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  • Caput Succedaneum Cephalhematoma: Syndrome (D/T Prolonged Exposure)

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    RoelleneL.
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    The document discusses several normal findings and abnormalities that may be observed in a newborn infant examination of the head, eyes, ears and nose. The sagittal suture is the most significant head suture and the anterior fontanelle typically closes between 12-18 months while the posterior closes around 2-3 months. Caput succedaneum is a swelling of the scalp that crosses suture lines, appears at birth and requires no treatment, while a cephalohematoma is a collection of blood under the skull that does not cross lines and appears on the second day of life. Common normal eye findings include no tears due to immature lacrimal glands and subconjunctival hemorrhages from ruptured

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    ECA-4

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    The document discusses several normal findings and abnormalities that may be observed in a newborn infant examination of the head, eyes, ears and nose. The sagittal suture is the most significant head suture and the anterior fontanelle typically closes between 12-18 months while the posterior closes around 2-3 months. Caput succedaneum is a swelling of the scalp that crosses suture lines, appears at birth and requires no treatment, while a cephalohematoma is a collection of blood under the skull that does not cross lines and appears on the second day of life. Common normal eye findings include no tears due to immature lacrimal glands and subconjunctival hemorrhages from ruptured

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    6 views2 pages

    Caput Succedaneum Cephalhematoma: Syndrome (D/T Prolonged Exposure)

    Uploaded by

    RoelleneL.
    The document discusses several normal findings and abnormalities that may be observed in a newborn infant examination of the head, eyes, ears and nose. The sagittal suture is the most significant head suture and the anterior fontanelle typically closes between 12-18 months while the posterior closes around 2-3 months. Caput succedaneum is a swelling of the scalp that crosses suture lines, appears at birth and requires no treatment, while a cephalohematoma is a collection of blood under the skull that does not cross lines and appears on the second day of life. Common normal eye findings include no tears due to immature lacrimal glands and subconjunctival hemorrhages from ruptured

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

     Sagittal suture: most significant suture


     Anterior fontanelle closes at 12-18 months
     Posterior fontanelle closes 2-3 months
     Suboccipitobregmatic: shortest
     Can be normal. No need for referrals

    CAPUT SUCCEDANEUM CEPHALHEMATOMA


    Swelling of the scalp Collection of blood under the skull/
    periosteum/ cranium
    Crosses the suture lines Does not cross the suture line
    Visible upon birth Visible on the second day of life
    Located in the middle Located at the side
    No treatment, harmless Can cause complications – jaundice
    (indirect conjugated bilirubin) d/t
    hemolysis

    Normal: Indirect unconjugated


    bilirubin (fat-soluble) → converted
    by the liver → G. transferase →
    conjugated bilirubin (water-
    soluble) → excreted through urine,
    feces

    Management: phototherapy

    MOA: Heat allows conversion of


    indirect bilirubin to direct bilirubin

    Nursing Care:
     Turn the baby from side-to-
    side to prevent Bronze baby
    syndrome (d/t prolonged
    exposure)
     Frequent feeding
    (breastfeeding) to prevent
    dehydration
     Cover the eyes (can lead to
    corneal dryness)
     Cover the penis (prevent
    priapism: contracted penal
    muscles)
    d/t prolonged labor/dystocia (> 24 hours)

     Craniosynostosis: premature
    closure of the sutures and
    fontanelles
     Complication: mental
    retardation
     Hydrocephalus

    EARS
     Soft pinna/auricle: prematurity
     Low set ears: down syndrome
     No Moro/startle reflex:
    congenital deafness; viral
    infection: rubella

    EYES
     No tears: normal
     d/t immature lacrimal
    glands
     Subconjunctival hemorrhages: normal
     d/t rupture of retinal capillaries
     Whitish pupils: congenital cataract; viral infection: rubella
     Pinpoint pupils: coloboma
     Cat’s eye reflex: retinoblastoma (tumor)

    NOSE
     Choanal atresia: absence of the opening in the posterior nares
     To test, occlude one nostril after another. If cyanotic, (+)
     Body part affected: nose
     Milia: whitish papules (elevated)
     Do not prick
     Nasal flaring: respiratory distress
     RDS (pre-term/PT)
     Meconium aspiration (post-term)

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