OB Lab 2 Flashcards
what is included in the immediate newborn assessment
airway, circulation, breathing, thermoregulation
what are the ss of respiratory difficulty
grunting, nasal flaring, sternal retractions
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)
how do you take a newborns temp
axillary
what are the 4 ways a baby loses heat
radiation, convection, evaporation, conduction
what is an example of radiation
heat leaving the body
what is an example of convection
sitting in front of a fan
what is an example of conduction
laying on cold ground
what is an example of evaporation
water leaving the body
what is an APGAR
rapid assessment in the first 1-5 min after birth to see how they are tolerating
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
when does a baby get hep b vaccination
IM before discharge
is consent required for hep b
yes
what is required on the 4ID bracelets
moms MRN, moms last name/DOB, date and time of birth, security tag on baby
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
once feeding is started how long is the formula good for
only 1 hour b/c infant salivation
how do you give a newborn a bath when umbilical is still attached
sponge bath
when do you give the newborn their first bath after birth
12 hours
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
how do you assess airway after birth
listen for spontaneous cry
what is some tactile stimulation for airway
flicking the feet, rubbing the babys back when drying them off
when is the umbilical clamp removed
24-48hours if cold at the base
how long does it take for the rest of the umbilical cord to fall off
1-2 weeks
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
