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
Colostrum
Yellow or cream-colored first milk, high in protein and immunoglobulins, appearing prior to onset of true lactation
Lactation
Physiologic process of synthesizing breast milk on a supply/demand basis
Adequate Breastfeedings in 24 hours
q 1.5-3 hours X 8-12 per day
Adequate Formula feedings in 24 hours
q3-4 hours X 6-8 feedings per day
Gestational age assessment
Standardized evaluation of the neonate’s physical characteristics and/or neurologic development to determine gestational age
Appropriate for Gestational Age
Infant weight between the 10th and 90th percentiles for gestational age
Small for Gestational Age
Infant weight less than 10th percentile for gestational age
Large for gestational age
Infant weight greater than the 90th percentile forgestational age
