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RNSG 1251 UNIT 1 > ch. 24: nursing care of the newborn & family > Flashcards

ch. 24: nursing care of the newborn & family Flashcards

1
Q

What does EYE PROPHYLAXIS PREVENT?

A

OPTHALMIA NEONATORUM (conjunctivitis of newborn)

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2
Q

What OPTHALMIC OINTMENT and DOSE is used for eye prophylaxis?

A

ERYTHROMYCIN 0.5% OINTMENT

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3
Q

When should the OPTHALMIC OINTMENT be administered?

A

within 1 HR after birth

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4
Q

What are possible ADVERSE REACTIONS to the eye ointment?

A
  • blurred vision

- chemical conjunctivitis

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5
Q

What is the PARENT REFUSES the ointment?

A

they have to sign a form

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6
Q

What does VIT K PROPHYLAXIS PREVENT?

A

vit. k deficiency bleeding (hemorrhagic disease)

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7
Q

What is the DOSE and ROUTE for Vit. K administration?

A

0.5 to 1.0 mg IM

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8
Q

When should the VIT. K INJECTION be administered?

A

1 to 2 hrs after birth

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9
Q

What are some ADVERSE REACTIONS to the VIt. K injection?

A

edema, erythema, pain at injection site

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10
Q

Why is the HEPATITIS B VACCINE indicated?

A

to Prevent infection caused by HPV

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11
Q

What is the DOSE and ROUTE of RECOMBIVAX HB?

A

0.5 ML IM

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12
Q

When should the HEPATITIS B VACCINE be ADMINISTERED?

A
  • 1st dose: 24 after birth
  • 2nd dose: 1 to 2 months
  • 3rd dose: 6 to 18 months
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13
Q

What are possible ADVERSE REACTIONS to the hepatitis B vaccine?

A

edema, erythema, and pain at injection site

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14
Q

When would HEPATITIS B IMMUNE GLOBULIN (HBIg) be administered?

A

administer to infant 12 hrs after birth if mother is HPV positive

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15
Q

When is a newborn SCREENED for JAUNDICE?

A

EVERERY 8 to 12 hrs

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16
Q

How do you ASSESS for JAUNDICE?

A

-blanch bony area and see if skin is yellow

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17
Q

What is the treatment for HIGH BILIRUBIN levels?

A

phototherapy: lamp/lights

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18
Q

How long do infants stay under PHOTOTHERAPY?

A

about 24 HRS until BILIRUBIN decreases to normal

19
Q

What should infants WEAR while under the LIGHTS?

A

PROTECTIVE EYEWARE and DIAPER

20
Q

Why is the UNIVERSAL NEWBORN SCREENING performed?

A

for EARLY DETECTION of GENETIC DISORDERS

21
Q

How many disorders are screened in the UNIVERSAL NEWBORN SCREENING?

A
  • 35 CORE
  • 26 SECONDARY
  • 61 total
22
Q

How is the UNIVERSAL NEWBORN SCREENING performed?

A

heel stick

23
Q

When are HEEL STICK samples for the UNIVERSAL NEWBORN SCREENING collected?

A

after 24 HRS of birth

24
Q

What happens to the HEEL STICK SAMPLE after screening is completed?

A

hospital keeps residual dry blood filter spots

25
Q

Why is a HEARING SCREENING indicated?

A

early detection of newborn hearing loss

26
Q

When should a HEARING SCREENING be performed?

A

before discharge or NO LATER than 1 month

27
Q

How is the AUDITORY BRAINSTEM RESPONSE test conducted?

A

sensors attached to the infant’s FOREHEAD and BEHIND THE EARS measure the ACOUSTIC NERVE

28
Q

What happens is an infant FAILS the HEARING SCREENING?

A
  • REPEAT TEST

- if FAILED AGAIN, conduct a comprehensive audiologic evaluation

29
Q

Why is the CRITICAL CONGENITAL HEART DISEASE (CCHD) SCREENING performed?

A

to detect SERIOUS HEART DEFECTS that may require surgery

30
Q

When should the CCHD screening be performed?

A

at 24 to 48 hrs of age

31
Q

How is the CCHD SCREENING PERFORMED?

A

through noninvasive measuring of O2 saturation

-pulse ox placed on RIGHT HAND AND RIGHT FOOT

32
Q

How does an infant PASS the CCHD SCREENING?

A

> 95% O2 sat w/ <3% absolute difference between upper and lower extremities

33
Q

How many CHANCES do infants get to pass the CCHD SCREENING?

A

2 chances

34
Q

What is the PURPOSE of SECURITY ALARM BANDS?

A

to prevent abduction, ALARM GOES OFF if baby is taken out of unit

35
Q

What should mothers do when an employee comes to take their baby out of the room?

A
  • question WHERE and WHY

- CHECK ID

36
Q

What needs to be done every time a baby is brought BACK to the MOMS ROOM?

A

match ID band from baby to mom

37
Q

What happens if a mother DOES NOT believe the ID of the nurse taking the baby out of the room?

A

they can call another nurse or charge nurse to verify

38
Q

What is CIRCUMCISION?

A

removal of foreskin

39
Q

What are the HEALTH BENEFITS of CIRCUMCISION?

A
  • prevent UTIs in babies
  • decrease risk of PENILE CANCER
  • decrease risk of hetero STIs
40
Q

When is CIRCUMCISION PERFORMED?

A

NOT immediately after birth

-first few days or can be delayed

41
Q

When should EMLA cream (numbing cream) be applied to the penis?

A

at least 1 HR BEFORE procedure

42
Q

When/how often should the site be assessed after circumcision?

A

check for bleeding every 15 to 30 min for first hour then every hr
-there should be no bleeding and infant should be able to void before discharge

43
Q

What are some nonpharmacologic methods to manage neonatal pain?

A
  • swaddling
  • breastfeeding
  • distraction
  • massage
  • non nutritive sucking
  • sucrose

RNSG 1251 UNIT 1 (8 decks)

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