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maternal & neonatal
Question | Answer |
---|---|
Newborn terms: acrocyanosis | hands and feet blue, a response to cold b/c immature peripheral circulation |
Newborn terms: circumoral cyanosis | benign cyanosis of mouth during transitional period |
Newborn terms: motility | blotchy response to cold |
Newborn terms: marlequinsis | one side of body is pink the other is white r/t vasomotor instability |
Newborn terms: mongolian spots | bluish area on low back or butt, race not white, ,mistaken for a bruise, resolves on its own |
Newborn terms: erythema toxicum | rash of red macules (white-yellow in center w/ red skin) usually in trunk, benign, appears for 2 weeks |
Newborn terms: milia | exposed sebacious glands on the bridge of the nose |
Newborn terms: lanugo | fine downy hair after 16 wks gestation, decreases as the fetus ages, found of back shoulders falls out, it is abundant if premature |
Newborn terms: vernix | protective substance secreted from sebatious glands covers fetus, assesses gestational age |
Newborn terms: Jaundice | normal yellow of the skin (w/in 1st 24 hours not normal)(after 24 hours= physical r/t increase amount of unconjugated bilirubin in system) |
Newborn terms: Molding | elongation of fetal head, resolves in one wk |
Newborn terms: caput succedaneum | soft tissue edema of scalp, spongy, crosses sutures from prolonged pressure of the head against the cervix, resolves in one wk |
Newborn terms: cephalahematoma | Bruise w/ swelling, doesn't cross sutures, r/t forceps, vacuum, prolonged labor, can contribute to jaundice, lasts three months |
Newborn terms: epsteins pearls | white cysts on gum and palate, benign, gone in a few weeks |
Newborn reflexes: moro; what is not normal | present at birth abduction of arms and legs; slow response(sleepy) cause could be from a birth injury |
Newborn reflexes: startle; what is not normal | present at birth; deaf sleepy, neuro surgery |
Newborn reflexes: tonic neck; what is not normal | arms and legs go in the direction of the head; if this happens more the 6 months= cp |
Newborn reflexes: rooting; what is not normal | turns head to stimulus and opens mouth; preme, neuro issures, weak response |
Newborn reflexes: palmer grasp; what is not normal | grasps fingers tightly; absence= CNS defects, muscle injury |
Newborn reflexes: plantar grasp; what is not normal | toes flex down; weak= spinal cord injury |
Gestational age assessment: what is it based on | MOm, LMP, ultra sound, neonate maturation exam |
Gestational age assessment: what exam is used | ballards, dubowitz |
Gestational age assessment: hows is ballards calculated | by assessing phys and neuro musc. maturity, there are six areas |
Gestational age assessment: SGA= | term for neonates when there weight is < 105 for gestational age |
Gestational age assessment: LGA= | term for neonates when their weight is > 90% of the gestational age |
Ballards: what are the six areas of neuromuscular | posture, square window, arm recoil, popliteal angle, scarf sign, heal to ear |
Ballards: what are the six areas of physical | skin, lanugo, llontar creases, breast tissue, ear formation |
Ballards: what is the scoring of it | -10 to 50, -10= 20 wks, 50= 44 wks, 40= 40 wks |