Term
covers the physical characteristics and nursing assessment of the normal term newborn by body system |
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Definition
phase 3 care of the newborn |
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Term
directs most of the body's activity |
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Definition
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Term
newborns can move their arms and legs vigorously but cannot |
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Definition
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Term
when the infant is lifted from the bed, the head will fall back, because the newborn cannot maintain neutral position of the head |
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Definition
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Term
reflexes that full term infants are born with: |
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Definition
blinking, sneezing, gagging, sucking and grasping |
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Term
if the crib is jarred, infants draw their legs up and the arms fan out and then come toward midlines in an embrace position |
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Definition
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Term
the abscence of moro reflex may indicate abnormalities of the |
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Definition
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Term
cause the infancts head to turn in the direction of anything that touches the cheek in anticipation of food |
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Definition
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Term
the head is turned to one side, the arm and leg are extended on the same side and the opposit arm and leg are flexed in a fencing position |
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Definition
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Term
the tonic neck reflex disappears by the |
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Definition
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Term
prancing movements of the legs seen when an infant is held upright on the examining table |
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Definition
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Term
normal range of the head circumference of newborns |
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Definition
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Term
the conforming of the fetal head to the size of the birht canal |
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Definition
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Term
swelling of the soft tissues of the scalp |
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Definition
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Term
caput succedaneum gradually subsides without |
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Definition
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Term
caused by a collection of blood beneath the preosteum of the cranial bone |
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Definition
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Term
cephalohematoma may be seen on _ sides of the head but does not cross the _ |
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Definition
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Term
cephalohematoma usuall recedes within a few _ without treatment |
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Definition
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Term
unossified spaces or soft spots on the cranium of a young infant |
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Definition
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Term
diamon shaped and located at the junction of two parietal and two frontal bones |
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Definition
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Term
anterior fontanells usually closes by age |
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Definition
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Term
triangular and is located between the occipital and parietal bones |
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Definition
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Term
posterior fontanell is usually ossified by the end of the |
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Definition
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Term
the healthy newborn can see and fixate on points of |
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Definition
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Term
most newborns appear _ because their eye muscle coordination is not fully developed |
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Definition
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Term
at first the newborn's eyes appear |
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Definition
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Term
permanent coloring becomes fixed between ages |
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Definition
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Term
tears do no appear until approx age |
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Definition
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Term
an imaginary line drawn from the _ of the eye should be even with the upper tip of the _ of the ear |
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Definition
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Term
a small skin tag or pit on the outside of the ear that is sometimes seen as a variation in newborns and documented but rarely of medical significance |
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Definition
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Term
the newborn will react to a sudden sound with an increas in |
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Definition
pulls rate and respirations or display of the startle reflex |
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Term
the ability for newborn to discriminate between the mother's voice and the voices of others may occur as early as age |
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Definition
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Term
the infant will respond to voices by _ and _ |
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Definition
reducing motor activity and sucking activity, turnign head toward the sound |
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Term
analyzes hearing by sending a series of soft clicks into the sleeping infants ear |
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Definition
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Term
the infants brain responds to the ALGO hearing test with a specific brain wave that is referred to as an |
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Definition
auditory brainstem response |
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Term
measures sounds from the chohlea in response to sound stimulation |
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Definition
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Term
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Definition
otoacoustic emissions tes |
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Term
the nurse should not _ into newborn's ear |
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Definition
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Term
the neonate sleeps approx |
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Definition
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Term
phases of sleep wake states at birth |
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Definition
first reactive phase, sleep phase, second reactive phase, stability phase |
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Term
during th efirst 30 minutes of life the newborn is alert |
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Definition
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Term
the best time to initiate bonding between the parent and newborn |
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Definition
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Term
during the next few hours of life the infant gradually becomes sleepire and less responsive |
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Definition
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Term
after a deep sleep the infant again becomes responsive and alert |
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Definition
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Term
after 24 hrs the sleep wake pattern becomes for staiblized |
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Definition
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Term
an infant held upright on the shoulder and rocked in a vertical fashion is likely to maintain an |
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Definition
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Term
specific patterns of reactivity that can influence the response to stimuli and bonding |
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Definition
quiet sleep, REM sleep, active alert, quiet alert, crying, transitional |
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Term
infant sleeps and does not move |
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Definition
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Term
eye movements are eveident beneath the eyelid and lum and mouth movment may be seen |
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Definition
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Term
respirations are more irregular during |
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Definition
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Term
the infant displays difuse motor activity |
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Definition
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Term
the infant is awake relzxed and quiet |
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Definition
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Term
the infant is most responsive to testing and bonding efforts during this stage |
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Definition
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Term
infant's cry is accompanied by vigorous motor activit of extrmities |
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Definition
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Term
fibers that conduct pain stimulat to the spinal cord that are in place early in fetal life |
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Definition
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Term
newborns should be _ for pain when discomfort is anticipated |
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Definition
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Term
untreated pain in early infacy can have |
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Definition
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Term
the pain pathways and structures required for long term memory are well developed by |
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Definition
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Term
unrelieved pain can also cause _ and can |
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Definition
exhaustion an irritability, slow the healing process |
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Term
examples of pain assessment tools for infants |
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Definition
COMFORT, FLACC, PIPP, NIPS, NPASS |
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Term
COMFORT is a 7 point scale that includes |
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Definition
alertness, calmness, muscle tone, movement, facial tension, resp respons and two physiological items |
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Term
in the COMFORT scale each itiem is socred form _ with a _ cumulative score indicating increased _ |
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Definition
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Term
CRIES is a 10 point scale that includes: |
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Definition
facial expresion, cry, movement of the arms and legs, consolability, and O2 sat |
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Term
CRIES component are scored from |
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Definition
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Term
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Definition
cry, requires oxygen, increased vital signs, expresion on face, sleeplessnes |
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Term
measures the pain of infants |
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Definition
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Term
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Definition
face, legs, activity, cry and consolability |
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Term
FLACC parameter is scored from _ with a _ cumulative socre indication _ |
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Definition
0 to 2, higher, increased distress |
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Term
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Definition
premature infant pain profile |
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Term
PIPP is based on scales similar to the |
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Definition
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Term
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Definition
eye squeeze, nasal labial furrow, heart rate, oxygen saturation and the brow furrow |
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Term
PIPP rates parameter on a scale of _ with _ indicating the worst level of pain |
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Definition
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Term
NIPS is based on scales similar to the |
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Definition
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Term
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Definition
facial expresion, arm movement, cry, leg movement, respiration and arousal |
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Term
NIPS rates pain on a scale of _ with _ indication the worst level of pain |
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Definition
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Term
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Definition
NEONATAL INFANT PAIN SCALE |
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Term
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Definition
neonatal pain, agitaion and sedation scale |
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Term
NPASS scores are given for |
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Definition
crying or irritability, behavioral state, facial expression, tone of extrmeities, vital signs, oxygen saturation |
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Term
scores in NPASS are _ for sedated infants to _ for agitated infants |
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Definition
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Term
Evaluation of pain in the neonate can be based on changes in |
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Definition
vital signs and behavior, decreased 02 sat rates |
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Term
nonivasive methods of pain relief of rnewborn |
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Definition
swaddling with the hand near the mouth, cuddling, rockin, nonnutritive sucking, quiet environment |
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Term
effective pain reliever for minor procedures |
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Definition
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Term
topical anestetics that can be sued safely for sever pain |
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Definition
morphine, fentanyl, topical anestetics |
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Term
techniqe that can be sued to reduce crying episodes when the infant is in pain as a result of an intrusive procedure |
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Definition
fold both of infants arms toward center of it's chest and hold the infant firmly in a face down position at 45 degree angle with dominant hand suporting the chin
place non dominant hand in the diper area and gently move infant's hips back and forth |
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Term
unconscious repsonse ot external stimulus (learned over time) |
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Definition
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Term
measures the inherent neurological capacities of the newborn and responses to selected stimuli |
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Definition
neonatal behavioral assessment scale |
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Term
neonatal behavioral assessment scale tests: |
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Definition
alertness, response to visual and auditory simuli, motor coordination, level excitment, organizational process in respons to stress |
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Term
first breath of an infant helps to |
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Definition
expand the collapsed lungs |
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Term
most critical period for the newborn |
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Definition
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Term
when clearing mucus with a bulb syringe the tip is inserted into the _ of the motuh to avoid stimulation the |
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Definition
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Term
five signs measure for the Apgar |
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Definition
heart rate, respiration, muscle tone, reflexes and color |
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Term
sternal retractions are reported |
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Definition
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Term
caused by blood leaking through openeings that have not yet closed |
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Definition
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Term
result form blood passing thorugh normal valves |
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Definition
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Term
caused by blood passing thro abnormal openings |
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Definition
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Term
the infants body temp falls immediatley after birht but within a few hours it clibes slowly to a range of |
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Definition
36.6 to 37.2 (97.8 to 98.9) |
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Term
temp increases through metabolism of brown adipose tissue |
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Definition
nonshivering thermogenesis |
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Term
the temp of the nursery or mother's room is kept at |
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Definition
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Term
the humity of the ruoom should be between |
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Definition
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Term
the infants extremities are _ than the rest of the body |
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Definition
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Term
the infant displays difuse motor activity |
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Definition
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Term
the infant is awake relzxed and quiet |
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Definition
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Term
the infant is most responsive to testing and bonding efforts during this stage |
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Definition
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Term
infant's cry is accompanied by vigorous motor activit of extrmities |
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Definition
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Term
fibers that conduct pain stimulat to the spinal cord that are in place early in fetal life |
|
Definition
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|
Term
newborns should be _ for pain when discomfort is anticipated |
|
Definition
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|
Term
untreated pain in early infacy can have |
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Definition
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|
Term
the pain pathways and structures required for long term memory are well developed by |
|
Definition
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|
Term
unrelieved pain can also cause _ and can |
|
Definition
exhaustion an irritability, slow the healing process |
|
|
Term
examples of pain assessment tools for infants |
|
Definition
COMFORT, FLACC, PIPP, NIPS, NPASS |
|
|
Term
COMFORT is a 7 point scale that includes |
|
Definition
alertness, calmness, muscle tone, movement, facial tension, resp respons and two physiological items |
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|
Term
in the COMFORT scale each itiem is socred form _ with a _ cumulative score indicating increased _ |
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Definition
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Term
CRIES is a 10 point scale that includes: |
|
Definition
facial expresion, cry, movement of the arms and legs, consolability, and O2 sat |
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Term
CRIES component are scored from |
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Definition
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Term
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Definition
cry, requires oxygen, increased vital signs, expresion on face, sleeplessnes |
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Term
measures the pain of infants |
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Definition
|
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Term
|
Definition
face, legs, activity, cry and consolability |
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Term
FLACC parameter is scored from _ with a _ cumulative socre indication _ |
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Definition
0 to 2, higher, increased distress |
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Term
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Definition
premature infant pain profile |
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Term
PIPP is based on scales similar to the |
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Definition
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Term
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Definition
eye squeeze, nasal labial furrow, heart rate, oxygen saturation and the brow furrow |
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Term
PIPP rates parameter on a scale of _ with _ indicating the worst level of pain |
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Definition
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Term
NIPS is based on scales similar to the |
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Definition
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Term
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Definition
facial expresion, arm movement, cry, leg movement, respiration and arousal |
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Term
NIPS rates pain on a scale of _ with _ indication the worst level of pain |
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Definition
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Term
|
Definition
NEONATAL INFANT PAIN SCALE |
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Term
|
Definition
neonatal pain, agitaion and sedation scale |
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|
Term
NPASS scores are given for |
|
Definition
crying or irritability, behavioral state, facial expression, tone of extrmeities, vital signs, oxygen saturation |
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Term
scores in NPASS are _ for sedated infants to _ for agitated infants |
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Definition
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|
Term
Evaluation of pain in the neonate can be based on changes in |
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Definition
vital signs and behavior, decreased 02 sat rates |
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|
Term
nonivasive methods of pain relief of rnewborn |
|
Definition
swaddling with the hand near the mouth, cuddling, rockin, nonnutritive sucking, quiet environment |
|
|
Term
effective pain reliever for minor procedures |
|
Definition
|
|
Term
topical anestetics that can be sued safely for sever pain |
|
Definition
morphine, fentanyl, topical anestetics |
|
|
Term
techniqe that can be sued to reduce crying episodes when the infant is in pain as a result of an intrusive procedure |
|
Definition
fold both of infants arms toward center of it's chest and hold the infant firmly in a face down position at 45 degree angle with dominant hand suporting the chin
place non dominant hand in the diper area and gently move infant's hips back and forth |
|
|
Term
unconscious repsonse ot external stimulus (learned over time) |
|
Definition
|
|
Term
measures the inherent neurological capacities of the newborn and responses to selected stimuli |
|
Definition
neonatal behavioral assessment scale |
|
|
Term
neonatal behavioral assessment scale tests: |
|
Definition
alertness, response to visual and auditory simuli, motor coordination, level excitment, organizational process in respons to stress |
|
|
Term
first breath of an infant helps to |
|
Definition
expand the collapsed lungs |
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Term
most critical period for the newborn |
|
Definition
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Term
when clearing mucus with a bulb syringe the tip is inserted into the _ of the motuh to avoid stimulation the |
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Definition
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Term
five signs measure for the Apgar |
|
Definition
heart rate, respiration, muscle tone, reflexes and color |
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Term
sternal retractions are reported |
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Definition
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Term
caused by blood leaking through openeings that have not yet closed |
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Definition
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Term
result form blood passing thorugh normal valves |
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Definition
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|
Term
caused by blood passing thro abnormal openings |
|
Definition
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Term
the infants body temp falls immediatley after birht but within a few hours it clibes slowly to a range of |
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Definition
36.6 to 37.2 (97.8 to 98.9) |
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Term
temp increases through metabolism of brown adipose tissue |
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Definition
nonshivering thermogenesis |
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Term
the temp of the nursery or mother's room is kept at |
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Definition
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Term
the humity of the ruoom should be between |
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Definition
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Term
the infants extremities are _ than the rest of the body |
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Definition
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Term
a quiverign or shivering like tremor of the chin may be notcied in the nwborn but it is evidence of an |
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Definition
immature neurological system |
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Term
the average blood pressure at birht is |
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Definition
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Term
the full term infant's resistance to atempts to bring one elbow farther than the mildine of the chest |
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Definition
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Term
constant tremors during sleep may be _ and should be reported |
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Definition
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Term
averagn lengthe of the newborn |
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Definition
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Term
in the first 3 to 4 days after birth the infant losses about _ of the birth weight |
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Definition
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Term
weight loss may be about _ for preterm infants |
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Definition
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Term
the infant will regain birth weight by |
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Definition
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Term
Infants with congenital anomalies of the penis such as _ should not be circumcised |
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Definition
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Term
two devices commonly usd for performing circumcisions |
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Definition
gamco clamp, plastibel clamp |
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Term
if the gamco clamp is used a thin layer of _ may be applied to the end of the penis to protect it from mosture and from sticking to the diaper |
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Definition
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Term
the rim of plastibell clamp usually falls off after |
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Definition
5 to 8 days of circumsion |
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Term
a _ ring encircling the plastic rim of the plastibell is natural |
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Definition
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Term
the infant is not fed for _ hours |
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Definition
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Term
white pinpoint pimples caused by the obstruciton of sebaceous glands |
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Definition
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Term
milia are usually seen on the |
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Definition
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Term
milia type lesions on the midline of the hard palate |
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Definition
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Term
caused by a collectiono fepithelial cells |
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Definition
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Term
bluish dicolorations of the skin |
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Definition
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Term
mongolian spots are common in infants of |
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Definition
african american, native american and mediteranean descent |
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Term
mongolian spots are usually found over the |
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Definition
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Term
peeling of the skin occurs during the early weeks of life |
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Definition
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Term
pysiological jaundic also called |
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Definition
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Term
plasma levles of bilirubin increase from a normal _ to an average _ between the _ |
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Definition
1mg/dl, 5 to 6mg/dL, 2nd and 4th day |
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Term
two commonly sued methods to asses jaundice |
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Definition
icterometer, transcutaneous bilirubin measurment |
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Term
a plastic strip with increasingly deeper yellow stripes representing levels of jaundice |
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Definition
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Term
not recommended because they can alter the normal pH of the newborn's skin |
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Definition
Alkaline soaps, oils and lotions |
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Term
the inant need only be bathed _ a week using plain warm water during neonatal period |
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Definition
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Term
temp of bath water should be approx _ in a warm room environment at _ |
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Definition
37.8c (100F), 24 to 27C( 75 to 80 |
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Term
loos and greenish yellow stools with mucsh |
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Definition
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Term
the stools of a breast fed inant are |
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Definition
bright yellow, soft and pasty |
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Term
when an infant is under phototherapy lamp stools are |
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Definition
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Term
evidence of newborn hunger |
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Definition
crying restlessness, fist sucking and evident rooting reflex |
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Term
feeding the newborn often stiumlates the |
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Definition
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Term
after feeding, infants should be positioned on the |
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Definition
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Term
Deficiencies that limit fat absorption |
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Definition
pancreatic enzymes such as lipase |
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Term
salivary glands do not secrete saliva until the infant is age |
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Definition
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Term
drooling in the newborn is considered a sign of |
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Definition
pathological disturbance (should be reported) |
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Term
immunoglobulin that crosses the placenta nd provides the newborn with passive immunity to infections to to which the mother was immune |
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Definition
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Term
Imunoglobulin g rarely lasts longer than |
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Definition
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Term
an immunoglbulin produced by the newborn |
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Definition
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Term
elevated level of Imunnoglobulin M suggests |
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Definition
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Term
an immunoglobulin prodced after the neonatal period that is contained in breast milk and provides some resistance to respiratory and gastrointestinal infection |
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Definition
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