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maternal child > Module 3 day 1 > Flashcards

Module 3 day 1 Flashcards

1
Q

What is the most crucial adjustment for newborns?

A

Breathing

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2
Q

What are the 3 fetal shunts?

A

Ductus arteriosus
Ductus venous
Foramen ovale

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3
Q

What will be heard when these shunts close?

A

murmurs

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4
Q

How long till these shunts close?

A

several days or hours after birth

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5
Q

If a newborn has a apgar score of less than 3 what does that mean?

A

newborn is in distress

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6
Q

If a newborn has an apagr score between 4 and 6 what does that mean?

A

newborn has moderate difficulty

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7
Q

If an newborn has an apgar score of greater than 7 what does that mean?

A

newborn has minimal or no difficulty

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8
Q

when is apgar scoring done?

A

1 and 5 minutes after birth. If the 5 minute score is less than 7 it has to be repeated after 10 minutes and then every 5 minutes.

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9
Q

What is the purpose of a bulb syringe?

A

suction excess mucus from nose & mouth

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10
Q

What is the purpose of a pediatric ultrasound?

A

evaluate heart, lungs, & bowels

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11
Q

What kind of thermometer is used on a newborn?

A

Axillary

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12
Q

How is a newborn Blood Pressure recorded?

A

electronic method

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13
Q

What is Kangaroo Care?

A

heating baby through contact with mother’s chest

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14
Q

How many tags does the newborn wear?

A

Two one on the ankle & one on the wrist

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15
Q

What information is on a newborn’s tag?

A

Mom’s name, individualized ID number, and an ID number that matches the mom.

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16
Q

What is a Hug’s tag?

A

alarm that goes off if baby is taken to close to an exit

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17
Q

What two meds should be given to a newborn after birth? Think “eyes before thighs”

A

Erythromycin & Vitamin K

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18
Q

What is Erythromycin given for?

A

gonorrhea& chlamydia to prevent blindness in newborns. Given in the inner to outer canthus

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19
Q

What is Vitamin K given for?

A

To help with clotting because babies don’t have enough which can lead to hemorrhage. Given in the Vastus lateralis.

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20
Q

What is the expected weight of newborns? (lbs & grams)

A

5.5 to 8.8 lbs / 2500 to 4000 g

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21
Q

What is the expected length of a newborn? (cm & inches)

A

18 to 22 inches / 44 to 55 cm

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22
Q

What is the expected head circumference? (cm & inches)

A

12.5 inches to 14.5 inches / 32 to 38 cm

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23
Q

What is the expected chest circumference? (cm & inches)

A

12 to 13 inches / 30 to 33 cm

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24
Q

What does a gestational age assessment involve?

A

taking measurements, new ballard, & dubowitz tool

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25
Q

when should a gestational assessment be performed?

A

48 hours after birth

26
Q

What is the percentile range for an appropriate gestational age newborn?

A

10th to 90th

27
Q

What is the percentile for a small for gestational age?

A

less than 10th percentile

28
Q

What is the percentile for a large for gestational age?

A

greater than 90th percentile

29
Q

what is intrauterine growth restriction?

A

growth rate doesn’t meet the norm

30
Q

What order should vitals be checked?

A

RR, HR, BP, & Temp

31
Q

what is a normal Respiratory Rate for a newborn?

A

30 to 60 breaths per minute

32
Q

how long do we count newborn respirations?

A

for a full minute

33
Q

Is Short periods of apnea expected?

A

yes

34
Q

what is a normal newborn heart rate?

A

110 to 160

35
Q

What is a normal newborn blood pressure?

A

60-80/40-50

36
Q

What is a normal temperature for a newborn?

A

97.7 to 99.9 Fahrenheit /36.5 to 37.5 Celsius

37
Q

What should a nurse do if a newborn has an unstable temperature?

A

place in a radiant warmer or skin to skin

38
Q

What actions would a nurse take if a newborn has an inadequate oxygen supply?

A

stabilize temperature, clear airway, oxygen, have resuscitation nearby

39
Q

What is a normal Hgb for a newborn?

A

14 to 24

40
Q

What is a normal Hct for a newborn?

A

44 to 64

41
Q

What is a normal Platelet count for a newborn?

A

150,00 to 300,000

42
Q

What is a normal glucose for a newborn?

A

40 to 60

43
Q

What is a normal Bilirubin for a newborn 24 hours after birth?

A

2 to 6

44
Q

What is a normal Bilirubin for a newborn 48 hours after birth?

A

6 to 7

45
Q

What is a normal Bilirubin for a newborn a 3 to 5 days after birth?

A

4 to 6

46
Q

What is a normal WBC for a newborn?

A

9000 to 30,000

47
Q

how is a newborn’s CBC obtained and what for?

A

Capillary stick to check for anemia, infection, clotting, & polycythemia

48
Q

Why is cord blood collected?

A

To blood type the newborn and Rh status is newborn is Rh+ they will need rho-gam

49
Q

do newborns prefer sweet or sour or spicy?

A

sweet

50
Q

What body parts of a newborn are sensitive to touch?

A

mouth, hands, feet

51
Q

How do newborns hear?

A

like adults once fluid drains & has selective hearing

52
Q

how far can a newborn focus?

A

8 to 12 inches from face

53
Q

what lighting do newborns prefer?

A

dim light

54
Q

what pattern do newborns prefer and when can they see color?

A

they prefer black and white and can see color at 2-3 months

55
Q

What is sucking & rooting reflex?

A

a newborns cheek is stroked which makes the newborn turn its head and suck

56
Q

What is the palmar grasp reflex?

A

a finger is placed in a newborns palm and the newborn curls its hand around the finger

57
Q

What is the plantar grasp reflex?

A

a finger is placed at the base of a newborns toes and toes curl downward

58
Q

What is the moro reflex?

A

position the newborns head & trunk at 30 degrees once let go extremities will extend and fingers for a “C”

59
Q

what is the tonic neck reflex?

A

the newborns neck is turned to one side causing and arm and leg to extend while the opposite side flexes. disappears after 3-4 months.

60
Q

What is Babinski reflex?

A

The newborns foot is stroked from the outer edge of the sole to the toes and the toes will fan outward. disappears after a year

61
Q

what is stepping reflex?

A

newborn is held upright with feet touching the surface and makes the motion of stepping. Will disappear at 4 weeks.

maternal child (3 decks)

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