Newborn Care Flashcards
How is hyperbilirubinemia assessed
- Transcutaneous bilirubin
- Serum bilirubin level
What is the transcutaneous bilirubin
Flashing light is placed against the newborn’s head
When can bilirubin be seen - jaundice
7-8 mg/dl
At what level can bilirubin be found in the brain
20-25 mg/dl
What is physiologic jaundice and is it normal
- Normal
- Jaundice that appears after 24 hours
What is pathologic jaundice and is it normal
- Abnormal
- Jaundice that appears before 24 hours
What is the normal heart rate for a newborn
120-160
What is the normal respiratory rate for a newborn
30-60
What is the normal temperature for a newborn
Axillary 97.7-99.6
What is the normal weight for a newborn
- 2500-4000 g
- 5.5-8.5 lbs
What is the normal length of a newborn
- 45-55 cm
- 18-22 in
What is the normal head circumference of a newborn
33-35 cm
What is the normal chest circumference for a newborn
30-33 cm
What does the Apgar score for
- Color
- Respirations
- Muscle tone
- Heart rate
- Reflex irritability
What is the sucking reflex
Turning to suck when most/lip is touched
What is the rooting reflex
Turning to open mouth and search for food when lip/mouth/cheek is touched
What is the moro reflex
- Startle
- Abduction/extension of arms
- Fingers fan out to form a “C”
What is the palmar grasp
Curling fingers around object in palm
What is the tonic neck (fencing) reflex
arm/leg extend on one side and flex on the other
What is the stepping reflex
simulated walking
What is the babinski reflex
- Sole of foot
- Toes hyperextend
What are the signs of hypoglycemia in a newborn (8)
- Jitteriness
- Central cyanosis
- Apnea
- Hypothermia
- Poor body tone
- Poor feeding
- Lethargy
- Seizures
What are the complications for the newborn of a mother with gestational diabetes (13)
- Macrosomia
- Hypoglycemia
- Hypocalcemia
- Hypomagnesemia
- Polycythemia
- Thrombocytopenia
- Hyperbilirubinemia
- Respiratory distress syndrome
- Cardiovascular abnormalities
- Congenital malformations
- Fetal distress
- Neonatal asphyxia
- Birth trauma