OB Lab 2 Flashcards by Hannah Mcnece

what is included in the immediate newborn assessment

airway, circulation, breathing, thermoregulation

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what are the ss of respiratory difficulty

grunting, nasal flaring, sternal retractions

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how do you ensure adequate thermoregulation immediately after birth

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

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how do you take a newborns temp

axillary

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what are the 4 ways a baby loses heat

radiation, convection, evaporation, conduction

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what is an example of radiation

heat leaving the body

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what is an example of convection

sitting in front of a fan

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what is an example of conduction

laying on cold ground

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what is an example of evaporation

water leaving the body

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what is an APGAR

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

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what are some indications of a good breast feed

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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when does a baby get hep b vaccination

IM before discharge

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is consent required for hep b

yes

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what is required on the 4ID bracelets

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

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what are some indications of a bad breast feed

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

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once feeding is started how long is the formula good for

only 1 hour b/c infant salivation

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

sponge bath

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when do you give the newborn their first bath after birth

12 hours

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what is the order for bathing an infant

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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how do you assess airway after birth

listen for spontaneous cry

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what is some tactile stimulation for airway

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

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when is the umbilical clamp removed

24-48hours if cold at the base

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

1-2 weeks

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how can you immediately assess circulation

palpation at the base of the cord to assess FHR

how should the newborn look after birth (circulation)

trunk and lips should be pink acrocyanosis is okay at first

what are some signs of a good latch

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

do you have to have consent for erythromycin ophthalmic

no required by law

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

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

how should parents pick formula

one ordered by HCP

how should you hold the infant and bottle when formula feeding

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

when should you burp and infant when formula feeding

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

what kind of water should you use for formula

low fluoride

what does A stand for in APGAR

appearance

what does P stand for in APGAR

pulse

what does G stand for in APGAR

grimace

what does the second a stand for in APGAR

activity

what does R stand for in APGAR

respiratory

what is a 0 score for appearance in APGAR

blue or pale skin

what is a 1 score for appearance in APGAR

body pink, acrocyanosis

what is a 2 score for appearance in APGAR

completely pink

what is a 0 score for pulse in APGAR

none

what is a 1 score for pulse in APGAR

<110bpm

what is a 2 score for pulse in APGAR

>110bpm

what is a 0 score for grimace in APGAR

none

what is a 1 score for grimace in APGAR

grimace & no change in cry with simulation

what is a 2 score for grimace in APGAR

good cry and active movement

what is a 0 score for activity in APGAR

none

what is a 1 score for activity in APGAR

some flexion

what is a 2 score for activity in APGAR

well flexed

what is a 0 score for respiratory in APGAR

none

what is a 1 score for respiratory in APGAR

weak/slow cry

what is a 2 score for respiratory in APGAR

good cry

when do you give Vitamin K to a newborn

IM within 1 hour

what kind of vitamin is vitamin K

fat soluble

why do you give vitamin k to a newborn

promotes clotting because their arent producing clotting factors yet

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

2 years back seat rear facing

what point harness should the infant be in

5 point

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

1 inch

where should the car seat straps be on the child

at or below the childs shoulders