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Module 5 > NB Assessment > Flashcards

NB Assessment Flashcards

1
Q

newborns are ________ driven

A

respiratory

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2
Q

what should newborns temp be

A

36.5-37.5 degrees celcius

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3
Q

how soon after birth should apgar scale be taken

A

1st minute of life and at 5 minutes

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4
Q

an apgar score of 0-3 is

A

great distress

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5
Q

an apgar score of 4-6 is

A

moderate amount of difficulty transitioning

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6
Q

an apgar score of 7-10 is

A

stable and you can do everything you need to do to baby while on moms chest

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7
Q

what is apgar used to assess

A

adjustment to extrauterine life

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8
Q

a term infant is considered

A

3-42 completed weeks of gestation

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9
Q

a preterm infant is considered

A

less than 37 completed weeks of gestation

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10
Q

a post term infant is considered

A

more than 42 completes weeks of gestation

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11
Q

what are the general measurements that should be taken of a newborn

A

head, chest, and abdominal circumference

length and body weight

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12
Q

what apical heart rate is within normal limits of a newborn

A

110-160bpm

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13
Q

what is a normal respiratory rate of a newborn

A

30-60 breaths per minute WITH short periods of apnea

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14
Q

the bigger the baby the ______ the heart rate

A

lower

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15
Q

what general posture should a newborn have

A

flexion

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16
Q

what should the texture of baby skin be

A

smooth
“puffy areas”
vernix
lanugo

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17
Q

what color should baby be

A

acrocyanotic or pink with NO jaundice on the first day of life

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18
Q

by what age should posterior fontanel be formed

A

2-4 months

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19
Q

by what age should the anterior fontanel be formed

A

18 months

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20
Q

is a murmur common at the left sternal border of an infant

A

yes

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21
Q

bowel sounds within the first ___ minutes after birth

A

20

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22
Q

what reflex is checked for toes to fan out after you swipe finger across

A

grasp and babinski

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23
Q

what is moro reflex checking

A

flexion if startled

24
Q

what is a safe sleeping position to prevent SIDS

A

supine

25
Q

what is an important thing that should be done when baby is born

A

PT ID

26
Q

what is the “profile” of an abductor

A

woman
emotionally disturbed
had a loss of their own
becomes friends w family

27
Q

what is used as a prophylaxis eye drop and given within an hour of birth

A

ophthalmia neonatorum

28
Q

where should all IM to all infants be given

A

vastus lateralis

29
Q

why is vitamin K administered within first hour of birth

A

helps with blood clotting

30
Q

when is HEP B administered

A

birth
1-2 mos
6-18 mos

31
Q

what should the parents know about umbilical care

A

dont submerge in water until umbilical has fallen off (7 days) until then just clean around base

32
Q

what are contraindications of circumcision

A

preterm babies
GU effected
risk for bleeding
in resp. distress

33
Q

what are benefits of circumcision

A

decrease of UTIs and STDs

34
Q

after a circumcision what amount of blood should you notify doctor about

A

quarter size blood in diaper

35
Q

when should a baby void after circumcision

A

within 24hrs after procedure

36
Q

how should you bath a baby who had a circumcision

A

dont submerge in water until completely healed because this could cause an infection

37
Q

when breast feeding what position should a PREMIE be held

A

side lying

38
Q

what is demand feeding for

A

breast fed babies

39
Q

what are scheduled feedings for

A

formula fed babies

40
Q

when teaching a parent about bathing what should be important

A

bath the baby head to toe and then hair the very last

41
Q

neonates born at less than 32 weeks of gestation

A

very premature

42
Q

neonates born between 32 and 34 weeks gestation

A

premature

43
Q

neonates born between 34 and 37 weeks

A

late premature

44
Q

preterm newborns who are ill or fatigue easily are usually fed by

A

gavage

45
Q

as baby matures, gavage feeds are replaced with…

A

nipple feeds

46
Q

in order for gavage feeds to be replaced what are 3 signs of readiness the preterm baby shows

A

strong gag reflex
presence of non-nutrituve sucking
and rooting behavior

47
Q

if the baby’s temp keeps dropping and nothing is helping what should be the nurses first response

A

the baby is getting septic

48
Q

if a baby is septic what will the CRP do

A

increase

49
Q

who is neonatal sepsis acquired

A

prenatally (during labor

50
Q

early sepsis=

A

1-3 days of age

51
Q

late sepsis=

A

1-3 weeks of age and most likely the hospitals fault

52
Q

if culture is positive for sepsis how long will baby be on ampicillin or gen

A

7-10 days

53
Q

if culture is negative for sepsis how long will baby be on abx

A

72hrs

54
Q

for IDMs how often should blood glucose be checked

A

hourly 4x

then every 4 hours during first 48hrs

55
Q

IDMs will have _____ blood sugar

A

low

Module 5 (18 decks)

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