NB Assessment Flashcards
newborns are ________ driven
respiratory
what should newborns temp be
36.5-37.5 degrees celcius
how soon after birth should apgar scale be taken
1st minute of life and at 5 minutes
an apgar score of 0-3 is
great distress
an apgar score of 4-6 is
moderate amount of difficulty transitioning
an apgar score of 7-10 is
stable and you can do everything you need to do to baby while on moms chest
what is apgar used to assess
adjustment to extrauterine life
a term infant is considered
3-42 completed weeks of gestation
a preterm infant is considered
less than 37 completed weeks of gestation
a post term infant is considered
more than 42 completes weeks of gestation
what are the general measurements that should be taken of a newborn
head, chest, and abdominal circumference
length and body weight
what apical heart rate is within normal limits of a newborn
110-160bpm
what is a normal respiratory rate of a newborn
30-60 breaths per minute WITH short periods of apnea
the bigger the baby the ______ the heart rate
lower
what general posture should a newborn have
flexion
what should the texture of baby skin be
smooth
“puffy areas”
vernix
lanugo
what color should baby be
acrocyanotic or pink with NO jaundice on the first day of life
by what age should posterior fontanel be formed
2-4 months
by what age should the anterior fontanel be formed
18 months
is a murmur common at the left sternal border of an infant
yes
bowel sounds within the first ___ minutes after birth
20
what reflex is checked for toes to fan out after you swipe finger across
grasp and babinski
what is moro reflex checking
flexion if startled
what is a safe sleeping position to prevent SIDS
supine
what is an important thing that should be done when baby is born
PT ID
what is the “profile” of an abductor
woman
emotionally disturbed
had a loss of their own
becomes friends w family
what is used as a prophylaxis eye drop and given within an hour of birth
ophthalmia neonatorum
where should all IM to all infants be given
vastus lateralis
why is vitamin K administered within first hour of birth
helps with blood clotting
when is HEP B administered
birth
1-2 mos
6-18 mos
what should the parents know about umbilical care
dont submerge in water until umbilical has fallen off (7 days) until then just clean around base
what are contraindications of circumcision
preterm babies
GU effected
risk for bleeding
in resp. distress
what are benefits of circumcision
decrease of UTIs and STDs
after a circumcision what amount of blood should you notify doctor about
quarter size blood in diaper
when should a baby void after circumcision
within 24hrs after procedure
how should you bath a baby who had a circumcision
dont submerge in water until completely healed because this could cause an infection
when breast feeding what position should a PREMIE be held
side lying
what is demand feeding for
breast fed babies
what are scheduled feedings for
formula fed babies
when teaching a parent about bathing what should be important
bath the baby head to toe and then hair the very last
neonates born at less than 32 weeks of gestation
very premature
neonates born between 32 and 34 weeks gestation
premature
neonates born between 34 and 37 weeks
late premature
preterm newborns who are ill or fatigue easily are usually fed by
gavage
as baby matures, gavage feeds are replaced with…
nipple feeds
in order for gavage feeds to be replaced what are 3 signs of readiness the preterm baby shows
strong gag reflex
presence of non-nutrituve sucking
and rooting behavior
if the baby’s temp keeps dropping and nothing is helping what should be the nurses first response
the baby is getting septic
if a baby is septic what will the CRP do
increase
who is neonatal sepsis acquired
prenatally (during labor
early sepsis=
1-3 days of age
late sepsis=
1-3 weeks of age and most likely the hospitals fault
if culture is positive for sepsis how long will baby be on ampicillin or gen
7-10 days
if culture is negative for sepsis how long will baby be on abx
72hrs
for IDMs how often should blood glucose be checked
hourly 4x
then every 4 hours during first 48hrs
IDMs will have _____ blood sugar
low
