Chapter 15 - immunization + circumcision Flashcards

1
Q

CI for circumcision

A
  • preterm
  • genitourinary defect
  • risk for bleeding (did not admin vit K yet)
  • compromising disorders like resp distress syndrome
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2
Q

risks of circumcision

A
  • hemorrhage
  • infection
  • adhesion
  • pain
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3
Q

actions before surgical procedure

A
  • vit K
  • consent
  • no formula feed 2-3 hr before
  • yes breast feed prior
  • urinate prior
  • acetaminophen prior
  • have bulb nearby
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4
Q

gomco or mogen clamp

A
  • requires petroleum gauze at end of penis
  • if penis adheres, then soak
  • do NOT pull off
  • heals w/in 2 wks
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5
Q

post care for circumcision

A
  • assess penis Q15 min for 1st hour, then Q2-3 hr
  • acetaminophen Q4-6 hr
  • neonate should void w/in 24 hr
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6
Q

plastibell

A

stays on penis

  • ring falls off in 7-10 days
  • do not remove
  • do not apply lube> incr risk for displacement
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7
Q

periods of reactivity

A

periods of adjustment that occurs in first 6-8 hr of life

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8
Q

first period of reactivity

A

newborn is alert, exhibits exploring activity

  • makes sucking sound
  • rapid HR (160-180) that stabilizes to 110-120 in 30 min
  • rapid RR
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9
Q

period of relative inactivity

A

quiet, rest, sleep

  • HR + RR decrease
  • 60-100 min post birth
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10
Q

second period of reactivity

A

newborn reawakens

  • responsive
  • gags + chokes on mucus that has accumulated in mouth
  • 2-8 hr after birth
  • lasts 10 min to several hours
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