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
2
Q
risks of circumcision
A
- hemorrhage
- infection
- adhesion
- pain
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
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
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
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
7
Q
periods of reactivity
A
periods of adjustment that occurs in first 6-8 hr of life
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
9
Q
period of relative inactivity
A
quiet, rest, sleep
- HR + RR decrease
- 60-100 min post birth
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