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exam 4- OB

1.

brown fat

body fat used by infants to relate body temp

2.

is surfactant produced in premature lungs

NO, it is not produced in the lungs

3.

physiological adaptions

thermoregulation system

  • -four mechanism of heat loss
  • evaporation- liquids from skin
  • conduction- direct skin contact with cold surface
  • convection- heat taken away from body by drafts
  • radiation- being near cold surface but not in direct contract with it
4.

interventions for thermoregulation

dry, skin to skin, cover the head, monitor temp, avoid exposing, preheated radiant warmer, bathe, and drafter window

5.

normal rate for respirations

30-60

6.

how should a baby be positioned to help with patent airways?

a baby should be laid on their back or side

7.

babies are NOT born with vitamin K

(true/false)

true

8.

what does bile do to the urine?

it gives the urine color

9.

why would you want to weigh the babies diaper ?

to measure output and be sure to weigh in grams

10.

what is the capacity of newborns stomachs?

60-90 ml

11.

what do you want to do in order to prevent damage to babies organs ?

make sure their eyes are covered and privates

12.

newborns measurements: length

  • head to heel
  • 19-21 inches
  • chest
  • nipple line
  • head
  • above ear and eyebrows
13.

caput succedaneum

swelling of the soft tissue of the scalp

14.

cephalhemtoma

swelling on the head

  • does not cross the sutor lines
  • it develops from birth trauma that causes a rupture of blood vessels between the skull and periosteum (covering the bone)
15.

tears are absent until what age?

1 years old

16.

lanugo

fine hair

17.

vernix caseosa

white protective fluid that protects skin from amniotic fluids

18.

milia

red dots

19.

moro

startle reflex

20.

rooting

touching cheek, looking for food

21.

tonic neck

when the head is turned to one side

22.

dancing

stepping relex

23.

smegma

a white cheesy substance found under the foreskin

24.

what does swadding/wrapping due to the baby?

maintains temp and promotes sleep

25.

breastfeeding- how many times do you feed a baby?

8-12 times a day

26.

physiology of lactation - hormonal stimulation

  • prolactin
  • oxytocin
27.

composition of milk

- foremilk

first milk, watery

28.

composition of milk-

hindmilk

thicker, higher feet

29.

signs of effective breastfeeding

  • breasts
  • infant swallowing
  • number of wet diapers
  • bowel movements
30.

positions for breastfeeding- cradle hold

most common full term babies

31.

postion for breastfeeding

side lying position

promotes rest useful at night reduces pressure on incision

32.

postions for breastfeeding

-football hold

for large breast also or premies needing best for control and best for c-sections

33.

latch on

how the newborn attaches the mouth to the breast in order to remove milk

34.

signs of poor latch

  • clicking sounds
  • dimpling of the cheeks
  • nipple pain
  • flattened or creased nipples after feeding
  • fussy or unsatisfied infant
35.

when feeding the baby, what is the correct way to have the baby latch on?

bring baby to breast , not breast to baby

36.

maternal nutrition

  • mother needs an additional 500 calories over the non-pregnant diet
  • 8-10 glasses of fluids per day
37.

immune system

  • born with passive antibodies from mom (immunoglobin G)
  • active antibodies not produced until about 2 months of age
38.

apghar score

done as soon as baby born. 1 min and 5 mins after

-score of 8 and higher indicates healthy newborn

39.

newborns measurements

  • length: head to the heel & 19-21 inches
  • chest: nipple line & 12-13 inches
  • head: above the ear and eyebrows & 13-14 inches
40.

length and weight

average weight

6-9 pounds (2722 to 4802g)

  • loses 5-10 body weight
  • withdrawal from maternal hormones, fluid shifts, and loss of feces