Nursing Care of the Newborn Flashcards
What does the RAPP assessment sand for?
Respiratory Activity
Perfusion
Position
When is the RAPP assessment completed, and what does this assessment tell us?
Done as baby is coming out, and tells us the overall health status & physical abnormalities of the baby
What does the APGAR assessment stand for?
o Appearance (color)—>cyanosis (ok on hands & feet)
o Pulse (heart rate) –> tachycardia or bradycardia
o Grimace-> (reflex irritability)
o Activity-> (muscle tone)
o Respiratory-> (respiratory effort)—rhonchi, rales (crackles), wheezing, stridor
What is the purpose of the APGAR assessment?
It’s an assessment of a newborn’s transition to extrauterine life
When is the APGAR test done?
Done 1 min & 5 min after birth
When is a 10 minute APGAR score done?
10 min score is done if 5 min score is < 7
What is a healthy APGAR score?
8-10
Which score signifies newborn is experiencing moderate difficulty?
4-7
Which score signifies newborn is experiencing severe distress & calls for respiratory/resuscitation interventions?
0-3
How do you maintain airway patency for a newborn?
o Suction with bulb syringe, mouth first* then nose, if needed –> first respiratory intervention done if needed
o Using a towel to wipe secretions from the mouth for term infants-> if they’re looking good
How do you ensure proper identification of the mother/newborn & the significant other?
o Mother/significant other ID bracelets; 2 ID bands on newborn, Same identification number on all, Security band
What is the average weight of a newborn?
Weight: 2500-4000g (5lb 8oz – 8lb 14oz)
What is the average length of a newborn?
Length: 44-55cm (17-22in)
What is the average head circumference of a newborn?
Head circumference: 32-38cm (13-15in)
What is the average chest circumference of a newborn?
Chest circumference: 30-36cm (12-14in)
How often is weight measured for newborns?
Daily
How much weight do newborns typically lose in the first week?
Infants may lose up to 10% of birth weight
How long does it take for a newborn to regain their lost weight in the first week?
10-14 days
How often should you take vital signs for the newborn?
Q 30 minutes until stable for 2 hours
What is the average temperature for a newborn?
97.7 ̊-99.5 ̊
What is the average pulse for a newborn?
110-160
What is the average respirations for a newborn?
30-60
What are some ways to maintain thermoregulation for the newborn?
- Dry infant immediately
- Skin to skin with mom
- Use radiant warmer
- Wrap in warmed blankets
- Neutral thermal environment (NTE)
- Regulate environmental temperature
- Warm room temperature
- Eliminate drafts or ceiling fans
What are 2 medications we give to the baby after birth?
- Vitamin K
* Erythromycin
What does administering Vitamin K do for the baby?
Helps to synthesize clotting factors (Vastus Lateralis / thigh) 0.5 mL-> prevents bleeding
What does administering Erythromycin ophthalmic ointment do for the baby?
Helps to prevent ophthalmia neonatorum conjunctivitis-> If not treated this could lead to blindness
