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
