CH12

Question 1

what is the normal VS for baby

Answer 1

Resp rate: 30 to 60 per min
report if temp is hgher than 100 F
Pulse: 110 to 160
BP: systolic 65-95 and diastolic 30-60

Question 2

what is the proper way to suction and when should you suction

Answer 2

mouth first and then nose (we suction the nose to prevent aspiration and inhalation of mucous)
we should suction if there water, gurgling, diff breathing, if you hear noise

Question 3

what immunization does the baby receiv

Answer 3

hep b immunization (requires consent) and immunoglibulin

Question 4

what is cord care

Answer 4

check that there 2 arteries and one vein

Question 5

assess neuro what is an expected finding

Answer 5

head lack is nornal
grasp reflex (tightness of finger is norma)
moro reflex ( startle reflex - clap produce lound sound, extended arms is normal).

startle reflex should be gone after 4 months

Question 6

what is caput succedameum

Answer 6

-a collection of fluid of baby (usually affects entire head)
-resolves in 3 to 4 fay
-crosses suture line
-usually a cause of vacuum suctioning

Question 7

what is cephalohematoma

Answer 7

-one side is protruding (collection blood)
-resolves in 2 to 8 weeks
-serious problem
-baby is usually pale

Question 8

expected finding when assessing eyes

Answer 8

crosseyed for first 6 months

Question 9

expected finding when assessing ears

Answer 9

-may not pass the first time because of constructions
-if not passed then need follow up
-eye and ears leveled the same, if lower that means DS

Question 10

what kind of assessment do you use for pain

Answer 10

NIPS (neonatal infant pain scale)
rates facial expression, arm movements, cry, leg, movement, resp, and arousal on scale from 0 to 2, with score 7 indicates worst level of pain

Question 11

is it reportable to have abnormal respirations

Answer 11

no because apnea, bradycardia, tachypnes is normal at first

Question 12

how to prevent SID

Answer 12

put baby on back and no toys and pillows on the crib

Question 13

if warmth is not provided immidietly to the baby, what manifests

Answer 13

hypothermia which leads to cold stress

Question 14

what is an alarming sign for circumcision

Answer 14

swelling (plastibel slips to the shaft means infection)

Question 15

nursing care for circumcision care

Answer 15

-do not remove yellow curst
-make sure diaper is lose
-keep clean and dry
-report redness, bleeding, drainage
-make sure that diaper is change 6 to 8 wet diapers (this indicates that they are peeing if not that means urinary obstruction)

Question 16

how to check hydration of baby

Answer 16

wet diaper ( 6 to 8 diapers)

Question 17

common skin manifestation

Answer 17

-milia (pearly white spots on face and nose) and Mongolian spots (dark blue or grey discoloration) are common skin findings
-make sure to not touch it because they will go away eventually

Question 18

lab values for newborn

Answer 18

HgB: 18.5
hematocrit (Hct): 56
WBC: 18,000
bilirubin: 6

Question 19

lab values 7 day pold

Answer 19

HgB: 17
hematocrit (Hct): 44
WBC: 12,000
bilirubin: 12

Question 20

lab values 3 moth old

Answer 20

HgB: 11.3
hematocrit (Hct): 35
WBC: 10,800
bilirubin: 1

Question 21

is acrocyanosis reportable?

Answer 21

no it is normal (extremities are blue and body is pink)

Question 22

what is the difference between pathologic and physiologic jaundice

Answer 22

pathologic manifest within 24 hrs after delivery (which is reportable), physiologic manifest after 24 hrs after delivery (normal)

Question 23

hypoglycemia lab finding

Answer 23

30 mg and below for preterm
40 and below for full term

Question 24

what is abnormal for stool defecation for newborns

Answer 24

-defecation after 24 hrs is abnormal
-meconium should pass within 24 hrs

Question 25

what is the main cord nursing care

Answer 25

sponge bath until cord falls off usually falls off around 8-14 days

Question 26

what is the cause of SGA

Answer 26

Intrauterine growth restriction (not enough circulation in placenta, usually cause by gestational DM and gestational HTN)

Question 27

what the the characteristics for preterm baby

Answer 27

-transparent loose skin*
-superficial vein can be seen*
-lack of fat and fine hair (lanugo) covers the forehead, shoulders, and arms**
-Protruding or sunken chest**
-vernix is abundant
-extremities is short
-sole feet creases
-abdomen protruding
-nails short
-genitalia is small for girls labia majora may be open

Question 28

what are serious complications for SGA and LGA

Answer 28

resp distress and hypoglycemia

Question 29

nursing care for premie baby

Answer 29

-give oxygen with humidifier
-betamethasone (2 injections 24 hrs apart at IM route) to the mom
- if baby is out, baby will be given surfactant in endotracheal (slow administration)

Question 30

s/sx resp distress

Answer 30

cyanosis
grunting
flaring of nostrils
retraction
resp over 60/min
pulse lower than 110/min and higher than 160/min

Question 31

why are premie baby prone to cold stress and what is nursing care

Answer 31

-lack of fat
-excessive heat loss (head is the largest part)
-inactive muscles, cannot shiver
nursing: kangaroo care

Question 32

potential complication for premie

Answer 32

hypoglycemia
hypothermia
hypotonia
hypercalcemia
seizure
feeding (poor nutrition)

Question 33

nursing care for premie baby with jaundice and why does it happen

Answer 33

this happens because immature liver is not able to clears system.
nursing care: phototherapy and this is resolved to prevent permanent brain damamge

Question 34

nursing goals for preterm newborn

Answer 34

improve sleep
maintain body heat
regulated correct temp (incubator)
conserve energy (cluster work like change diaper, meds, VS)
prevent infectin
provide proper nutrition and hydration
good skin care
observe infant carefully and record observations
support and encourage parents

Question 35

post mature baby physcical characteristics

Answer 35

dry skin like parchment
wrinkly skin
no vernex because wash off in uterus
nails long and nails stained with meconium
thick hair and looks alert
resp distress and hypoglycemia