University:
Middle Georgia State University
Course:
NURS 2010 | Maternal, Newborn & Child Nursing Practice
Academic year:

2021
Views:

318

Pages:

12
Author:

Hallie Randolph

9. ANAL AND GENITAL AREA • Inspect to ensure that it is that it is present, patent, and not covered by a membrane (IMPERFORATE ANUS) • How?.. Gloved and lubricated little finger, insert the tip in the anus • Meconium- first stool should be passed out in the first 24 hours, imperforate anus or meconeum ileus 9. GENITALIA A. MALE GENITALIA • Scrotum in most male newborn is edematous and rugae • Both testes should be present in scrotum • 2 cm long Cresmacteric Reflex- elicited by stroking the internal side of thigh. Testis on the side moves perceptively upward Epispadias- Hypospadias • Urethral opening on ventral surface • Urethral meatus on the dorsal aspect Skin 1.VERNIX CASEOSA – Cheeselike greasy substances. Purpose: Thermoregulation Lubricant, Protection 2. LANUGO- fine downy hair; thins out 28 wks 3. ACROCYANOSIS – bluish discoloration of the extremities 4. CUTIS MARMORATA –normal , mottled color of the skin- exposure to cold temp 5. Harlequin color change – pink color of half side of the body 6.Milia – tiny white ,hard, pale keratinous nodule formed on the cheeks, chin and nose typically by a blocked sebaceous gland 7.of the skin or whites 7. JAUNDICE yellowing of the eyes, arising from excess of the pigment bilirubin caused by hyperbilirubinemia. a. Physiologic –occurs 2nd–3rd wk of life ( Phototherapy) b. Pathologic – occurs 24 hours after delivery (RH incompatibility) 8. BIRTHMARKS - marks on the skin of a lot of newborn babies • A. Mongolian spots – blue- black macule found at the buttocks area • B. Telegiectatic nevus / Stork bite – flat deep pink in nape / eyelids. • C. Nevus flammeus / Port wine stain – flat purple red present at birth in face or extremities. • D. Nevus Vasculosus /Strawberry hemangioma –red rubbery nodules with rough surface. CRYPTORCHIDISM • males with one or both undescended testes Causes: 1.Agenesis- absence of one organ 2.Ectopic testes- closed scrotal sac, testes cannot enter/ descend 3.Undescended testes- too short vas deferens IMMUNE SYSTEMFunctional at 2 mos., IgG and IgM after 1 year Ability to adjust to cold at 6 mos Shivering present- increase muscle activity, providing warmth Brown fat- protect newborn from cold decreases in 1 year Kidneys, endocrine immature.. More intracellular fluid 40% protection from dehydration TEETH6 mos.- first tooth eruption, followed by new one monthly Natal teeth- baby’s born with Neonatal teeth- erupts at 4 weeks Mandibular central incisor

Profile of the Newborn Lecture Part 5

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