Module 6 (Exam 1) ****3**** Flashcards
Physical elements of Ballard Scoring
- Skin
- Lanugo
- Plantar Surface
- Breasts
- Ears
- Genitalia
First period of reactivity
begins at birth and extends up to 2 hours
Order of Reactivity
- First period of reactivity
- Period of sleep
- Second period of reactivity
Second period of reactivty
- Variable duration
- Elevated pulse and respiratory rate
- Mobilizationof R and gastric secretions
- priority intervention bulb syringe
Quiet Sleep
Deep, relaxed sleep
little response to environmental stimuli
Active Sleep
- Precursor to waking
- Movement of extemities
- Rapid eye movement
Drowsy
transitional period
Quiet Alert
- Optimal time for bonding/feeding
- Calm, attentive, bright-eyed, responsive
- Engagement/feeding cue exhibited
Active Alert
Restless, fussy state
Engagement
- “Stilling”
- Bright-eyed, attentive gaze
- Relaxed posture, symmetrical movements
Disengagement
- Turning away from stimulus
- Crying, fretting
- Hiccough, yawn
Blanch Test for Jaundice
- Forehead
- Nose
- Chin
- Sternum
- Abdomen
- Groin
- Thigh
Why are infants prone to physiologic jaundice?
- Immature liver function
- Short fetal RBC lifespan
- Poorly established hydration and feeding
Onset of physiologic jaundice
After the first 24 hours
Total Bilirubin levels for physiological jaundice
greater than or equal to 13-15mgs/dL
Total bilirubin peak physiological jaundice
Day3-5 of life
What might a two-vessel cord be an indicator of?
- Congenital malformation
- Renal or chromosomal
24-48 Hours Normal Bilirubin
5-7mg/dL
Facial jaundice
48-72 Hours Normal Bilirubin
10-12mg/dL
Chest jaundice
72hr+ Normal Bilirubin Level
13-15mg/dL *peak level*
jaundice to abdomen
Calorie Requirments for normal neonate
110-120kcal/kg/24 hours
OR
50-55 kcal/lb/24 hours
Calorie content 1 oz formula
20kcal/30mL
30mL=1oz
When should birthweight be regained?
10 days-2 weeks
Normal gastric capacity of neonate at birth
30mL