Newborn Assessment Flashcards

1
Q

what are we doing immediately after birth of baby to the baby?

A
  • 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
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2
Q

what happens to fetal lungs shortly before labor

A

Decreased production of fetal lung fluid

• Catecholamine surge that promotes fluid clearance from the lungs

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3
Q

how do we use bulb syringe on newborn

A

◦ Mouth first then nose

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4
Q

meds we doing on every newborn

A

Erythromycin
Vitamin K
Hep B

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5
Q

why give vitamin K to newborn?

A

• 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
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6
Q

amount/route for vitamin k in newborn?

A

0.5-1 mg, IM vastus lateralis

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7
Q

how admin erythromycin in newborn?

A
  • Administered to both eyes within 1-2 hours after birth
  • Applied from inner canthus to outer canthus
  • Careful not to touch the eye
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8
Q

Hep B immunization for babies? frequency?

A

• At birth, again at 1-2 months, and between 6-18 month

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9
Q

if mother is Hep B positive what do we do to baby?

A

baby receive Hep B immune globin within 12 hours of birth

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10
Q

temp range for newborn

A

97.7-99.5 degrees F

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11
Q

RR for newborn?

A

30-60 breaths/min with short periods of apnea (less than 15 sec)

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12
Q

HR for newborn?

A

110-160

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13
Q

B/P for newborn

A

60-80 systolic / 40-50 diastolic

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14
Q

white spots on newborn skin =

A

milia

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15
Q

purple/blue bruises on newborn =

A

mongolian spots

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16
Q

red spots that blanch on newborn face

A

• Telangiectatic nevi (stork bites)

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17
Q

port wine stain

A

Nevus flammeus

18
Q

what is Erythema toxicum

A

newborn rash

19
Q

what is caput succedaneum? when does it go away?

A

◦ expected finding
◦ swelling of tissue that crosses the suture line
◦ resolves in 3-4 days

20
Q

what is Cephalohematoma, what causes it? when does it resolve?

A

◦ swelling of blood that stays in one spot, does not cross the suture line
◦ result of trauma during birth
◦ diminish within 2-8 weeks

21
Q

Loss of heat from a warm body to a cooler surface in direct contact=
intervention?

A

conduction

Place the newborn on a warm surface

22
Q

Loss of body heat to cooler ambient air=

intervention?

A

convection

maintain room at 75 temp

23
Q

◦ Loss of heat when moisture on the skin is converted to a vapor=

intervention?

A

evaporation

-dry newborn skin

24
Q

◦ Loss of heat from a warm body to a cooler solid surface in close proximity but not in direct contact =

intervention?

A

radiation

prevent air drafts

25
Q

what is brown fat?

A

◦ Born with stores of brown fat, utilize first few weeks of life to produce heat

26
Q

what is problem with cold stress

A

O2 consumption increases – metabolic demands for glucose increase

27
Q

how many peeps do we want to see in first 24 hours?

A

6-8 times

28
Q

when do we see meconium ?

A

within 12-48 hours

29
Q

how many stools/ day for bebe

A

3-4 (depends on breast/bottle feedings)

30
Q

what are breastfed baby stools like?

A

yellow seedy

31
Q

how do we clean the umbilical cord?

A

clean base with water

–> do not submerge!

32
Q

when does cord fall off?

A

10-14 days

33
Q

percent of weight baby loses right after birth?, when will they regain it?

A

5-10%, 10-14 days

34
Q

weight gain needed every week for first 3 months?

A

110-200g/week

35
Q

how frequently to formula feed?

A

every 3-4 hours

36
Q

petroleum or not?

gomco
mogen
plastibell

A

gomco + mogen = pretoleum

plastibell = no

37
Q

plastibell ring will fall off by itself in _____ - _____ days

A

5-8 days

38
Q

pateint education for circumsciion?

A

no alcohol/premade wipes

• Yellowish mucus film at day 2 – don’t wash it off

39
Q

what angle do. we cant the carseat at?

A

45 degree angle

40
Q

how long do kids stay rearfacing car seat?

A

age 2

41
Q

when walking outside of the patient room always have baby in….

A

rolling bassinet