CH 24 Nursing Care Of Newborns Flashcards
What is PKU
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
What is considered bradypnea in a newborn
Respiration so less than 25
How often should newborn vital signs be checked
On admission/ birth
Q30 min
Q 1 hr x2
Then q8 hr
What is phenylketonuria
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
What is considered bradypnea in babies
RR under 25
What is considered tachynea in infants
RE above 60
What are signs of abnormal breathe sounds in babies
Exploratory grunting
Crackles
Wheezes
What are signs of respiratory distress in babies
Nasal flaring
Retractions
Labored breathing
Which type of delivery is more prone to fluid remaining on the lungs
C section births
How Can a nurse monitor for hypothermia in a newborn
Auxiliary temp of less than 36.5 ( 97.7)
Cyanosis
Increased RR rate
Conduction
Loss of body heat resulting from indirect contact with cooler surfaces
Convection
Flow of heat from the body surface to cooler environmental air
Evaporation
Loss of heat as surface liquid is converted to vapor
Radiation
Loss of heat from the body surface to a cooler solid surface that is close to but not In direct contact.
How often should a newborn void within 24 hours of birth
Once
How often should a newborn void after 4 days of life
6-10 times a day
When should me coming be passed
Within the first 24 hours of life
What is ophthalmia neonatorum caused by
Gonorrhea or chlamydia
What are Meds used to treAt gonorrhea or chlamydia In a newborn
Forms of erythromycin and tetracycline
What is vitamin K ( aquamephyton)
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
How much vitamin k should be administered to the newborn
0.5- 1 mg IM into the vastus lateralis,where muscle development is adequate within 1 hr of birth
For newborns born to healthy woman what is the recommended dose of hepatitis b immunization
At birth
1 month
2 months
And 12 months
For a woman affected with hepatitis b, when is the vaccine given
Within 12 hours of birth
1 month
2 months
12 months
If a newborn is not dried properly after delivery, what mechanism causes the newborn to loose heat
Evaporation
