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Dressler > Dressler Module 5 Neonatal Care > Flashcards

Dressler Module 5 Neonatal Care Flashcards

1
Q

Apgar scoring is done in what frequency

A

first minute, then every 5 minutes

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2
Q

In immediate care in delivery room it is important to assess and prevent

A

hypothermia

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3
Q

Average weight for newborn is

A

5.5-10 lbs , 7-8 avg

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4
Q

Nutrition is provided in immediate care orally be giving

A

glucose water hardly any formula

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5
Q

Avg head circumference for newborn

A

13-14 inch avg.

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6
Q

We give bath to newborn to remove (3)

A

secretions, vernix, lanugo

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7
Q

Describe cord care

A

Allow exposed to air

observe for drainage

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8
Q

Cord will fall out on its own in

A

7-10 days

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9
Q

In doing a screening test in immediate care we are checking for _____ and we will do this _________

A

PKU

after first feeding

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10
Q

We administer Vitamin ____ with a ______ because _____

A

Vitamin K with small bore needle, because baby is unable to produce because gi tract is sterile

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11
Q

We administer Erythromycin Ointment in the

A

Lower Conjunctival Sac

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12
Q

Me must discard formula

A

24 hours after opening

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13
Q

Baby should not go more than ___ hours w/o eating this can cause _____

A

4 hours

can cause failure to thrive

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14
Q

Avg length of newborn is

A

18-22 inches

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15
Q

Edema of the scalp cone shape is also known as _____ and will _____

A

Caput Succedaneum

Disappear within a few days

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16
Q

Accumulation of blood between the periosteum and the skull bones is known as ______ and will ________

A

Cephalohematoma

Disappear within a week

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17
Q

Diamond shaped on the head is also called _____ and will _____

A

Anterior Fontanel

close 12-18 months

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18
Q

Triangle shape on head is also called ______ and will ____

A

Posterior Fontanel

close 3 months

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19
Q

Eye color is always

A

Blue when born

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20
Q

Characteristics we look for (eye) (3)

A

Pupil react to light
Tears absent for a few weeks
Ophthalmia Neonatorum

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21
Q

Ears should be

A

symmetrical

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22
Q

Nose should be

A

flat

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23
Q

It is not considered thrush if you could

A

wipe it away

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24
Q

Neck should be

A

short

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25
Q

Chest avg size

A

31-35cm

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26
Q

In the chest the breast tissue should be

A

swollen

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27
Q

The abdomen should be

A

Round, Protruding

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28
Q

Avg wet diapers in 24 hour period should be

A

6-8

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29
Q

It is normal for female genitalia to have (2)

A

Labia

Blood tinged discharge

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30
Q

In males if a circumcision was done we can apply

A

A&D ointment

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31
Q

Undescended testicle is called

A

Cryptorchidism

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32
Q

Urethra on top surface of penis is called

A

Epispadias

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33
Q

Urethra underneath surface of penis

A

Hypospadias

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34
Q

Extremities should be

A

symmetrical

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35
Q

Baby does not see in color until

A

2-3 months

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36
Q

It is important to remove all (Respiratory)

A

Remove fluid and secretion

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37
Q

Regular Resp rate

A

40-60

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38
Q

Respirations are usually (2)

A

Irregular and shallow

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39
Q

Common med given for respiratory distress

A

Narcan

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40
Q

Reg Apical Heart Rate

A

110-160

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41
Q

Norm B/P

A

60-40

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42
Q

Thoracic pressure increases and closes the

A

openings in the babys heart

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43
Q

Anus should be

A

imperforated

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44
Q

First stool is called the

A

Meconium

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45
Q

Meconium should pass within first

A

24 hours

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46
Q

If bottle fed what color should meconium be

A

yellow green to brown

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47
Q

If breast fed Meconium should be

A

Soft yellow pasty 6 or more/day

48
Q

Baby should void within

A

8-12 hours

49
Q

Darkened area on buttocks and lumbar region

A

Mongolian Spots

50
Q

Hands and feet have blueish tint

A

Acrocyanosis

51
Q

Find downy hair is called

A

Lanugo

52
Q

White cheesy substance

A

Vernix Caseosa

53
Q

Tiny white spots or papules

A

Milia

54
Q

Normal physiological jaundice usually appears on day

A

2-3

55
Q

Normal Pathological jaundice usually appears within

A

first 24 hours

56
Q

The higher the bilirubin level, the higher the chance for

A

brain damage

57
Q

Anything higher than _____ mg/dl is considered high serum bilirubin levels

A

12’9

58
Q

Highest blood type at risk for jaundice

A

O-

59
Q

The check legs for equal length and to stretch them we can use the

A

Ortolanis maneuver

60
Q

If baby has club foot we can use

A

Denis-Browne Splint

61
Q

Common s&s of Congenital Hip Dysplasia (3)

A

Limited abduction of leg
Skin folds asymmetrical
Buttocks higher in affected side

62
Q

Head of femur displaced from acetabulum is called

A

Congential Hip Dysplasia

63
Q

Tx for Hip dysplasia

A

Pavlik Harness

64
Q

Surfactant is given in neonatal babies to

A

help lungs mature

65
Q

Accumulated Phenylalanine causes

A

damage to brain tissue

66
Q

two most common birth defects are ______ and usually comes from

A

Cerebral bleeding and Anorexia

Prolapsed Cord

67
Q

Postpartum Care begins ______ after delivery and ends _____ after delivery

A

4 hours - 6 weeks

68
Q

Postpartum - Elevated temperature will decrease within

A

24 hours

69
Q

Postpartum - Within one hour P, R, B/P and T should

A

return to levels PRE LABOR

70
Q

Postpartum - Contractions after birth can last

A

24-72 hours

71
Q

Postpartum - Contractions and after pains are more common in

A

Multiparas

72
Q

Return of uterus to non-pregnant state is called

A

Involution

73
Q

After delivery uterus is about how big

A

20 week pregnancy

74
Q

The uterus ends app

A

7 days, 1cm/day

75
Q

Uterus is hastened by (2)

A

Athletic moms

Nursing moms

76
Q

Putting baby immediately after birth to breast helps with

A

contractions

77
Q

Internal Os and External Os may remain

A

slightly open

78
Q

Vaginal Rugae return will happen within

A

6 weeks

79
Q

Ovulation will return

A

3-5 weeks

80
Q

Menstruation will return

A

6-8-12 weeks

81
Q

Menstruation is usually delayed in

A

Lactating women

82
Q

Lochia goes from (3)

A

Rubra - Serosa - Alba

83
Q

Soaking through pad in 1-2 hours is called

A

Profuse

84
Q

Colostrum should be given for

A

2-3 days

85
Q

Colostrum helps babies

A

immunity

86
Q

Breast milk benefits (3)

A

Easily digested
Carries natural antibodies
Increase lactose / calcium

87
Q

Common staph infection of breast

A

Mastitis

88
Q

Care of breast (3)

A

Pat dry
Expose to air
Good support bra

89
Q

Normal blood volume decreases by

A

4th week

90
Q

Normal blood loss for vaginal delivery

A

300-500ml

91
Q

Normal blood loss for C-section

A

500-1000ml

92
Q

DVT is due to

A

Increased Fibrinogen level

93
Q

In moms with DVT it is important to check for

A

+ Homon’s sign

94
Q

3 nursing interventions for Embolism

A

Early ambulation
Teds stockings
Dont cross legs

95
Q

For regular mom we should decrease calories by about

A

300

96
Q

Diet for nursing mom

A

Increase iron/fiber/fluid

97
Q

Diuresis : Postpartum patients can void up to ____ for up to ______

A

3000ml/24hours

6 weeks

98
Q

Burning while urinating for first 24 hours is

A

normal

99
Q

Protein in urine and ketones in urine is normal until

A

mom goes home

100
Q

Massage uterus when it is

A

boggy

101
Q

Moms with _____ need intervention for baby safety we are scared she might hurt the baby

A

Psycosis

102
Q

Postpartum blues could last up to ______ if it lasts more than _____ we call it

A

3 months - 1 year

if more than 1 year we call it generalized depression

103
Q

5 reportable symptoms

A 
Temp change 
Bright red vaginal lochia 
Pain in calf 
Pain in abdomen 
Dysuria
104
Q

We consider hemorrhage blood loss more than

A

500ml

105
Q

If uterus is not going back 1 finger width per day it is called

A

Subinvolution

106
Q

S&S of Hemorrhage (3)

A

Decreased B/P
Increased Pulse
Lochia Rubra

107
Q

S&S of Uterine Atony (2)

A

Boggy fundus

Increased bleeding with clots

108
Q

Tx for Atony

A

Oxytocin

Methergine

109
Q

Tx for Vaginal or Cervical Laceration

A

D&C

110
Q

Tx for late hemorrhage

A

D&C

111
Q

S&S of Puerperal Infection (4)

A

Foul Smelling lochia
Pain
Tenderness
Redness

112
Q

Tx for Puerperal Infection

A

ABT

113
Q

What is reduced in premature infant that puts it as risk for pulmonary problems

A

Surfactant

114
Q

A premature infant has a _____________ putting it as risk for malnutrition

A

Decreased metabolism

115
Q

What can occur if jaundice is not treated

A

Brain Damage

116
Q

Best way to treat anemia is to give

A

Iron supplements

117
Q

Best way to treat DVT

A

TEDS

Dressler (6 decks)

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