Exam 1P - Newborn Assessment & DC Teaching Flashcards
normal newborn pulse
120-160 bpm
normal newborn respirations
30-60 respirations/minute
normal newborn temperature
Axillary: 36.4-37.2 C (97.5-99 F)
Skin: 36-36.5 C (96.8 - 97.7 F)
normal blood pressure at birth
90-60 systolic / 50-40 diastolic
normal newborn BP at day 10
100/50
normal newborn blood glucose
> = 40 mg/dL
changes within a few days to a week after birth
molding
an area of localized edema usually over the vertex from pressure on mother’s cervix during labor
caput succedaneum
an accumulation of blood under the scalp by pressure during birth
cephalohematoma
female newborns may experience a small amount of vaginal bleeding from the sudden withdrawal of maternal hormones, known as ____
pseudomenstruation
the ____ of female genitalia may be enlarged and darker
labia majora
a collection of fluid around one or both testes, which usually resolves on its own
hydrocele
____ is often seen as an enlargement of one or both sides of the scrotum
hydrocele
undescended testis, can occur on one or both sides; and will likely descend by 6 months of age
cryptorchidism
abnormally located urethral meatus on the underside of the penis or on the perineum
hypospadias
urethral meatus on the upper side of the penis
epispadias
name the 8 steps of subsequent daily care for the newborn
(1) VS q6-8h
(2) assess umbilical cord
(3) hearing screen
(4) metabolic screen
(5) congenital heart disease screen
(6) I&Os
(7) swaddle infant for warmth
(8) immunizations (Hep B)
name at least 3 common concerns of new parents
(1) sleep-wake cycles
(2) feeding
(3) bathing
(4) soothing activities
(5) s/s illness
(6) infant safety
name at least 3 ways to awaken an infant
(1) dress, undress, or bathe hands and feet
(2) change diaper
(3) talk to infant, place in upright position
(4) increase skin contact
(5) hand-express milk
(6) stimulate rooting reflex by brushing cheek with hand
don’t go more than ____ without feeding
3-4 hours
what are the 5S’s of quieting an infant?
(1) Swaddling
(2) Side / stomach position
(3) Shushing or rhythmic sounds
(4) Swinging (rocking)
(5) Sucking( pacifier / fist)
when is the cord clamp removed after birth?
about 24 hours after birth
what is the normal color for the cord to become?
brownish-black
the cord will turn brownish-black within ____ days
2-3 days
the cord will fall off within ____
10-14 days
check the cord daily for ___, ___, and ____
odor, oozing, reddened areas
for a circumcised infant, check for foul-smelling odor how frequently?
1x per day
normal drainage from a circumcision is ____
light, sticky, yellow
monitor for first void within ____ after circumcision
6-8 hours
what should you NOT do with an uncircumcised infant?
do NOT retract the foreskin because it is adherent for 3-6 years
signs of respiratory distress include
(1) tachypnea
(2) grunting
(3) retractions
(4) cyanosis
(5) seesaw respiration
(6) asymmetry of chest expansion
name 3 ways to avoid respiratory problems
(1) use a bulb syringe
(2) proper positioning
(3) safe sleep
name at least 3 signs of illness in an infant
(1) lethargy
(2) hypothermia
(3) inconsolable
(4) discharge / bleeding from umbilical cord, circumcision, etc.
(5) green, watery stool
(6) <6-8 wet diapers/day
(7) fever
