Newborn baby Flashcards
APGAR scoring
a) when?
b) what assess for?
c) What score are OK?
a) 1 and 5 min of life
b) rapidly extrauterine adaption
c) 7-10
What is the New Ballard score?
a newborn maturity rating score
range from -1 to 5
Vital sings for newborn
What is the order and normal range.
RR
-before NB becomes active 30-60b/m
HR
-110-160/m
BP
-60-80/40-50
Temp
97.7-98.6
What is vernix caseosa?
Normal
Protective cheesy curving
More prominent in preemies
What is Lanugo?
Normal
Covering hair
More prominent in preemies
What is Milia?
Small raised white spots o nose, chin, forehead
Resolve without treatment
What is a Mongolian spots
A round blue/black mark on the baby’s sacrum,\
Normal and more common in dark-skinned NB
What’s are they?
Telangiectatic Nevi = Stork bites
-flat pink/red marks on back of the neck, nose, upper eyelids, forehead
-fade in 2years
-
a) What is the acrocyanosis?
b) What is the central cyanosis?
a) bluish tint if hands and feet
b) bluesish color in the central body
(face, lips, chest)
What is Desquamation?
Peeling occur few days post birth
Nevus flammeus = port wine stain
Normal
Permanent
flat dark red to purple vascular lesion
nevus vasculosus =strawberry mark
Normal capillary hemangioma
What is the erythema toxicum?
Pink rash
Normal, no treatment required
Head assessment
Caput succedaneum
-Swelling of the scalp in a newborn
-Cross suture line
-By pressure from the uterus
-Gravity
Resolve 3-4 days/ no treatment needed
Head assessment
Cephalohematoma
-Does not cross suture
-Skull bone bleeding
-Result from trauma during birth
Risk for jaundice
Resolves in 2-8 weeks
What are the sings of respiratory distress?
flaring of bares
flared nostrils
tachypnea
retraction
central cyanotic
grunting
Babinski reflex
Open— positive
Close– negative
Expected lab
a) Hbg
b) HCT
c) glucose
d) WBC count
a) 14 TO 42g/dl
b) 44%-64%
c) grater than 40 t0 45 mg/dl
d) 9,000 tp 30,000
What methods can the nurse use to manage pain in the newborn? 5
-Allowing a parent to hold
-Breastfeeding
-Swaddling with arms and legs “tucked”
-Souse solution,
-Pacifiers
Neonatal Infant Pain Scale (NIPS)
How does the nurse know if an infant is in pain?
-Crying
-Grimacing
-Active movement/especially legs
-increased resp
What is the #1 PRIORITY for NB?
Thermoregulation
Keep the warm!!!
What is first period of reactivity?
Alert (mom + baby wide awake)
↑ HR(160-180) & RR
Lasts ~ 30 minutes
What is the “Golden Hour” ?
The best time to initiate breastfeeding (30min to 1hr)
What is the 1st sleep phase?
difficult to arouse/ 目を覚まさせる
Lasts 2-4 hours
What is the 2nd period of reactivity?
Teach family warning signs
Will probably want to eat
Lasts ~ 2-4 hours
a) Metabolic screening done by when?
b) And NB must have what before have the test?
a) A capillary heel stick should be dine 24 hr
b) formula or breastmilk
What is the PKU?
A defect in protein metabolism
can result in mental retardation
(treatment in the first 2 months of life can prevent mental retardation)
How is the Vit K shot administered?
IM injection into the Vastus Lateralis
Administer the NB shots while baby is skin-to-skin with mom to help with pain.
Why NB needs a Phytonadione vitamin K₁ shot?
A one-time dose of 0.5 ml will help prevent vitamin K deficiency bleeding
Vitamin K— for blood clotting
Circumcision care
What are 2 things to important watch out?
1: bleeding=medical emergency!
2: Document first post circ void
If the baby does not pee within 6-8 hours notify the provider
Circumcision care
Other importance 4
1: use of petroleum jelly to avoid site sticking to the diaper
2: Diaper tight enough to avoid friction rub
3: Fold diaper tp prevent pressure on the area
4: Don’t try to remove the yellow film
Respiratory complication
a)Respiration less than or equal to 30/min?
b) Respiration greater than or equal to 60/min?
a) Bradypnea
b) Tachypnea
Respiratory complication
intervantion
Bulb syringe
suction mouth/nose, aspirate mouth then one nostril at a time
Maintain thermoregulation
Expecting finds
Respiratory distress
Tachypnea
Nasal flaring
Exploratory grunting
Retractions
Cyanosis
Fine crackles