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OB > OB ch 13 & 14 > Flashcards

OB ch 13 & 14 Flashcards

1
Q

what does a newborns first stool look like

A

thick, black, tarry

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2
Q

what is the newborns first stool called

A

meconium

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3
Q

why is vitamin K IM shot necessary shortly after birth

A

to prevent hemorrhage

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4
Q

what does vitamin K do

A

produce clotting factors

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5
Q

where is the vitamin k sot given

A

IM vastus lateralis

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6
Q

what organ systems undergo the most and fastest changes as soon as the baby takes its first breath

A

circulatory, respiratory

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7
Q

what fluctuation in weight happens in the first week of life

A

lose 6-10 oz 1st few days - regain it within 7-10 days

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8
Q

what are some skin variation

A

vernix, lauguano, milia, acrocyanosis, harlequin, erythematoxicom

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9
Q

what are the newborn reflexes

A

suck, palmar, stepping, moro, tonic neck, babinski

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10
Q

what is witches milk

A

newborns breasts become enlarged - small amount of white fluid comes out

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11
Q

what blood sugar level indicates hypoglycemia in a NB

A

50 mg/dL

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12
Q

what causes newborn hypoglycemia

A

diabetes, maternal hypertension

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13
Q

what is the best way to assess a newborn heart rate

A

apical - sleeping - 4th intercostal space

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14
Q

what are newborns normal vital signs

A

R: 30-60
P:110-160
T: 97.7-99.5
BP: 60-80/40-45

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15
Q

what are signs of respiratory distress in a newborn

A

central cyanosis, grunting, nasal flaring, tachypnea, retractions

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16
Q

what is APGAR

A

HR, respiratory, muscle tone, reflex irritability, color

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17
Q

when is apgar score taken

A

1 and 5 min after birth

18
Q

what do each of the score ranges mean

A

0-3 - severe difficulty making transition to extrauterine
4-6- some difficulting - needs observation
7-10 - healthy body

19
Q

immediately after birth, how can a nurse decrease a newborn heat loss

A

dry, swaddle, hat, kangaroo care

20
Q

what are physiological reasons that newborns are prone to hypothermia

A

less body surface area, not able to produce heat by muscle movement and shivering

21
Q

what does evaporation mean

A

newborn has wet skin - loses body heat with moisture

22
Q

what does convection mean

A

air currents blow over newborn

23
Q

what does conduction mean

A

newborns skin touches cold surface

24
Q

what does radiation mean

A

cold close to baby and pulls heat away

25
Q

what does surfactant do

A

keeps alveoli from sticking

26
Q

how many and what types of blood vessels should be found in the umbilical cord

A

3 - 2 arteries/ 1 vein

27
Q

know the brazelton behavioral states of infants

A 
deep sleep
light sleep
drowsy
quiet alert
active alert
crying
28
Q

what safety measures are put in place to avoid mis-identifying an infant

A

bracelet on baby (mom’s name, hospital #, DOB, time of birth) matching bracelet on mom and dad

29
Q

why should babies be put to sleep on their backs

A

to decrease risk for SIDS

30
Q

what are some indications that a newborn is in pain

A

crying, sleeplessness, facial expressions, body movements

31
Q

what are pros and cons to circumcision

A

Pro: decreased UTI and STI
Con: pain, anesthetic side effects, hemorrhage,infection

32
Q

what is the care of the infant after circumcision

A

wash warm water, petroleum jelly - diaper loose

33
Q

when should EMLS cream be applied

A

1 hr before procedure

34
Q

what is first priority of a nurse when taking care of a newborn infant

A

suction, stimulate to cry, airway

35
Q

what is a special concern for a newborn by C section

A

breathing

36
Q

when diapering a newborn what should be done to the front of the diaper

A

fold down - so cord is open to air - promotes drying of cord

37
Q

what can happen if an infant is swaddled too tightly

A

can’t breathe

38
Q

what helps to develop trust in an infant

A

feeding, keeping dry, comfy, hold baby, swaddling, kangaroo care

39
Q

when giving a first bath what should be washed off and what should be left on

A

wash off blood - leave vernix on if it doesn’t come off with a gentle scrub

40
Q

when an infant is born what is the reason for antibiotic ointment

A

(erythromycin) to prevent opthalmia neonatorum - eye infection from woman with gonorrhea or chlamydia

OB (9 decks)

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