Term
| Gestational Age Assessment? |
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Definition
Performed to estimate a newborns postconceptual age.
Established in the first 4 hours after birth.
Assessed in 4 ways:
maternal menstrual history-age assessed by last ovulation or menstrual period.
Ultrasound exam.
Ballar assessment-Ballard Gestational Age assessment tool
Lens vascularity |
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Term
2 parts of the gestational age assessment?
what may impact certain components of gestational assessment? |
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Definition
External physical characteristics, and Neurologic characteristics.
Maternal conditions, such as preeclampsia, diabetes, and maternal analgesics and anesthesias'. |
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Term
| Timing of newborn assessments? |
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Definition
First assessment in birthing area. Need for resuscitation. Placed with parents if stable.
Second assessment on admission to nursery. Progress of adaptation to extrauterine life. Ongoing assessment for high-risk problems.
Befor discharge. Complete physical examination. Nutritional status and ability to feed assessed. Formula or Breastfeeding? Behavioral state organization abilities. |
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Term
| What physical characteristics should we take into consideration when performing an assessment for gestational age? |
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Definition
Resting posture
Skin
Lanugo
Sole (plantar) creases
areola and breast bud tissue
ear form and cartilage distribution
evaluation of genitals |
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Term
| Name some neuromuscular components used during a newborn assessment? |
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Definition
Examine posture, square window sign, popliteal angle, arm recoil, heel-to-toe extension, and scarf sign.
the nurse determines gestational age of newborn and identifies newborn as small for gestational age (SGA), appropriate for gestational age (AGA), or large for gestational age (LGA) and prioritizes needs. |
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Term
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Definition
palm to wrist.
90 degrees-preme
30-40 degree- term
0 degree- 40-42 weeks |
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Term
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Definition
| arm around neck in front. looks like its choking itself so to speak. No resistance- preme, less than 30 weeks. Elbow at midline- 36-40 weeks. Elbow doesnt reach midline- beyond 40 weeks. |
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Term
| temperature instability indicates what in a newborn? |
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Definition
infection
usually colder temp, not like usual sign of fever. |
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Term
| normal weight of newborn? |
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Definition
2500-4000g
5lb 8oz - 8lb 13oz |
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Term
| normal length of newborn? |
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Definition
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Term
| normal head and chest circumference? |
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Definition
head 32-37 cm, should appear large for body
chest approx 2 cm smaller than head, round |
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Term
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Definition
Telangiectatic Nevi (stork bites) pale or pink red spots on eyelids, nose, lower occipital bone, and nape of neck, no clinical significance, usually gone by second birthday.
Mongolian blue spots, on back or butt, common in assian, hispanic, and african descent. fade during 1st or 2nd year of life.
Nevus Flammeus (port wine stain) is a capillary angioma directly below the epidermis. does not fade with time, or grow in size. may have convulsions or other neurologic problems suggesting Sturge-Weber syndrome.
Nevus Vasculosus (strawberry mark) is a capillary hemangioma. grows rapidly during the second or third week of life, and once peak growth is reached will begin to shrink. |
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Term
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Definition
reddening of the lower half of the laterally recumbent body and blanching of the upper half, due to temporary vasomotor disturbance in newborn infants.
no pathological significance
one side noticably pinker than the other side |
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Term
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Definition
| innocuous pink papular rash of unknown cause with superimposed vesicles; it appears within 24-48 hrs after birth and resolves spontaneously within a few days. |
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Term
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Definition
| water on the brain, no doy! |
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Term
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Definition
| collection of blood between the skull and periosteal membrane, does not cross suture lines, clear after 2-3 months, does not increase in size with crying. |
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Term
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Definition
collection of fluid, edematous swelling of the scalp
crosses suture lines
clears within 12 hours/few days after birth |
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Term
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Definition
| startle the baby, arms go out, arms come in |
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Term
| true eye color may change anytime up to how long? |
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Definition
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Term
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Definition
| Osteogenesis imperfecta (autosomal dominant collagen diseases resulting from defective biosynthesis of collagen type i and characterized by brittle, osteoporotic, and easily fractured bones) |
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Term
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Definition
may be due to poor neuromuscular control
kinda cross eyed |
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Term
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Definition
| foreskin too tight to retract over glans |
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Term
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Definition
| urethral meatus on the underside of the penis |
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Term
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Definition
| urethral meatus on upper side of penis |
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Term
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Definition
| a fluid filled sack along the spermatic cord in the scrotum |
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Term
Erbs Palsy
Brachial Palsy
Erb-Duchenne paralysis |
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Definition
| damage to brachial plexis |
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Term
| visual sign for hip dysplasia? |
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Definition
| asymmetrical fat folds in butt and thigh |
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Term
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Definition
clubfoot
intrauterine positions can cause feet to appear to turn inward, "positional clubfoot". moving foot to midline with resistance is true clubfoot. |
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Term
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Definition
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Term
| Brazelton Neonatal Behavioral Assessment Scale |
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Definition
| Assists in assessing newborn's state changes, temperament, individual behavior patterns. |
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