Newborn Discharge Teaching: 9 DONE Flashcards
How is Metabolic screen done?
Helps with?
heel stick on blot paper
Helps with early detection for genetic or chromosomal abnormalities
Cystic fibrosis, PKU, sickle cell disease
Standard for all newborns in the US
CCHD (Critical Congenital Heart Disease) screen
Done between?
Negative screen?
Done between 24-48 hours of life
Preductal and postductal oxygen saturation
Negative screen: Pulse ox of 95% or greater in right hand or either foot and difference less than 3% between
hand and foot
Bilirubin testing
How is it done?
look for?
Blood typing/testing?
If mom is?
Bilirubin testing
* Heel stick or transcutaneous testing
* Look for signs of jaundice
* Physiological vs pathological jaundice (timing and level)
Blood typing/testing
* If mom is O and/or Rh negative
* Sickle cell, CF
Glucose testing
How is it done?
Test if?
Sign of hypoglycemia?
JPLAR
Heel stick
Test if mother had gestational diabetes, LGA, SGA
Jittery
Poor feeding
lethargy
abnormal cry
respiratory distress
Bathing
Check
Wait until
Use what to bathe?
Never?
Check temperature of the water
Wait until umbilical cord falls off before full bath
Use washcloth to bathe until cord falls off and circumcision to heal (~5 days)
Never leave baby unattended near water or in bathroom
Umbilical care
Stump will fall off?
Clean around?
Keep stump?
Notify provider if?
Stump will fall off ~14 days
Clean around stump with warm water, no alcohol
Keep stump dry (fold diaper underneath it, sponge baths only)
Notify provider if red, has discharge or foul odor, or is swelling
Circumcision care
Wash?
Use?
Do not wipe away?
Monitor for?
Ensure?
Wash hands prior to diaper changes
Use Vaseline gauze on tip of penis to prevent sticking to diaper for a few days, use water to clean, no wipes
Do not wipe away yellow exudate that forms on the penis
Monitor for excessive bleeding or signs of infection
Ensure infant urinates after procedure!!!!
Sleep
Place infant?
Nothing in?
Sleep on?
No what in home?
Dress baby how?
Room sharing for?
Always place infant on back to sleep
Nothing in sleep environment (no blankets, pillows, toys, bumpers, etc.)
Sleep alone on a firm mattress
No smoking in the home reduces risk of SIDS as does pacifier risk
Dress baby in temperature-appropriate clothes (onesie and sleep sack, PJs and sleep sack, etc.)
AAP recommends room sharing for first 6 months
Car seat safety
Always use an approved car safety seat in the backseat when traveling in a motor vehicle
Rear face the seat as long as weight/height permit
Position infant at a 45-degree angle in the car seat to prevent airway obstruction
Car seat should have a 5-point safety harness
infants who are born less than 37 weeks gestation (monitor infant for apnea, bradycardia, and decrease in O2 saturation)
