EVALUATION VERIFIED A+
◉ anterior fontanel Answer: should be palpable, 5cm on average,
and diamond shaped
◉ posterior fontanel Answer: should be smaller than the anterior
fontanel and triangle shaped
◉ When is it normal for fontanels to be bulging? Answer: when the
newborn cries, coughs, or vomits
◉ What can a bulging fontanelle indicate? Answer: increased ICP,
infection, or hemorrhage
◉ depressed fontanelle indicates Answer: dehydration
◉ molding Answer: a normal occurrence caused by head
compression during labor
◉ caput succedaneum Answer: localized edema on the scalp that
occurs from the pressure of the birth process. is an expected finding
that can be palpated as a soft edematous mass and can cross over
,the suture line. usually resolves in 3-4 days and does not require
treatment
◉ Cephalahematoma Answer: collection of blood between a skull
bone and its periosteum. does not cross the suture line. results from
trauma during birth such as pressure of the fetal head against the
maternal pelvis, prolonged labor, and forceps or vacuum assisted
delivery. Appears 1-2 days after birth and resolves in 2-8 weeks.
◉ newborn eye movement Answer: random and jerky
◉ lack of ear cartilage indicates Answer: prematurity
◉ How to measure ear placement Answer: draw an imaginary line
from inner to outer canthus of the newborn's eye. The line should be
even with the top of the newborn's ear where the ear meets the
scalp
◉ low set ears may indicate Answer: down syndrome or kidney
disorders
◉ Newborns are ____ breathers Answer: obligatory nose. Will not
open mouth to breathe if nose is obstructed
, ◉ excessive saliva can indicate Answer: tracheoesophageal fistula
◉ Epsteins pearls are? Answer: Small, white epithelial cysts on
baby's gums. expected finding and will disappear in a few weeks
◉ A protruding tongue can indicate Answer: down syndrome
◉ Absence of head control can indicate Answer: prematurity or
down syndrome
◉ Chest should be _________-shaped Answer: barrel
◉ Newborn breast nodules can be Answer: 3-10 mm
◉ When should bowel sounds be present in a newborn Answer: a
few minutes following birth
◉ When should meconium be passed? Answer: 24-48 hr following
birth
◉ When should urine be passed after birth? Answer: within 24
hours after birth. Uric acid crystals will cause the urine to have a
rust color in the first few days of life