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Cultural differences bring special challenges to the evaluation process. Included are discussions and demonstrations of assessing cyanosis in people of color and discerning accidental and non-accidental injury vs. normal variations in skin tone. Techniques for interviewing individuals with cognitive and sensory impairments, and the use of translators when language barriers exist are also discussed and demonstrated. Techniques for establishing trust and rapport are outlined.
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Assessment of the Newborn: Cardiopulmonary Assessment and Cardiac Anomalies
1. Describe the ways in which fetal circulation varies from that of the adult.
2. List the three types of respiratory retractions.
3. Differentiate between transient tachypnea of the newborn and respiratory distress syndrome.
4. List and describe the four categories of cardiac defects.
5. Name the eight most common cardiac congenital anomalies.
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Assessment of the Newborn: The First Ten Minutes
1. List the three primary roles of the placenta and umbilical cord during pregnancy.
2. Describe the role of surfactant in the lungs.
3. Discuss current understanding of the factors which foster the newborns first breath.
4. Delineate steps to be taken if there is meconium in the amniotic fluid.
5. Discuss the four routes of heat loss and the role of brown fat.
6. List seven factors which increase a newborn’s susceptibility to cold stress.
7. Explain the parameters of the APGAR score.