Newborn Assessment Flashcards
what are we doing immediately after birth of baby to the baby?
- Airway always priority – First clear the respiratory tract
- Dry the skin after airway is patent
- Thoroughly dry, cover with a warm blanket
- Place on the mother’s abdomen
- Place a cap on the newborn’s head to prevent cold stress
- Newborn responds to cooler environment by increasing respirations which can cause respiratory distress
- Feeding within first hour to prevent hypoglycemia
what happens to fetal lungs shortly before labor
Decreased production of fetal lung fluid
• Catecholamine surge that promotes fluid clearance from the lungs
how do we use bulb syringe on newborn
◦ Mouth first then nose
meds we doing on every newborn
Erythromycin
Vitamin K
Hep B
why give vitamin K to newborn?
• Prevent hemorrhagic disease
- Vitamin K is not present in the GI tract of newborn
- Production starts at about 7 days as bacteria begins to form in the intestine
amount/route for vitamin k in newborn?
0.5-1 mg, IM vastus lateralis
how admin erythromycin in newborn?
- Administered to both eyes within 1-2 hours after birth
- Applied from inner canthus to outer canthus
- Careful not to touch the eye
Hep B immunization for babies? frequency?
• At birth, again at 1-2 months, and between 6-18 month
if mother is Hep B positive what do we do to baby?
baby receive Hep B immune globin within 12 hours of birth
temp range for newborn
97.7-99.5 degrees F
RR for newborn?
30-60 breaths/min with short periods of apnea (less than 15 sec)
HR for newborn?
110-160
B/P for newborn
60-80 systolic / 40-50 diastolic
white spots on newborn skin =
milia
purple/blue bruises on newborn =
mongolian spots
red spots that blanch on newborn face
• Telangiectatic nevi (stork bites)
port wine stain
Nevus flammeus
what is Erythema toxicum
newborn rash
what is caput succedaneum? when does it go away?
◦ expected finding
◦ swelling of tissue that crosses the suture line
◦ resolves in 3-4 days
what is Cephalohematoma, what causes it? when does it resolve?
◦ swelling of blood that stays in one spot, does not cross the suture line
◦ result of trauma during birth
◦ diminish within 2-8 weeks
Loss of heat from a warm body to a cooler surface in direct contact=
intervention?
conduction
Place the newborn on a warm surface
Loss of body heat to cooler ambient air=
intervention?
convection
maintain room at 75 temp
◦ Loss of heat when moisture on the skin is converted to a vapor=
intervention?
evaporation
-dry newborn skin
◦ Loss of heat from a warm body to a cooler solid surface in close proximity but not in direct contact =
intervention?
radiation
prevent air drafts
what is brown fat?
◦ Born with stores of brown fat, utilize first few weeks of life to produce heat
what is problem with cold stress
O2 consumption increases – metabolic demands for glucose increase
how many peeps do we want to see in first 24 hours?
6-8 times
when do we see meconium ?
within 12-48 hours
how many stools/ day for bebe
3-4 (depends on breast/bottle feedings)
what are breastfed baby stools like?
yellow seedy
how do we clean the umbilical cord?
clean base with water
–> do not submerge!
when does cord fall off?
10-14 days
percent of weight baby loses right after birth?, when will they regain it?
5-10%, 10-14 days
weight gain needed every week for first 3 months?
110-200g/week
how frequently to formula feed?
every 3-4 hours
petroleum or not?
gomco
mogen
plastibell
gomco + mogen = pretoleum
plastibell = no
plastibell ring will fall off by itself in _____ - _____ days
5-8 days
pateint education for circumsciion?
no alcohol/premade wipes
• Yellowish mucus film at day 2 – don’t wash it off
what angle do. we cant the carseat at?
45 degree angle
how long do kids stay rearfacing car seat?
age 2
when walking outside of the patient room always have baby in….
rolling bassinet
