Immediate Newborn Care Flashcards
Neonate period is from when to when?
Birth to the first 28 days
Care of the newborn starts when?
Prenatal
How long does it take for the newborn to adjust to extrauterine life?
2-4 hour period
How do we stabilize respirations? 2 things
Airway clear
Suction
How long do we have to bulb suction the mouth and nasal cavity?
10 seconds or less
What do we suction first?
Mouth than nose
We do not want to cause three things from suctioning.
Reflex inhalation
Mucosal edema
Trauma
This is deep suctioning put through the mouth to the stomach; continuous suctioning by occlusing the hole on the side.
Delee suction
We need to immediately provide what to a neonate?
Warmth
What are the 3 things we can do to warm the neonate?
Dry with blankets
Moms chest
Radiant warmer
What needs to be attached with a radiate warmer?
Thermometer with the silver side down
What must the temperature range must read?
96.8 - 97.2
What is the NRP algorithm?
Resuscitation for newborns
Are respirations normal or abnormal?
Abnormal is normal is a newborn.
Neonates have apnea periods this is normal if it is less than?
15 seconds
Respiratory distress triad includes what 3 things?
Grunting
Flaring
Retractions
Are heartbeats normal or abnormal?
It’s normal to be abnormal
What is an appropriate axillary temperature?
97.7 - 99.5
What is a critical component in newborns?
Heat regulation
What 2 things helps regain temperature?
Extra calories
Oxygen
The APGAR score is obtained at what times?
1 and 5 minutes postpartum
Bluing and discoloring of the hands and feet; this is normal
Acrocyanosis
When does acrocyanosis go away?
1 -2 weeks
During the APGAR score if we get a 0-3 we need to?
Resuscitate
During an APGAR score and we get 4-7 guarded condition what do we do?
Possibly suction or apply oxygen
During an APGAR score if we get an 8-10 what do we do?
Nothing. Baby is stable.
On an initial assessment we do a quick check for anomalies such as:
Cleft palate
Patent anus
Sealed spinal cord
When assessing the umbilical cord we look for what vessels?
2 arteries (blue) 1 vein (red)
An infected cord is called?
Omphalitis
Where does the security sensor go after the neonate is born?
On the cord clamp
What is the normal weight for neonates?
5lbs 8oz - 8lbs 13oz or 2500 - 4000 grams
What is the normal measurements for the length of the neonate?
19-21 inches or 45-53cm
What is the normal measurements for head circumference?
13-14 inches or 33-35.5cm
What is the normal chest circumference? It should be smaller than the head by 2 inches.
12-13 inches or 30.5-33cm
What are the prophylactic meds given to a newborn?
Vitamin K
Erythromycin
Hepatitis B
