Chapter 24 Flashcards
APGAR
Appearance Pulse Grimace Activity Respiration
Graded on scale of 0-2
Preterm
Born before completion of 37 weeks of gestation, regardless of birth weight
Late Preterm
34 0/7 through 36 6/7 weeks
Early Term
37 0/7 through 38 6/7 weeks
Full Term
39 0/7 through 40 6/7 weeks
Postterm
41 0/7 weeks and beyond
Postmature
Born after completion of 42 weeks gestation and showing the effects of progressive placental insufficiency
Airway Maintenance
Side-lying position
Bulb syringe
Use of nasopharyngeal catheter with mechanical suction apparatus
Maintaining body temperature
Immediate Interventions
Eye prophylaxis to prevent ophthalmia neonatorium or neonatal conjunctivitis
Vitamin K administration
Parent-infant contact
Jaundice
Phototherapy is used for hyperbilirubinemia
Exchange transfusion
Hypoglycemia
Usually defined as blood glucose levels less than 45 mg/dL
Hypocalcemia
Serum calcium levels of less than 7.8 to 8 mg/dL in term infants and slightly lower (7 mg/dL) in preterm infants
Laboratory and Diagnostic Tests
Universal newborn screening is mandated by law to detect genetic diseases
Newborn hearing screening
Screening for critical congenital heart disease
Nonpharmacologic Pain Management
Containment (swaddling)
Nonnutritive sucking
Oral glucose
Skin-to-skin contact
Breastfeeding
Nursing care immediately after birth includes…
Maintaining an open airway
Preventing heat loss
Promoting parent-infant interaction