CH 24 Nursing Care Of Newborns

Question 1

What is PKU

Answer 1

A defect in protein metabolism in which the accumulation of the amino acid phenylalanine can result in mental retardation. Tx in the 1st 2 months can prevent retardation

Question 2

What is considered bradypnea in a newborn

Answer 2

Respiration so less than 25

Question 3

How often should newborn vital signs be checked

Answer 3

On admission/ birth
Q30 min
Q 1 hr x2
Then q8 hr

Question 4

What is phenylketonuria

Answer 4

PKU is a defect in protein metabolism in which the accumulation of the amino acid phenylalanine can result in mental retardation. Tx in the first 2 months of life can prevent retardation

Question 5

What is considered bradypnea in babies

Answer 5

RR under 25

Question 6

What is considered tachynea in infants

Answer 6

RE above 60

Question 7

What are signs of abnormal breathe sounds in babies

Answer 7

Exploratory grunting
Crackles
Wheezes

Question 8

What are signs of respiratory distress in babies

Answer 8

Nasal flaring
Retractions
Labored breathing

Question 9

Which type of delivery is more prone to fluid remaining on the lungs

Answer 9

C section births

Question 10

How Can a nurse monitor for hypothermia in a newborn

Answer 10

Auxiliary temp of less than 36.5 ( 97.7)
Cyanosis
Increased RR rate

Question 11

Conduction

Answer 11

Loss of body heat resulting from indirect contact with cooler surfaces

Question 12

Convection

Answer 12

Flow of heat from the body surface to cooler environmental air

Question 13

Evaporation

Answer 13

Loss of heat as surface liquid is converted to vapor

Question 14

Radiation

Answer 14

Loss of heat from the body surface to a cooler solid surface that is close to but not In direct contact.

Question 15

How often should a newborn void within 24 hours of birth

Answer 15

Once

Question 16

How often should a newborn void after 4 days of life

Answer 16

6-10 times a day

Question 17

When should me coming be passed

Answer 17

Within the first 24 hours of life

Question 18

What is ophthalmia neonatorum caused by

Answer 18

Gonorrhea or chlamydia

Question 19

What are Meds used to treAt gonorrhea or chlamydia In a newborn

Answer 19

Forms of erythromycin and tetracycline

Question 20

What is vitamin K ( aquamephyton)

Answer 20

It is administered to prevent hemmoragic disorders
Vitamin K is not produced in the the GI TRACT of the newborn until around day 8. It is produced in the colon by bacteria that forms once breast milk or formula is introduced into the gut of the newborn

Question 21

How much vitamin k should be administered to the newborn

Answer 21

0.5- 1 mg IM into the vastus lateralis,where muscle development is adequate within 1 hr of birth

Question 22

For newborns born to healthy woman what is the recommended dose of hepatitis b immunization

Answer 22

At birth
1 month
2 months
And 12 months

Question 23

For a woman affected with hepatitis b, when is the vaccine given

Answer 23

Within 12 hours of birth
1 month
2 months
12 months

Question 24

If a newborn is not dried properly after delivery, what mechanism causes the newborn to loose heat

Answer 24

Evaporation