weight during the 1st few days after birth.

Back 29

-5-10

Front 30

4. An infants first urine may be pink what is this due to?

Back 30

-Uric acid crystals that were formed in the bladder in utero

Front 31

29. NB losing weight is due to…

Back 31

-Lower calories, and no maternal hormones from mom which are salt and fluid retaining.

Front 32

34. Call a Dr. if vomiting or diarrhea last over ---- hrs.

Back 32

-8

Front 33

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 including --------------

Back 33

-Toxic/ Hyperbilirubinemia/ Jaundice/ Kernicterus/ hearing loss

Front 34

36.What is the main reason for Hyperbilirubinemia?
and the other three reasons?

Back 34

-Increased RBC destruction
-Hepatic immaturity, inadequate albumin-binding sites (sulfa, aspirirn, oxytocin may make this worse), delayed feedings

Front 35

37.What are 2 ways to prevent Hyperbilirubinemia?

Back 35

-Prevent chilling and respiratory distress, and don't delay feedings which would delay the stool passage which causes reabsorption of bilirubin.

Front 36

38. This type of jaundice occurs second or third day of life and gone in a week. Jaundice is never present the first 24hrs.

Back 36

-Physiological Jaundice

Front 37

39. If you did see jaundice in the first 24hrs what could that be from?

Back 37

-Blood incompatibility

Front 38

40.Jaundice is seen when bilirubin reaches ----- mg

Back 38

-5

Front 39

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

Back 39

-5/ 12/ 1.5

Front 40

42. This type of jaundice is seen in the 1st 24hrs. Caused by excess destruction of RBC

Back 40

-Pathological Jaundice

Front 41

43. With pathological jaundice bilirubin -------------- by > 5 mg/day, indirect bilirubin goes ---------- 12 mg, and direct bilirubin goes ------------ 1.5 mg

Back 41

-Increases/ above/ above

Front 42

44. -------------------% of babies with Kernicterus die

Back 42

-50-75

Front 43

46. What is the most common cause of pathological jaundice?

Back 43

-Rh incompatibility

Front 44

49. When is RhoGam given to unsensitized Rh- women with an Rh- baby after delivery?

Back 44

-72 hrs

Front 45

52. What is an indirect coombs test?

Back 45

-Test done on a mom who is Rh- to see if she has antibodies against Rh+.

Front 46

53. If the test comes back negative what does the mother get and when?

Back 46

-RhoGam at 7 months and 72hrs after delivery

Front 47

64. What is a babies normal Hgb?

Back 47

-17-19 goes down to 12 by 3 months

Front 48

65. What is a babies normal Hct?

Back 48

-57-58

Front 49

66.What is a babies normal WBC?

Back 49

-15,000-18,000

Front 50

67.What is a baby's normal blood volume?

Back 50

-100ml/kg doubling in 1 year.

Front 51

Colic Rx?

Back 51

v stimuli, BF mom eliminate dairy and gassy foods, change to soy (Nutramigen) formula, burp often, swaddle, heat to abdomen, walk w/ baby on abdomen, massage abs, swing, car ride, fennel tea, natural anti-colic pills, Mylicon drops, leave alone in crib and (parents) GO OUT!

Front 52

First things to do with NB pp?

Back 52

clear airway, keep warm