Reading not PP Flashcards
Pulse
Birth140-180
After- 120-140
Newborn temp
Decreases immediately
If not stable then possible infection
Birth interventions
Suction nose then mouth
Clamp and cut
Dry and wrap
Acrocyanosis
Blue in hands and feet for 1st 24 hours
Newborn blood
High RBC, HCT, HGB, WBC
Warm and wrap heel before stick for accuracy
Jaundice and infection
Jaundice because of RBC breakdown
High WBC from trauma of birth
Respiratory
First breath inflates alveoli
Heart disproportionately larger
<10 minutes residual vol established
10-12 hours Vit capacity established
Premature respiratory issues
Alveoli close with less surfactant
Poor residual
Ducts may close or not open
Gi tract bacteria
Vit k for gut flora
Usually 5 hours, no more than 24
Breathing, delivery, hospital introduce more
Gi problems
Poor sphincter
Lipase and amylase deficient
Black stool
Initially meconium
After 2-3 days, either swallowed maternal blood or intestinal bleeding
Gray stool
Blocked bile duct
Green stool
Transitional at 2-3 days
Light yellow
Breastfeeding. Little odor
Bright yellow
Formula and more odor
Urinary function
Always urinate in 24 hrs Boys should arc Girls should steady stream 30 mL for first 2 days and may be pink 300ml by day 7
Immune system
Not effective until 2 months.
Shots not given until 3 months
Shave some passive antibodies
HepB and eye drops given
Neuromuscular
Should move and respond if mature
Little movement suggests narcosis
Hearing at birth
Generalized. Respond but can’t locate
Vision at birth
Blink at direct light
9-12 inches
Touch at birth
Respond and react
Taste
Present before birth
Smell
Like smell of mom and sweet
First period of reactivity
Elevated vs for 30 min
Bowel sounds
Irregular RR
Resting period
Vs stable
sleep
99* temp
30-50 RR
Second period of reactivity
99.8* temp
Irregular RR
Excessive mucus production
Meconium
Port wine
Permanent birthmark. Does not blanch
Mongolian spot
Grey blue. Extra pigment especially darker skinned. Sacrum buttocks, occasionally arms and legs. Fade at 5-6 years
Hemangiomas
Bright red superficial or darker blue deep. Steroids to treat orally or injected into
