Newborn procedures and teaching Flashcards
Inflammation of the eye caused by sti bacteria that is legally required to be prevented
What medication is given to prevent it?
Symptoms of chemical conjunctivitis?
Chlamydia treatment for eyes?
If we don’t give this what can happen
Ophthalmia neonatorum
Erythromycin ointment 5%
- massage it after
- needs to be given within 2 hrs after delivery
Chemical - blurry vision, drainage, swelling
If from chlamydia give the oral erythromycin known as azithromycin
All eye infections need to be treated to reduce blindness risk
Why is Vitamin K given
What initiates the creation of it tho?
Can a parent refuse it?
Due to no flora and no clotting factors being present . Can prevent hemorrhage
Early feedings
A parent can refuse but they need a form
- nurse needs to document!!!
Antidote for Hep B vaccine?
Does the Hep B need consent?
When do we give it?
What if mom is Hep B postivie?
Epinephrine !!
Yes this vaccine must be consented to.
Give within 24 hrs of birth
Give NEWBORN the HBIG based off their weight
When do Jews circumcise?
Pros to circumcision
Reasons to not get circumsied?
8th day of post dismissal
Reduces UTI, cancer, and STI risks
Epispadias or hypospadias , illness
Types of circumcision procedures
Pain management of circumcision
Gomco & Plastibell
Give LMX4, EMLA, ring block, DPNB
Nurse responsibilities for pre-op circumcision
Plastic restraints
No feeding 2-3 hrs before (breastfeeding is low risk)
cleanse the penis
drape infant
ready sterile equipment
Nurse responsibilities for post - op circumcision
Monitor for bleeding, infection, and urinary output
Plastibell - educate parents to leave rim on for a week
Types of hearing screening tests
If a baby results are that they failed, how do you communicate it?
Reflex associated w hearing
EOAE - done first
ABR - or auditory brainstem response
You “refer” them
startle reflex
When doing the universal neonate screening , what is the part of the foot to use
Consent? How soon do you collect?
Who interpets the labs?
Use outter aspect of foot
No consent needed
Collect within 24 hrs
KDHE in topeka
How to assess for jaundice of newborn? Is jaundice common in newborns?
Which labs monitor bilirubin?
What is pathologic jaundice?
Check for blanching going from head to toe. Yes it is common due to rbc shifting to adult cells and is physiologic jaundice
- higher unconjugated or indirect
Indirect (before liver)
direct (after)
and total
done w bilitool
Pathologic jaundice is from an actual problem
3 treatments to reduce bilirubin levels in newborns
More feeding
phototherapy
exchange transfusion
What can happen if bilirubin goes unchecked>?
Bilirubin encepholpathy or Kerniticus - which can cause permanent brain damage (cerebral palsy & hearing loss)
- educate and document!!!
When doing phototherapy for newborns, what should you do as the nurse?
what should you monitor for results?
What isn’t allowed under the lamp?
Protect eyes and genitals
Monitor their temp
Keep them hydrated
Reposition q2-3 hrs
Monitor UO & stool to see the coloring
NO lotions or oils under lamp
Congenital Heart defect screening score was a 93%. What do you do?
Rest if it is between90-95.
If it is higher than 95, it is a pass.
If it is below 90, then it is a fail & need to go see echo due to possible hypoxemia
Why do we care for the umbilical cord after birth
How do we clean it
How should diaper be
When does the cord fall off?
to prevent infection and hemorrhage
water and cleanser
Fold diaper away from stump
Usually 10-14 days but can remain up till 21 days or 3 weeks
