Normal
What is a normal range for a newborn's respirations/min?
30-60 respirations/min
Which mode of heat loss is from a flow of heat from wet body surface into a vapor?
(Baby is wet from delivery or bath)
Evaporation
Which type of bilirubin can be excreted?
Conjugated or unconjugated?
Conjugated
The cheese, white protective covering on newborn's skin which helps protect against microorganisms and fluid loss
Vernix caseosa
How many feedings should a newborn have in 24 hours
at least 8-12 in 24 hours
(8 or more in 24)
What is a newborn's normal heart rate/min?
120-160 bpm
Which mode of heat loss is the flow of heat from body surface to a cooler object nearby?
Example- a crib by a window
Radiation
How often should you turn the baby when using phototherapy?
Every 2-3 hrs
Bluish/black areas of pigmentation found on newborn's back or buttocks and are more prevalent on darker skin babies.
Dermal melanocytosis (Mongolian spots)
How many wet diapers should a baby have after 3-4 days of age?
6
What is a normal newborn's temperature?
36.5-37.5 C
(97.7-99.5 F)
Which mode of heat loss occurs from a flow of heat from body surface to cooler air?
(Fan blowing on baby or a baby with very little clothing on in a cool room)
Convection
How is bilirubin excreted?
stools (primarily) and urine
Bruising increases the risk for _______________?
hyperbilirubinemia
PKU (phenylketonuria) or now called Phenylalanine hydroxylase deficiency) and is a metabolic disorder where there is a lack of an enzyme to break down protein. This can cause ________ damage.
brain
Normal periods of apnea last <___ seconds
<20 seconds
Which mode of heat loss occurs from a flow of heat from a body surface to cooler surface in direct contact?
(putting baby directly on a cold scale)
Conduction
This type of jaundice occurs before 24 hours and has higher levels of bilirubin.
Pathologic jaundice
A common newborn rash that appears in the first few days and lasts up to 3 wks. This does not have any clinical significance and requires no treatment.
Erythema toxicum
Expected weight loss over the first 3-5 days is less than ____% of the newborn's birth weight and they should regain their birthweight within _______ days.
(2 parts- need to get both right for points)
10%
10-14 days
What do newborns metabolize to produce heat, which helps them maintain their temperature?
Brown fat
If hypothermia is not corrected, it will progress to cold stress. What would you anticipate for findings if this occurs?
RR increases
Blood sugar decreases
Metabolic acidosis
A condition where very high levels of bilirubin affect the brain and cause irreversible brain damage.
Kernicterus
An unblanchable and permanent capillary malformation that is pink and flat at birth but becomes red/purple and bumpy with time.
Nevus flammeus
(port wine stain)
A TORCH infection that could be transmitted from mom to the fetus that could cause microcephaly or hearing loss
Cytomegalovirus (CMV)