Normal and High Risk Newborn Flashcards
Apgar score
When is the algar score done ?
Apgar Scoring is done at 1and 5minutes
Sign
Rate 0= absent if HR is below 100=1 if HR is above 100=2
Respirations 0= absent , weak gasping=1 , if it’s a good strong cry=2
Muscle 0=flaccid 1= some flexion 2= very well flex baby
Appearance cyanotic or blue =0 , 1= if the trunk is pink but the extremities r blue, 2= overall pink( normal color)
(color)
Reflex (Irritability) 0= no response ,1= facial grimace 2= good response
Score at _____________ ____________ is more valuable.
5 minutes
What does the A stand for in apgar score?
What does the score of 0 =
What does the score of 1 =
What does the score of 2 =
Activity( muscle tone )
0= absent
1= flexed arms and legs
2=Activity
What does the p stand for in Apgar score?
What does the score of 0 =
What does the score of 1 =
What does the score of 2 =
Pulse
0= absent
1= less then 100
2= above 100
What does the g stand for in apgar score?
What does the score of 0 =
What does the score of 1 =
What does the score of 2 =
Grimace (reflex irritability)
0=floppy
1= minimal response to stimulation
2= prompt response to stimulation
What does the a stand for in Apgar score
What does the score of 0 =
What does the score of 1 =
What does the score of 2 =
Appearance
0= pale, blue
1= pink body blue extremities
2= pink
What does the r stand for Apgar score ?
What does the score of 0 =
What does the score of 1 =
What does the score of 2 =
Respirations
0= absent
1= slow and irregular
2= crying
Eyes:
All newborns get what in the eyes? For what reason ?
All newborns get the Erythromycin ophthalmic ointment in their eyes- to protect from infections such as gonerrhea
Temperature:_________________________________________________
98.6
Pulse: Respirations: Abdomen: Skin: \_\_\_\_or\_\_\_\_\_ \_\_\_\_\_\_\_\_and lethargy can indicate \_\_\_\_?
Pulse120-160
Respirations: 30-60
Abdomen:_2 arteries and 1 vein
Skin is blotchy or spotty especially extremeties . Jitteriness __ and lethargy can indicate _hypoglyemica
Drug Addicted Newborn- illegal substances taken during pregnancy
signs/symptoms: ________________________________________________________________________________________________________________
nursing care: ____________________________________________________ ______________________________________________________________
- ) low birth weight
- ) poor sucking ability
- ) high pitch cry
- ) irritability
- ) irregular Vital signs
NC:
- ) feed them
- ) swaddled them
- )low environmental stimuli
C.) HIV Mother ( 5 points)
- ) standard precautions with a cesarean birth
- ) no breastfeeding
- ) yes they can stay in the moms room
- ) no live vaccinations for the baby
- ) give the baby the vitamin. K shot because vitamin k clots the blood
Fetal Alcohol Syndrome
4 signs
Signs
- ) born with a low birth weights
- ) cranio facial malformation ( flat nose, small eyes, thin lips)
- ) cardiac problem
- ) respiratory distress
- big risk for mental retardation , hold these baby!!
What is Spina bifida ?
What Is the nursing priority?
What position do we place the baby in ?
- Is an incomplete development of the spinal cord and/or its covering
- So the baby is born with a portion of their spine expose. Typically there is a sack around it.
- Major Nursing priority is to not let that sack burst! So keep the baby in the prone position even when feeding. Make sure to turn their Head to the left or right to preserve their airway
All B______ B____________ problems begin with the letter ___________
Blue baby
Begin with T and t stands for trouble
Blue baby problems
What does Transposition of great
arteries mean ?
Truncus arteriosis=
- ) Tetralogy of Fallot
- ) Transposition of great arteries
- ) Tricuspid atresia
- ) Truncus arteriosis
Transposition of great arteries = The pulmonary artery and aorta are switched into the wrong positions so the baby is receiving deoxygenated blood to the body . This is not good
- ) atresia =not there
- ) Truncus arteriosis= one artery is doing the job istead of 2.so I’ve missing one of the major arteries . Either the pulmonary or aorta
Pink baby problems
These are 3 condition that’s are major but not as serious as blue baby problems
- ) Ventricular septial defect
- ) atrial septal defect
- ) patent ductus aterious
What is the Emergency Position:
Why does this position help?
If the baby is experiencing active respiratory distress place them in the knee to chest position ! This
Is is going to help decrease the blood going to the extremities and keep it to the vital organs
Disease to know
4 things that make up Tetralogy of Fallot
Real =right ventricular hypertrophy
Oxygenation = overriding aorta
Problem = pulmonary stenosis
Very scary= ventricular septal defect
How should a nurse identify a child?
Name and birth date
