Module 7: Newborn Care (Part V)

Normal, action of maternal hormones

A female newborn arrives at the clinic with a swollen vulva. Is this normal or abnormal? What made it normal/abnormal? (Two answers.)

Pseudomenstruation

It refers to blood-tinged mucus vaginal discharge that is present due to maternal hormones.

Scapulae, iliac crest, and base of the spine

What three anatomical structures line up in the same plane?

3

How many creases should newborns have in their palms?

Normal

The mother of a newborn arrives at the healthcare facility and tells you that her child’s legs are bowed and short. Do you tell her that this is normal or abnormal?

Extra pad of fat

What in the longitudinal arch of the sole causes it to be flat?

False

True or False: Medial muscles are more developed than the lateral muscles.

3 months to 1 year

At what age does the foramen ovale close?

Left

Which side of the heart increases pressure once neonatal circulation is initiated?

2 months

At what age does the ductus venosus become a mere ligament?

several weeks to 4 months

At what age does the ductus a arteriosus become a mere ligament?

2-3 months

At what age do the two umbilical arteries and one vein degenerate and atrophy?

80-110mL/kg of body weight

What is the normal value for blood volume in newborns?

6 million cubic millimeters

What is the normal value for erythrocyte count increase in newborns?

17-18mg/100mL of blood

What is the normal value for hemoglobin levels in newborns?

45-50%

What is the normal value for hematocrit levels in newborns?

15,000-30,000 cubic millimeters

What is the normal value for white blood cells in newborns?

1-4mg/100mL

What is the normal value for bilirubin levels in newborns?

cold receptors, lowered PO2 (15 mmHg), and increased PCO2 (70 mmHg)

A neonate’s first breath is initiated by a combination of what factors?

40-70

To be able to inflate the alveoli for the first time requires tremendous amounts of energy to pull in, particularly __ cm H2O.

6-8

Breathing becomes much easier for the baby after initial alveoli inflation, requiring only about __ cm H2O.

10 minutes

How many minutes within birth has the newborn established a good residual volume?

10-12 hours

How many hours of age has the newborn established vital capacity at newborn proportions?

5, 24

Given that the GI is sterile upon birth, bacteria can only be cultured within __ hours for most babies; within __ hours for all babies.

60-90mL

How many mL/oz can a newborn hold at birth?

3 oz

How many mL/oz can a newborn hold at 2 weeks of age?

7 oz

How many mL/oz can a newborn hold at 5 months of age?

10 oz

How many mL/oz can a newborn hold at 10 months of age?

Immature cardiac sphincter

Why does regurgitation happen in newborns?

2-3 months

At what month of age do salivation and drooling occur?

breast-fed

In __ babies, they pass out sweet-smelling, light yellow, mushy, and more frequent stool 3 to 4 times a day.

bottle-fed

In __ babies, they pass out slightly noticeable odor, bright yellow, firm, and less frequent stool 2 to 3 times a day.

Bright green

In babies under phototherapy, what color is the stool given that there is increased bilirubin?

Gray

In babies with bile duct obstruction, what color is the stool given that bile pigments cannot enter the intestinal tract?

24 hours

Within how many hours does a newborn void after birth?

30-60mL

How much urine is voided in the first 1-2 days of life?

300mL

How much urine is voided 1 week after birth?