OB Test 2: Newborn Nursing Care Flashcards
What are neonatal risk factors?
Prenatal record: happens before birth, record late D-cells
Labor and birth records
Condition of newborn
Parent-newborn interaction
What are the goals of nursing care?
Physical well being of neonate
Promote family development
When is the neonatal transition period?
First 4 hours
What are the 4 main care areas during the transition period?
Airway: clean mouth then nares, in mouth do cheek pockets first, suction no longer then 5 seconds and no longer then 50
Breathing
Circulation: check skin color
Glucose: if LGA (larger then gestational age) then hyperglycemia
How can you incorporate thermoregulation for the newborn?
Kangaroo care: skin-to-skin contact
What are precautions for the newborns first bath?
Gloves
Stable vital signs: once temperature stabilized
Warmth: only expose 1 area at a time
What are the first 4 medications given to newborn?
Eye prophylaxis
Vitamin K
Hepatitis B vaccine
Vitamins
Why do we do eye prophylaxis medication, when and what dose?
Prevent blindness caused by gonorrhea or chlamydia
Done at 2 hours post-birth
0.5% erythromycin ophthalmic
Where do you inject vitamin k?
In Vastus lateralis
When do you give the hepatitis b vaccine, what teaching do you do?
12-24 hours
Not live virus
Get 3 doses
Don’t take if allergic to yeast
What cord care is done?
Care providers order Monitor s&s of omphalits: red around cord Artery sticks up Put in triple dye and wash with water Fall off at day 10
What assessment are done before first feeding?
Need to be alert
Good time if rooting or sucking
When and why do you breast feed
Q2-3 hours
Easier digested, more nutrition and has what baby needs
When do you have the first bottle feeding and what is a negative side effect?
In second period of reactivity
Have more fluid
What are two negative reactions to feeding?
Esophageal atresia
Tracheal esophageal defect
What is a tracheal esophageal defect? When do you feed and how much can they hold?
Fluid directly in lungs
Feed 3-4 mL
Hold 30-90 mL
What are some ongoing nursing care?
Vitals Assessment Weight I&O Skin care Positioning
How do you monitor I&O?
Document how often and long breast feed
Why is the newborn weight loss?
Upto 10% in 1 week
How do you position the newborn?
Sleep on back
Lift head off crib after eating
What are specific tests we give the newborn?
Hearing screen
Lab exams
How do you practice newborn safety?
Hand washing
Prevent cross contamination
Identification bands
Preventing abduction by alert and security system
How can you prevent cross contamination?
Hand washing
Don’t put shared items in crib
3 feet apart in all directions
Isolation if infection suspected
How can the nurse promote attachment?
En face positioning: eye contact before separation Observe interactions Teach Model care: how to hold or bathe Support Rooming-in and breast feeding Cultural difference
