Term
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Definition
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Term
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Definition
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Term
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Definition
after 20 weeks, before 37 weeks
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Term
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Definition
42 or more weeks
marked decrease in placenta function |
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Term
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Definition
time of physical and psychological prearation for
birth and parenthood |
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Term
| Trimesters 1, 2, & 3 in weeks |
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Definition
1: weeks 1-13
2: weeks 14-26
3: weeks 27-40 |
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Term
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Definition
| First date of last menstrual period + 7 days, back- 3 mos |
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Term
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Definition
G: pregnancy of any duration
P: Birth after 20 weeks gestation |
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Term
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Definition
G: gravita
T: Term infants born
P: Preterm born (20-37 wks)
A: Abortion (prior to 20 wks)
L: Living children |
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Term
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Definition
| use petroleum jelly as barrier, do not occlude urethral opening; monitor for infection and bleeding (more than dime size) and urination |
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Term
nbn stool characteristics
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Definition
meconium- greenish black with occult blood; 12-48 hours; transitional stools by 3rd day: green/yellow brown, thin (less sticky) +/- milk curds
Milk stool (day4) BF: yellow/gold pasty smell of sour milk
FF: pale yellow/light brown, firmer, stinkier |
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Term
| care of infant with jaundice/phototherapy |
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Definition
| appears with bili at 5+mg/dl |
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Term
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Definition
| <-10% in first week considered okay |
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Term
ballard assessment
term/preterm |
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Definition
| assessment for estimating gestational age at birth |
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Term
4 modes of heatloss
nsg interventions |
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Definition
convection- body heats air
radiation - body surface indirectly to cool surface
evaporation- most significant loss; after bath
conduction- body surface to cooler surface |
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Term
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Definition
| cyanosis of the hands and feet common until about 2- 6 hrs old (up to 12). pulses present, just blue |
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Term
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Definition
HR: 120-160 (100-180)
RR:30-60 (70) pauses up to 10 sec okay |
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Term
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Definition
| diamond shaped between thed frontal bones and parietal bones; continuous with the frontal and coronal suture |
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Term
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Definition
| method of assessing infant condition at birth: 1 and 5 min of age to ascertane need for immediate care; 7-10 is WNL; heart rate, resp rate, muscle tone, reflex irritability, color. |
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Term
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Definition
| stroke sole of foot upward and across to big toe; all toes should hyperextend with dorsiflexion (+); lasts ~1 year; absence requires neuro exam. |
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Term
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Definition
| determins term of infant at delivery; posture, angles, elbow across midline, lanugo, plantar creases, breast |
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Term
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Definition
| byproduct of RBC destruction; unconjugated leads to jaundice. may require phototherapy |
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Term
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Definition
| edematous area of scalp over occiput from sustained pressure of the presenting vertex against the cervix slowing venus return; lasts 3-4 days; common with suction; |
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Term
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Definition
| collection of blood between skull bone and periosteum; not cross suture line;forceps birth/rotation/extraction. NOT bulge/pulse with crying.jaundice during resolution, largest on d2/3, resolves in 3-6 weeks |
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Term
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Definition
| heel stick that tests for inborn errors of metabolism |
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Term
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Definition
| blue around mouth r/t respiratory distress |
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Term
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Definition
| congenital midline fissure in the lip or palate r/t railure of primary palate to fuse. |
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Term
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Definition
| heat loss from body surface directly to cooler surface |
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Term
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Definition
| flow of heat from body surface to cooler room air |
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Term
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Definition
| benign retention cysts on hard palate, |
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Term
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Definition
| 5/6 cranial nerve. moro reflex wont work on affected arm/hand/wrist |
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Term
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Definition
transient rash, first 3 weeks in 3 stages: macules, papules, small vesicles
- no treatment |
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Term
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Definition
| downy hair present over body of premature infant |
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Term
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Definition
| loss of heat with vaporation of moisture after bathing |
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Term
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Definition
| sign of respiratory distress; may be accompanied by inter/sub costal retractions & grunting |
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Term
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Definition
| weeks of age at birth (since mother's last menstrual period) |
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Term
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Definition
| ability of neonate to reflexively curl fingers around a finger placed in the palm of his/her hand; also grasp with toes |
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Term
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Definition
| noise often made when in respiratory distress |
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Term
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Definition
| fluid in the scrotum; resolves on own |
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Term
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Definition
| yellow staining of brain cells that may result in bilirubin encephalopathy. Damage occurs when serum concentration reaches toxic levels regardless of cause. marked by CNS depression or exccitation. may lead to cerebral palsy mental retardation and deafness. |
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Term
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Definition
| possible sign of chromosomal disorder, mental retardation, kidney disorder |
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Term
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Definition
| green/brown dark stick stool passed within first 12-24/48 hrs |
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Term
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Definition
| sebaceous cysts/white heads |
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Term
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Definition
| shaping of fetal head by overlapping of cranial bones to facilitate mvmt through the birth canal during labor |
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Term
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Definition
-blue-black pigmintation on any body part( esp back/butt).
-common in dark skin: mediterranean, Latin americans, asian african (13% caucasian)
- fade gradually over months/years |
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Term
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Definition
| startle reflex; symmetric abduction/extension of arms and legs, fingers van, tremor; until week 8 |
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Term
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Definition
| superficial vessels visible |
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Term
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Definition
| port wine stain; usually of the face and dont fade on their own |
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Term
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Definition
| inflammation of the eyes from gonorrheal or chlamydial infection contracted by the bewborn during passage through the mother's birth canal |
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Term
| Ortolani's and Barlow maneuvers |
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Definition
| flexion and extternally rotate hips. feel for dislocation |
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Term
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Definition
| conjugagtes biliruben to promote excretion and avoid kinecterous. promote bowel movements; eyes and genetals should be shielded. |
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Term
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Definition
| breast feeding jaundice occurs after first 24 hrs; considered "normal" but monitor |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| triangle shape between parietal bones and occipital bone; continuous with saggital suture and lambdoid suture |
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Term
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Definition
| teeth present at birth; pulled before discharge to prevent aspiration |
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Term
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Definition
| mucous/blood streaked discharge in female newborns |
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Term
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Definition
| common cross-eyed appearance in newborns due to weak muscles |
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Term
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Definition
| loss of heat to cooler objects in room |
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Term
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Definition
sign of respiratory distress, inter/sub costal: drawing in of tissue between ribs or below rib cage;
suprasternal & subclavicular retractions with stridor/gasping represents airway obstruction |
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Term
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Definition
| folds/creases in scrotum appear by 28-36 weeks gestation; |
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Term
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Definition
| female whitish discharge at birth |
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Term
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Definition
allow one foot to touch surface; alt flex and ext of feet for 3-4 weeks;
term use soles; preemie use toes |
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Term
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Definition
| present in term infants; requires swallow |
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Term
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Definition
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Term
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Definition
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Term
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Definition
pink and easily blanched "stork bites"
- eye lids, nose, up. lip, low occiput, nape of neck
- fade between 1-2 yrs |
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Term
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Definition
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Term
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Definition
| ability to control body temperature with compensatory mechanisms. require neutral thermal environment at birth |
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Term
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Definition
| candidia albicans infection of the mouth (tongue, gums, lips) may spread to breastfeeding mother's nipples. |
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Term
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Definition
| whitish cheesy odorless film found in creases (green=meconium) |
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Term
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Definition
| administered at birth to promote clotting factor production. usually produced by flora in gut once established. |
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Term
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Definition
| occurs in first 24 hrs; may be caused by early hemolysis of red blood cells |
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Term
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Definition
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Term
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Definition
small for gestational age <2500g
Large for gestational age >4000g |
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Term
| Amt of fluid in lungs at birth |
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Definition
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Term
| newborns stomach capacity |
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Definition
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Term
| helps facilitate removal of fluid from lungs of neonate |
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Definition
| compression during vaginal delivery |
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Term
| gestational age fetus develops ability to "breathe" in utero |
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Definition
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Term
| newborn response to cold environment |
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Definition
| increased metabolism and O2 consumption; not crying |
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Term
| LS ratio signifying respiratory maturity |
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Definition
| 2:1 at ~ 35 weeks gestation |
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Term
| we no longer recommend using ____ |
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Definition
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Term
parent education:
should call the pedi if: |
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Definition
repeatedly refuse to feed
repeatedly difficult to awaken
temp is >100.4* |
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Term
| infant must use rear-facing car seat until____ |
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Definition
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Term
| what size needle for neonatal injection |
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Definition
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Term
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Definition
| q 2-3 hours; less often may appear jittery due to hypoglycemia (or drug withdrawal) |
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Term
| papular rash on erythematous base |
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Definition
| erythema toxicum / newborn rash |
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Term
| newborn apnea lasts approx _____ |
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Definition
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Term
| breathing pattern that requires immediate intervention |
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Definition
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Term
| number of vessels in umbilical cord |
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Definition
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Term
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Definition
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Term
| surprising amniotic fluid fact |
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Definition
| may contain harmful viruses/bacteria |
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Term
| primary nursing interventions with neonate |
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Definition
1. dry/stimulate
2. apgar assessment
3. eye prophylaxis w/in 1 h
4. moro reflex w/in 24 h (erb's palsy) |
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Term
| NIPS Scale measures pain according to: |
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Definition
1. face
2. Breathing Pattern
3. Crying
4. Arm/leg mvmt
5. arousal |
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Term
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Definition
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Term
| do not tub bathe newborn until |
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Definition
| cord site heals completely |
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Term
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Definition
| extra skin tags anterior to the ear canal |
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Term
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Definition
| uretheral opening on the underside of the glans penis (epi is top side) |
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Term
| breast milk poo VS. formula poo |
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Definition
thin slimy and yellow vs
stinky peanutbutter |
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Term
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Definition
| q4h x24h then hospital policy |
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Term
| goal # of wet diapers/day |
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Definition
| one wet diaper per day of life up to the 5th day, then 6-8 every 24h |
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Term
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Definition
every 3-4 hours and take 1/2-2 oz
burp q15ml. dispose of leftovers in hospital. |
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Term
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Definition
| fan fold diaper; dont tub bathe until completely healed 7-14d |
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Term
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Definition
1. Back to sleep
2. ONLY bulp syringe
3. NEVER carry
4. check security device/ID bands every time |
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Term
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Definition
| q2h and document assessments, care, and education |
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Term
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Definition
Breasts: palpate & examine.
Abnormal: reddness,masses, lumps, mastitis, symmetry, nipple (everted, inverted, flat), express colostrum,
Teach: wear bra, lanolin, breast pads, cleaning, latch/positions, nbn cues, engorgement or suppression |
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Term
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Definition
UTERUS
palpate 2 handed, fundus:umbilicus, firm, boggy, midline, displaced, cramping & meds, involution
immed after delivery should be 2cm below umbilicus, 12h ~1cm above umbilicus. fundus descends ~1-2cm q24h |
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Term
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Definition
Bowel
auscultate sounds, NPO post c/s?,
Assess For: distention, passing gas, need for intervention |
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Term
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Definition
Bladder
Assess: palpable? last void/quantity, burning, measure output, cath (D/C?),
Teach: UTI symptoms if cath |
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Term
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Definition
LOCHIA
Assess: type and ammount, labia for edema, laceration
care: change pad
Teach: progression, pericare, clotting, peri bottle, ice
rubra: bright red with clots x 2h
serosa: pale pink/brown in 3-4 d (22-27d)
alba: yellowish white from 2-6 weeks after birth
odor = infection
excessive bleeding = tear/retained placenta
fever/pain = endometritis
may gush ω stand/massage, spurting while lying not okay |
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Term
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Definition
Episiotomy
Assess: roll pt onto side assess (retract buttocks), peisotomy, laceration, location, extent, rate pain, meds
Teach: ice pack for 24 hrs for edema
REEDA scale (redness, echymosis, edema, drainage, approximated) |
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Term
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Definition
Hemorrhoids
Assess: presence, size, location, pain
Teach: pain relief (pharm/nonpharm) |
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Term
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Definition
Edema assess: extremities location/extent, pitting, amount, teach: positioning, decrease salt, normal w/in 2wks |
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Term
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Definition
Homan's
assess: dorsiflex each foot and assess for calf pain, pain, reddness, edema
teach: signs of DVT and increased risk w/ pregnancy |
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Term
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Definition
Emotions
assess: ask open ended questions
teach: anticipate baby blues, s/s post partum depression with mother and significant other |
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