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Women's Health > Neonatal 2 > Flashcards

Neonatal 2 Flashcards

1
Q

jaundice on the first day of life and for ______ days indicates pathological process

A

7 days

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2
Q

loss of heat in newborns may result in ___ leading to _______

A

acidosis; cold stress

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3
Q

when do you do APGAR score

A

1 min and 5 min

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4
Q

when would you do APGAR score again

A

at 10 min if the 5 min score was < 7

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5
Q

what does an APGAR score of 0-3 mean

A

severe distress

**resuscitations

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6
Q

what does an APGAR score of 4-6 mean

A

moderate difficulty

*may need blow by O2

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7
Q

what does an APGAR score of 7-10 mean

A

no difficulty

*no measures needed

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8
Q

what are the components of the APGAR score

A

heart rate, respiratory rate, muscle tone, reflex irritability, color

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9
Q

airway interventions

A

suction mouth THEN nose
infant is a obligate nose breather
suction SIDE of mouth (prevent gag)
side laying position

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10
Q

what are the types of gestational age

A

AGA (appropriate)
LGA (large)
SGA (small)

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11
Q

what is a normal BP

A

60-80 over 40-50

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12
Q

what is a normal pulse (apical)

A

120-160 bpm

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13
Q

what is a normal resp

A

30-60/min

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14
Q

what is a normal temp

A

97.7-99.5

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15
Q

describe why and when eye prophylaxis is given

A

can be delayed up to 2 hrs after birth
protection from gonorrhea and chlamydia
either erythomycin or tetracycline are the treatment

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16
Q

what measurements are done in the nursery

A

weight, length
abdomen and chest (should equal the same)
chest (should be 2-3 cm < head)

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17
Q

needs to void within _____

A

24 hrs (6-10x a day)

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18
Q

meconium within ____

A

24-48 hrs (viscous, green, black)

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19
Q

describe why and when vitamin k

A

give within 1 hr of birth
promote hepatic biosynthesis of vitamin K dependent clotting factors
neonates are predisposed to vitamin k deficiency (absence of bacteria which are major source of vitamin k)

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20
Q

what is the name of the vitamin k injection

A

aquamephyton

1 mg IM (vastus lateralis at 90 degree)

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21
Q

what is mili

A

little spots of white on nose

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22
Q

what is epstein pearls

A

white hard balls in upper gums

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23
Q

what is epicanthal fold

A

over inner corner of eye fold

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24
Q

what is epispadias (hypo)

A

urethra below or above meatus

25
Q

what is omphalocele

A

abdominal organs stick outside belly

26
Q

what is myelomeningocele

A

backbone and spine dont close

27
Q

what is hypothermia

A

body temp < 97.7 F

28
Q

what are the signs of cold stress

A 
increased activity level
crying
increased respiratory rate
cyanosis
mottling of skin
29
Q

describe bathing

A

first bath delayed until body temp is stable 1-2 hrs
skin needs to be at least 97.7
core needs to be at least 98.6

30
Q

when should you wear gloves with infant

A

always until first bath is given

31
Q

when do you remove cord clamp

A

after 24 hrs

32
Q

describe ABO incompatibility

A
  • mom is blood type O and baby is type A, B, or AB

- O types naturally develop anti A or B antibodies tha cross placental barrier

33
Q

what can ABO incompatibility cause

A

hemolysis of fetal RBC
Coombs is positive
less severe hemolysis than Rh incompatibility

34
Q

describe Rh incompatibility

A

Rh negative mother
Rh positive baby
Positive Coombs

35
Q

if mom is Rh negative and dad is hetero for…

A

Rh + so baby will have 50% chance of being Rh +

36
Q

if mom is Rh negative and dad is homo for…

A

Rh + so baby will have 100% chance of being Rh +

37
Q

what are the potential effects of phototherapy

A

bronze, rash, decreased activity, green stool

38
Q

phototherapy interventions

A

protect eyes and genitals
turn 2q hours
maintain hydration/nutrition
monitor temp, urine specific gravity (I and O)

39
Q

what is phototherapy

A

treatment for newborn jaundice

turns bilirubin into conjugated form so that it can excreted

40
Q

what is the fluid requirement of of a newborn

A

80-100 ml in 24 hr period

41
Q

should infants drink water

A

no, decreases caloric consumption

42
Q

how often should an infant feed

A

every 3-4 hrs

43
Q

what would an allergy to formula look like

A

colic, rash, D/V

44
Q

describe circumcision and anethesia used

A

removal of prepuce (foreskin)
local anesthesia-Lidocaine
wait 5-10 min after anesthesia injection to begin procedure

45
Q

immediate nursing care after birth

A

maintain patent airway
prevent heat loss
stabilize infant
promote parent infant interactions

46
Q

assessment of neonatal pain scales

A

neonatal infant pain scale (NIPS)
premature infant Pain profile (PIPP)
CRIES

47
Q

what is the proper sleep position of a baby

A

BACK TO SLEEP

48
Q

difficulty maintaining respiratory function adequate to meet O2 demands
d/t decreased surfactant

A

respiratory distress syndrome (RDS)

49
Q

what are the symptoms of RDS

A

cyanosis, tachypnea, bradypnea, dyspnea, decreased temp

**nasal flaring, grunting, retractions

50
Q

what may you need if RDS

A

surfactant

51
Q

describe how to determine if small infant or IGR or low maturity

A

determined by Ballard or Dubouitz score
<10th % for gestational age
Ballard score: 5 is mature on a -1 to 5 score

52
Q

what are predisposing factors for IGR

A

smoking, alcohol, preeclampsia, malnutrition

53
Q

if baby does not poop within 24 hrs then they are at risk for what

A

cystic fibrosis

54
Q

what are the s/s of infections in infants

A

lethargy, poor feeding, increased respiration rate, increased WBC, wt loss, tremors, restlessness, D/V, abdominal distension

55
Q

what are s/s of neonatal abstinence syndrome

A

hyperactivity, shrill cry, tremors, seizures, tachypnea, poor feedings, sweating, mottling, nasal congestion

56
Q

perforation of acute abdomen

A

necrotizing enterocolitis (NEC)

57
Q

s/s of necrotizing enterocolitis

A

abdominal distention, pallor, poor feeding, gastric residual, increase apnea

58
Q

what is important to remember about necrotizing enterocolitis

A

infectious disease: WASH HANDS

Women's Health (31 decks)

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