Module 7 Flashcards
Care of Newborn at Delivery
Neonatal
- Provide warmth, clear airway (bulb), dry, stimulate
-> Rapid assessment: breathing, tone
Resuscitation
- Assess breathing
-> Provide effective ventilations
Program
- Assess Heart Rate
-> Provide effective ventilations or chest compressions
Thermoregulation
4 heat loss mechanisms
- Convection
-> Air flowing by skin & carrying away body heat (Flow of heat away from body to air )
- Prevention: Keep baby away from windows
Radiation
-> Transfer of heat (Hot to cold)
- Prevention: Keep infant away from drafts
Evaporation
-> Body heat lost due to moisture on skin to cooler air
- Prevention: Dry infant immediately after birth
Conduction
-> Body heat loss to a cooler surface in direct contact
- Prevention: Warm the scale before using
Hyperbilirubinemia (Jaundice)
Yellow discoloration of the skin mucous membranes and/or sclera caused by increased bilirubin levels.
- Caused my the breakdown of the RBC
Hyper = High levels
Bilirub= Bilirubin
Inemia= In the blood
Pathological Jaundice (Abnormal):
- Happens within the FIRST 24 HOURS of life
-Causes: Hemolytic disease:
-> rH/ABO incompatibility
- Premature infants (liver is not fully developed)
- Failure to pass meconium
- Sepsis
- Treatment: Phototherapy: Fluorescent light is used to convert the bilirubin to a water-soluble substance so it can be excreted by the body via stool or urine
- Complications: The excess bilirubin (if untreated) can cause brain damage
Physiological Jaundice (Normal):
- “Nonpathological Jaundice”… Happens AFTER 24 HOURS of age (begins to see jaundice around day 2-4 of life)
-Causes:
-> Immature liver
-> Increased RBCs
- A newborn’s RBCs have a shorter lifespan
-> Vacuum Assisted Birth (This often causes hematomas to the scalp= increased RBCs = more RBCs for the body to breakdown= Jaundice)
- Treatment: Typically there is no treatment or complications, it will resolve on its own… in some cases, phototherapy may be used to help breakdown the RBCs more quickly
