newborn assessment -PART 2 Flashcards

1
Q

Erythema Toxicum

A

Normal newborn rash that looks like an allergic reaction,. self resolving.

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2
Q
CIRCUMCISION CARE (4)
"Pre-Operative" nursing care
A

1) apply topical creams one hour prior to procedure
2) Tylenol per order
3) explain procedure to parents
4) informed consent signed

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3
Q

Hypospadias vs Epispadias

A

Hypospadias-ventral surface of penis

Epispadias- dorsal side of penis

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4
Q

Weight loss between _______ and ______of birth weight during the first week.

A

5 to 10%

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5
Q

superficial vascular area on the nape of the neck, eyelids and between the eyes

A

stork bites (or) salmon patches

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6
Q

Murmurs are normal for the first _________ hours due to turbulent blood

A

48

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7
Q

Differences between breastfed and formula fed stools?

A

breastfed- YELLOW, SEMI-FORMED

Formula- YELLOW TO BROWN (more formed)

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8
Q

Length (NORMAL RANGE)

A

43 to 53cm

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9
Q

Umbilical cord typically falls off within _______ after birth

A

2 weeks

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10
Q

NURSING INTERVENTIONS for low temperature:

A
  1. ) skin to skin with mom
    2) Place under warmer wearing diaper + hat and temp probe.
    3) Triple wrap
    4) educate parents about neutral thermal environment
    5) keep away from drafts
    6) delay bath until temperature is stable
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11
Q

Syndactyly

A

webbed digits

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12
Q

Neonate with tachypnea—possible complications (4)

A

1) sepsis
2) hypothermia
3) hypoglycemia
4) respiratory distress

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13
Q

unopened sebaceous glands …AKA

A

MILIA

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14
Q

(3) Postoperative nursing CIRCUMCISION CARE

A

1) assess bleeding Q15 x 1 hour then every 2-3 hours according to hospital policy
2) Tylenol
3) assess voiding and document

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15
Q

ACROCYANOSIS

A

blue discoloration of hands and feet

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16
Q

temperature…NORMAL RANGES?

when to call a doctor?

A

NORMAL = 36.5 to 37.2

Fever at 100.4

17
Q

What is the barlow-ortolani maneuver used for?

A

Congenital hip dislocation

18
Q

Thick white substance that protects the skin of the fetus

A

Vernix Caseosa

19
Q

(4) S/S of RESPIRATORY DISTRESS

A
  • grunting
  • retractions
  • nasal flaring
  • tachypnea
20
Q

Polydactyly

A

Extra digits (Ie, 6 toes)

21
Q

NURSING INTERVENTIONS FOR BLOOD GLUCOSE:

1) 25-40 MG/DL
2) <25MG/DL

A

1) 25-40mg/dL
Monitor closely, keep baby warm, feed them

2) <25mg /dL
call provider for orders
Administer IV dextrose

22
Q

Stomach emptying takes approximately _______ to _______ hours

A

2 to 4 hours

23
Q

Heart rate ______ when newborn is crying and ______ during sleep

A

increases

decreases

24
Q

_______ stool begins on the 3rd day and continues for 3-4 days (Greenish black, brown, yellow)

A

transitional

25
Q

These (3) things place neonate at RISK for uncontrolled blood glucose

A

large for gestational age, small for gestational age, or maternal diabetes

26
Q

Parent education post Circumcision

A

1) assess for bleeding
2) Petroleum Jelly & gauze (GOMCO & MOGEN)

3) NO Petroleum jelly for PLASTIBELL
4) notify provider if baby has not voided within 24 hours

27
Q

Normal Respirations for newborn

A

30 to 60 (irregular)

28
Q

Meconium stool passed within _____ hours after delivery

A

48

29
Q

First stool eliminated by the neonate (thick, black, odorless)

A

Meconium

30
Q

Weight—normal values?

A

2500 gm - 4000 gm

31
Q

(TRUE/ FALSE)

Newborns can follow objects within 8 inches of their visual field

A

FALSE

12 inches

32
Q

normal blood glucose level of neonate?

A

40-80mg/dL