Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obstetrical nursing > nursing care of the newborn > Flashcards

nursing care of the newborn Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

opening of the lungs

A
  • squeeze from contraction takes fluid out of lungs
  • lungs recoil and first breath also due to it being cold
  • hypoxic during pushing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

abc approach when baby born

A
  • bukb syringe mouth @ side of cheek in back
  • bulb nose
  • after airways clear, do skin the skin
  • dry and stimulate baby
  • make sure baby dry completely
  • apgar score
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

why do babys normally loose points

A

for color, completely normal in first 24 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

APGAR

A 
appearance
pulse
grimace
activity 
respirations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

less than 7

A

needs resciation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how to count pulse right after

A

count at umbillicord for 6 sec x 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nursing Interventions: Immediate Newborn Period

A
  • Maintaining airway patency
  • Bulb syringe proper technique?
  • Ensuring proper identification
  • Administering prescribed medications
  • Maintaining thermoregulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

medications

A

Vitamin K
Eye prophylaxis
Hepatitis B Vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

first hour

A

skin to skin

breast feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

after hr

A

head, chest abdominal cirumfrence, weight and legth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

immediate care

A

dry and stimulate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

vitamin k action

A
  • Provides the newborn with vitamin K (necessary for production of adequate clotting factors II, VII, IX, and X by the liver) during the first week of birth until newborn can manufacture it
  • Prevents vitamin K deficiency bleeding (VKDB) of the newborn
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

vitamin k nursing implication

A
  • Administer within 1–2 hr after birth.
    Give as an IM injection at a 90-degree angle into the outer middle third of the vastus lateralis muscle.
    Use a 25-gauge, 5/8-in needle for injection.
  • Hold the leg firmly and inject medication slowly.
  • Adhere to standard precautions.
  • Assess for bleeding at injection site after administration.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

erythromycin action

A

Provides bactericidal and bacteriostatic actions to preventNeisseria gonorrheaandChlamydia trachomatisconjunctivitis
Prevents ophthalmia neonatorum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

erythromycin nursing implications

A
  • Be alert for chemical conjunctivitis for 1–2 days.
  • Wear gloves, and open eyes by placing thumb and finger above and below the eye.
  • Gently squeeze the tube or ampoule to apply medication into the conjunctival sac from the inner canthus to the outer canthus of each eye.
  • Do not touch the tip to the eye.
  • Close the eye to make sure the medication permeates.
  • Wipe off excess ointment after 1 min.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

heb b vaccine action

A

The first dose is highly effective in preventing mother-to-baby infection.
The vaccine is well tolerated in infants.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

heb b nursing implication

A

Administer within 24 hours after birth and complete the series of 3 injections giving #2 at 1-2 mths & #3 at 6-18 mths. of life.
Follow other steps from the Vitamin K injection above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

indications for injections

A

.5ml
vastas lateralis
righty hepiti lefty Vk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

respirations

A

30-60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

heart rate

A

100-160

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

temp

A

97.7-99.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

rectal temps

A

should not routinely be performed on a newborn because of the risk for perforation and vagal stimulation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Initiation of respirations:

A

adjusting from a fluid-filled intrauterine environment to gaseous extrauterine environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

role of surfactant

A

surface tension reducing lipoprotein that prevents alveolar collapse
Surfactant production begins at 24 wks. Gestation & is in sufficient amounts by 35 wks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

respirations

A

30 to 60 breaths per minute; irregular, shallow, unlabored; short periods of apnea (<15 seconds); symmetrical chest movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

issue w c/s

A

does not have the same benefit of the birth canal squeeze as does the newborn born by vaginal delivery. Closely observe the respirations of the newborn after cesarean delivery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

S/S of Newborn Respiratory Distress

A
  • Nasal flaring, chest retractions
  • Grunting on exhalation, labored breathing
  • Generalized cyanosis, flaccid body posture
  • Abnormal breath sounds, abnormal respiratory rates
  • Abnormal heart rates, abnormal newborn size
  • grunting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

early s/s of resp distress

A

nasal flarring, chest retractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

late s/s of respiraotry distress

A

generalized cyanosis, flaccid body posture

30
Q

mechanisms for neonatal heat loss

A

conduction
convection
evaporation
radiation

31
Q

conduction

A

Transfer of heat from object to object when the two objects are in direct contact with each other

32
Q

convection

A

Loss of heat from warm body surface to cooler air current

33
Q

evaporation

A

Loss of heat when water is converted into vapor

“Insensible water loss”

34
Q

radiation

A

Loss of body heat to cooler, solid surfaces in close proximity but not in direct contact

35
Q

cold stress

A

the newborn can lead to the following problems if not reversed: depletedbrown fatstores, increased oxygen needs, respiratory distress, increased glucose consumption leading to hypoglycemia, metabolic acidosis, jaundice, hypoxia, and decreased surfactant production

36
Q

do infants shiver

A

DO NOT shiver. If an infant appears to be shivering it is either withdrawing from maternal substance use or hypoglycemic.
Neonate will pull limbs in to conserve heat

37
Q

urine

A

Urine is less concentrated and has lower specific gravity.

Does not excrete salt, water loads, or medications quickly

38
Q

of wet diapers after birth

A

Day 1 = 1 wet diaper / Day 2 = 2 wet diapers / Day 3 = 3 wet diapers / Day 5 = 5 wet diapers / Day 6 and on = 6 wet diapers (min)

39
Q

brick dust

A

“Brick dust” urine in diaper- could mean baby is dry or dehydrated- fairly normal in first few days

40
Q

amount of intake needed

A

To gain weight the newborn requires an intake of 108 kcal/kg/day from birth to 6 months of age

41
Q

umbilical cord

A

Umbilical cord should be clamped, will dry within 24 hours and fall out 7-10 days after birth

42
Q

abd and anus

A

Abd rounded, non-distended, + BS in all 4 quadrants

Anus should be patent

43
Q

stool

A

1st stool in 24 hrs (meconium), after milk comes in: 3-4 stools a day is normal (may have variation)

44
Q

modleing baby

A

spidery looking skin

normal

45
Q

baby as risk for jaundice

A

too many red blood cells baby is yed then yellow

46
Q

stork bite

A

patch of deep pink skin on head or face

normal

47
Q

new born baby rash (erythema toxicum)

A

normal on baby skin goes away dont pick at it

48
Q

mongolian spots

A

normal fade during 1st few years of life

49
Q

hemangioma

A

strawberry mark

normal should fade

50
Q

port wine stain nervus flammerus

A

non reverible red on half of the face

51
Q

vernix

A

super sticky natural lotion in young baby, most seen in preme

52
Q

dry baby

A

dry cracked leathery baby: post due, overcooked

53
Q

caput succedenum

A

normal from baby being birthed vaginnaly

cross suture lines

54
Q

cranial molding

A

normal from baby fitting through pelvis

55
Q

cephalhematoma

A

swelling that doesn’t cross the suture line not normal

56
Q

neurological status

A

alertness, posture, muscle tone, reflexes

57
Q

moro

A

started lift shoulders, drop and they get startled

58
Q

rooting

A

tickle side of cheeck turn head and open mouth

59
Q

Gestational age assessment is important because

A

allows the nurse to plot growth parameters and to anticipate problems related to prematurity, postmaturity, and growth abnormalities.

60
Q

preterm

A

prior to 37 weeks

61
Q

term

A

38-42

62
Q

posterm

A

after 42 weeks

63
Q

postmature

A

after week 42 placental aging

64
Q

sga

A

small for gestational age

65
Q

aga

A

appropirate for gestational age

66
Q

lga

A

large of gestational age

67
Q

wrong age can lead to

A

hypoglycemia and other things to do

68
Q

new ballard scale: physical maturity

A 
Skin texture
Lanugo
Plantar creases
Breast tissue
Eyes and ears
Genitals
69
Q

24hr screening

A
  • PKU/Metabolic condition screening
  • Hearing tests
  • CCHD- critical congenital heart defect screening
  • Bilirubin check
  • Weight
  • Bath (depending on facility policy/parent’s wishes)
70
Q

cotton swabs

A

no swabs in nares, or inside ear cana;

71
Q

Preoperativecircumcisionpreparation should include confirmation of the following

A
  • Infant is at least 12 hours old or older
  • Infant has received standard vitamin K prophylaxis
  • Infant has voided normally at least once since birth
  • Infant has not eaten for at least an hour prior to the procedure
  • Written parental consent has been obtained
  • Correct identification of the infant brought to procedure room
72
Q

plastibell

A

If the Plastibell was used; clean with water, no petroleum jelly, it will fall off by itself in about 1 week.
- the ring will fall off by itself within 1 week, call md if see any bleeding, make sure diaper is loose in the front (don’t need petroleum jelly and shouldn’t clean with soap/water)

Obstetrical nursing (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions