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Know different methods of newborn heat loss and how to prevent them (review pages 520-523
of your required textbook) - CORRECT ANSWER-Radiation- Transfer of heat to cooler object like
keeping baby by the window.
Evaporation- Air drying of the skin that results in cooling. Dry infant from head to toe as quickly
as possible.
Conduction- Direct contact with something cold. Use skin to skin.
Convection- Drafts, air, open doors.
Know how to elicit newborn reflexes and the importance of them - CORRECT ANSWER-●
sucking and rooting: turns head to side that is touched and
begins to suck when cheek or edge of mouth is stroked.
● Palmar grasp: Grasps object when placed in palm.
● Plantar grasp: toes curl downward when sole of the foot is touched.
● moro reflex: Arms and legs symmetrically extend and then abduct
while fingers spread to form a "C" when infant's head and trunk
are allowed to fall backward to an angle of at least 30°.
, ● tonic neck (fencer position): extends arm and leg on same side when
head is turned to that side, and flexes arm and leg of opposite side. babinski: toes fan upward
and out when outer edge of
sole of foot is stroked, moving up toward toes.
● stepping: makes stepping movements when held upright with feet touching flat surface.
Know the effect of vacuum assisted delivery on the infant's reflexes - CORRECT ANSWER-
Observe for signs of fractures, nerve injury, or injury to CNS.
Know the difference between caput and cephalohematoma; what causes each - CORRECT
ANSWER-Caput succedaneum is swelling of the scalp in a newborn that usually disappears
within 3 to 5 days. Caused by pressure on the head during labor
Cephalohematoma is a collection of blood between the periosteum and the skull bone that it
covers. It results from trauma during birth such as the pressure of the fetal head against the
maternal pelvis in a prolonged difficult labor or forceps delivery. It appears in the first 1 to 2
days after birth and resolves in 2 to 3 weeks.
Know newborn gestational age assessment- physical maturity (review pages 560-565 of your
required textbook) - CORRECT ANSWER-skin:
Preterm: translucent and friable
Post term: leathery, cracked, and wrinkled
lanugo:
Preterm- have some (term have some)
Post term- none
plantar surface: Term- creases/ Pre- none
breast: Pre-lack/ Post raised to a full areola with breast buds that are 3 to 10 millimeters
eye/ear: Pre- less curved pinna
Post- full curved with cartilage