OB ch 13 & 14

Question 1

what does a newborns first stool look like

Answer 1

thick, black, tarry

Question 2

what is the newborns first stool called

Answer 2

meconium

Question 3

why is vitamin K IM shot necessary shortly after birth

Answer 3

to prevent hemorrhage

Question 4

what does vitamin K do

Answer 4

produce clotting factors

Question 5

where is the vitamin k sot given

Answer 5

IM vastus lateralis

Question 6

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

Answer 6

circulatory, respiratory

Question 7

what fluctuation in weight happens in the first week of life

Answer 7

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

Question 8

what are some skin variation

Answer 8

vernix, lauguano, milia, acrocyanosis, harlequin, erythematoxicom

Question 9

what are the newborn reflexes

Answer 9

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

Question 10

what is witches milk

Answer 10

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

Question 11

what blood sugar level indicates hypoglycemia in a NB

Answer 11

50 mg/dL

Question 12

what causes newborn hypoglycemia

Answer 12

diabetes, maternal hypertension

Question 13

what is the best way to assess a newborn heart rate

Answer 13

apical - sleeping - 4th intercostal space

Question 14

what are newborns normal vital signs

Answer 14

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

Question 15

what are signs of respiratory distress in a newborn

Answer 15

central cyanosis, grunting, nasal flaring, tachypnea, retractions

Question 16

what is APGAR

Answer 16

HR, respiratory, muscle tone, reflex irritability, color

Question 17

when is apgar score taken

Answer 17

1 and 5 min after birth

Question 18

what do each of the score ranges mean

Answer 18

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

Question 19

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

Answer 19

dry, swaddle, hat, kangaroo care

Question 20

what are physiological reasons that newborns are prone to hypothermia

Answer 20

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

Question 21

what does evaporation mean

Answer 21

newborn has wet skin - loses body heat with moisture

Question 22

what does convection mean

Answer 22

air currents blow over newborn

Question 23

what does conduction mean

Answer 23

newborns skin touches cold surface

Question 24

what does radiation mean

Answer 24

cold close to baby and pulls heat away

Question 25

what does surfactant do

Answer 25

keeps alveoli from sticking

Question 26

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

Answer 26

3 - 2 arteries/ 1 vein

Question 27

know the brazelton behavioral states of infants

Answer 27

``` deep sleep light sleep drowsy quiet alert active alert crying ```

Question 28

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

Answer 28

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

Question 29

why should babies be put to sleep on their backs

Answer 29

to decrease risk for SIDS

Question 30

what are some indications that a newborn is in pain

Answer 30

crying, sleeplessness, facial expressions, body movements

Question 31

what are pros and cons to circumcision

Answer 31

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

Question 32

what is the care of the infant after circumcision

Answer 32

wash warm water, petroleum jelly - diaper loose

Question 33

when should EMLS cream be applied

Answer 33

1 hr before procedure

Question 34

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

Answer 34

suction, stimulate to cry, airway

Question 35

what is a special concern for a newborn by C section

Answer 35

breathing

Question 36

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

Answer 36

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

Question 37

what can happen if an infant is swaddled too tightly

Answer 37

can't breathe

Question 38

what helps to develop trust in an infant

Answer 38

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

Question 39

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

Answer 39

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

Question 40

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

Answer 40

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