Chapter 24 Flashcards
What is the apgar Scoring system?
A quick assess of the health of a newborn child immediately after birth in order to combat infant mortality
What does apgar stand for?
Activity
Pulse
Grimace ( reflex irritability )
Appearance
Respiration
What does activity ( muscle tone )?
0
1
2 points mean each
Absent
Flexed arms and legs
Active
What does pulse mean
0
1
2
Absent
Below 100 bpm
Above 100 bpm
What does grimace ( reflex irriatability )
0
1
2
Floppy
Minimal response to stimulation
Prompt response to stimulation
What does appearance ( skin color )
0
1
2
Blue & pale
Pink body & blue extremities
Pink
What does respiration mean?
0
1
2
Absent
Slow and irregular
Vigorous cru
What is the heart rate based upon?
Auscultation with stethoscope or Palpation of the umbilical cord
What is respiratory effort based on?
Observed movement of the chest wall
What is muscle tone or activity based on?
Based on degreee of Flexion and movement of extremities
What is reflex irritability based?
Presence of grimace crying of active withdrawal
What is generalized skin color based on ?
Pallied
Cyanotic
Pink
How are you going to perform a head to toe on a neonate?
General appearance
Respiratory system
Cardiovascular system
Neurological system
Gastrointestinal system
Eyes, nose, mouth
Skin
Genitourinary system
What should the general appearance of a neonate be? (3)
Pink
Alert
Active
What should the respiratory system look like for a neonate? (3)
Airway patent
RR-30-60
Lungs clear
What should the cardiovascular system look like? (3)
Heart rate above 100
Strong muscules
No murmurs
How should the neurological system look like? (2)
Moves extremities
Reflexes present
What should gastrointestinal system look like?
Soft abdomen
Cord attached and clamp
How should the eyes nose and mouth look like?
Eyes clear
Palate intact
Nares patent
How should the skin look like?
No lesions/ abrasion
How should the geintourinary system look like?
Normal genitalia
What are some baseline assessment are done to help determine patterns of growth for infant ? (2)
Head circumference and body length
Weight
Weighing a baby should be what?
Same scale and same time of day
How do you measure head circumference?
Tape measure placed on head above infants eyebrows
What is preterm baby date?
Late preterm ?
Early term
Full term
Late term
Post term
Post mature
Born before 37 0/7 weeks
34 0/7 to 36 6/7 weeks
37 0/7 to 38 6/7 weeks
39 0/7 to 40 6/7 weeks
41 0/7 to 41 6/7 weeks
42 0/7 week and beyond
Born after 42 weeks after and shows progressive placental insufficiency
How do we help baby into the new world? (4)
Suction with bulb for airway
Maintain body temperature ( rubbing )
Prophylactic agent on eyes
Single dose of phygonadione prevent hemorrhaging
Why do we use prophylactic agent on newborns eyes?
To prevent ophthalmia neonatroum
So no pink eye, bacteria or uti
Why do we give phytonadione 0.5-1mg to prevent vitamin K?
Dependent hemorrhagic disease in newborn
What the most common behavior of pain in an infant?
Crying
Whimpering
Eye sqeeuzing
How does pain change infants vital signs?
Increase or decrease
Heart rate or blood pressure
Respiratory and oxygen
How do you help with circumcised children?
Acetaminophen
Swaddling
Breastfeeding
Skin to skin care
