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OB Exam one > OB Lab 2 > Flashcards

OB Lab 2 Flashcards

1
Q

what is included in the immediate newborn assessment

A

airway, circulation, breathing, thermoregulation

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2
Q

what are the ss of respiratory difficulty

A

grunting, nasal flaring, sternal retractions

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3
Q

how do you ensure adequate thermoregulation immediately after birth

A

place baby on mom, dry them, place a hat and diaper on them, can be put in ohio bed (warmer)

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4
Q

how do you take a newborns temp

A

axillary

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5
Q

what are the 4 ways a baby loses heat

A

radiation, convection, evaporation, conduction

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6
Q

what is an example of radiation

A

heat leaving the body

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7
Q

what is an example of convection

A

sitting in front of a fan

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8
Q

what is an example of conduction

A

laying on cold ground

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9
Q

what is an example of evaporation

A

water leaving the body

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10
Q

what is an APGAR

A

rapid assessment in the first 1-5 min after birth to see how they are tolerating

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11
Q

what are some indications of a good breast feed

A

latches without difficulty, infant appears content after, 6-8 wet diapers/day, 3 bm (soft, yellow, seedy), audible swallowing, breasts soft after, adequate weight gain

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12
Q

when does a baby get hep b vaccination

A

IM before discharge

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13
Q

is consent required for hep b

A

yes

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14
Q

what is required on the 4ID bracelets

A

moms MRN, moms last name/DOB, date and time of birth, security tag on baby

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15
Q

what are some indications of a bad breast feed

A

pain is 1st indicator , lips rolled in, clicking or smacking sound, bitting sensation, nipple injury, poor infant weight gain

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16
Q

once feeding is started how long is the formula good for

A

only 1 hour b/c infant salivation

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17
Q

how do you give a newborn a bath when umbilical is still attached

A

sponge bath

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18
Q

when do you give the newborn their first bath after birth

A

12 hours

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19
Q

what is the order for bathing an infant

A

face first with no soap work your way down to the bottom, wrap them like a football in a warm towel then wash head last

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20
Q

how do you assess airway after birth

A

listen for spontaneous cry

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21
Q

what is some tactile stimulation for airway

A

flicking the feet, rubbing the babys back when drying them off

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22
Q

when is the umbilical clamp removed

A

24-48hours if cold at the base

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23
Q

how long does it take for the rest of the umbilical cord to fall off

A

1-2 weeks

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24
Q

how can you immediately assess circulation

A

palpation at the base of the cord to assess FHR

25
Q

how should the newborn look after birth (circulation)

A

trunk and lips should be pink acrocyanosis is okay at first

26
Q

what are some signs of a good latch

A

infant mouth wide open, more areola is visible above the mouth then below, infant lower lip is exposed, mom doesnt feel any pain

27
Q

do you have to have consent for erythromycin ophthalmic

A

no required by law

28
Q

how much erythromycin ophthalmic do you give an infant at birth and when do you need to give it, what is it for

A

1 hour after birth, 1cm of ointment, prevents blindness

29
Q

how should parents pick formula

A

one ordered by HCP

30
Q

how should you hold the infant and bottle when formula feeding

A

baby should be semi-reclined, hold bottle so nipple remains full - observe for suckling

31
Q

when should you burp and infant when formula feeding

A

after every 1/2-1 oz and after feeding is done

32
Q

what kind of water should you use for formula

A

low fluoride

33
Q

what does A stand for in APGAR

A

appearance

34
Q

what does P stand for in APGAR

A

pulse

35
Q

what does G stand for in APGAR

A

grimace

36
Q

what does the second a stand for in APGAR

A

activity

37
Q

what does R stand for in APGAR

A

respiratory

38
Q

what is a 0 score for appearance in APGAR

A

blue or pale skin

39
Q

what is a 1 score for appearance in APGAR

A

body pink, acrocyanosis

40
Q

what is a 2 score for appearance in APGAR

A

completely pink

41
Q

what is a 0 score for pulse in APGAR

A

none

42
Q

what is a 1 score for pulse in APGAR

A

<110bpm

43
Q

what is a 2 score for pulse in APGAR

A

> 110bpm

44
Q

what is a 0 score for grimace in APGAR

A

none

45
Q

what is a 1 score for grimace in APGAR

A

grimace & no change in cry with simulation

46
Q

what is a 2 score for grimace in APGAR

A

good cry and active movement

47
Q

what is a 0 score for activity in APGAR

A

none

48
Q

what is a 1 score for activity in APGAR

A

some flexion

49
Q

what is a 2 score for activity in APGAR

A

well flexed

50
Q

what is a 0 score for respiratory in APGAR

A

none

51
Q

what is a 1 score for respiratory in APGAR

A

weak/slow cry

52
Q

what is a 2 score for respiratory in APGAR

A

good cry

53
Q

when do you give Vitamin K to a newborn

A

IM within 1 hour

54
Q

what kind of vitamin is vitamin K

A

fat soluble

55
Q

why do you give vitamin k to a newborn

A

promotes clotting because their arent producing clotting factors yet

56
Q

how long is a child in a car seat and what is their position in the car

A

2 years back seat rear facing

57
Q

what point harness should the infant be in

A

5 point

58
Q

how much space should their be between the infants head and the top of the car seat

A

1 inch

59
Q

where should the car seat straps be on the child

A

at or below the childs shoulders

OB Exam one (8 decks)

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