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Maternal Newborn-MJ > T3-Newborn Nursing Care > Flashcards

T3-Newborn Nursing Care Flashcards

1
Q

What is suctioned first: mouth or nose?

A

Mouth before nose!

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2
Q

What is the respiratory interventions?

A
  • Support baby with head to side
  • Use bulb syringe and suction mouth, then each side of nose
  • Deeper suction can be done with DeLeeX (5 sec or less per insertion)
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3
Q

When do we assess the temp of newborn baby?

A

Immediately after birth and q30 min till stable

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4
Q

What do we attach over upper quadrant of abdomen? Why?

A

Tranistor probe to keep infant temp 36.5-37C

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5
Q

Where should infants crib be away from?

A

Walls and windows

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6
Q

Where do we perform exams?

A

Under heat panels

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7
Q

When do we give newborn bath?

A

After temp is stable

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8
Q

What eye prophylaxis is done? Why?

A

Erythromycin eye ointment to prevent inflammation r/t gonorrhea infection

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9
Q

What kind of injection is Vit. K? Where is it administered?

A

IM -.5-1 mg w/in one hour of birth; administered in vests lateralis

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10
Q

What is umbilical cord care?

A
  • Clamp cord after delivery
  • Assess # of veins and arteries
  • Assess for infection
  • Clean cord with H20
  • No tub bath till cord separates
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11
Q

When does the umbilical cord usually separate?

A

~10-14 days

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12
Q

What is the goal of cord care?

A

To prevent hemorrhage and/or infection

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13
Q

Preterm?

A

Born less than 37 weeks

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14
Q

Late preterm?

A

34.0-36.6 weeks

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15
Q

Early term?

A

37.0-38.6

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16
Q

Full term?

A

39.0-40.6

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17
Q

Late term?

A

41.0-41.6

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18
Q

Post term?

A

42.0 weeks and over

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19
Q

Post mature?

A

Over 42 weeks with placental insufficiency effects

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20
Q

General characteristics of neonate: Length?

A

17.7-21.7 inches

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21
Q

General characteristics of neonate: Weight?

A

5.5-8.8 lbs

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22
Q

General characteristics of neonate: Normally loses ____ of birth weight within one week of birth

A

5-10%

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23
Q

Collection of blood

A

Cephalhematoma

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24
Q

Collection of fluid

A

Caput succudanum

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25
Q

How are sutures and fontanelles?

A

Open and palpable

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26
Q

What if fontanelles are depressed?

A

Dehydration

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27
Q

What if fontanelles are bulging?

A

Fluid overload

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28
Q

Anterior fontannel is ___ cm and is ___ shape

A

5 cm and is diamond shaped

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29
Q

Posterior fontannel is ___ shaped

A

Triangle

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30
Q

What is smaller: anterior or posterior fontannel?

A

Posterior is SMALLER than anterior

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31
Q

Chest is approx ____ in smaller than head

A

0.5 cm

32
Q

Legs and arms are normally ____

A

Flexed

33
Q

Feet and hands may exhibit ____

A

Acrocyanosis

34
Q

What is polydactaly?

A

More than 5 digits

35
Q

What is syndactaly?

A

Webbing

36
Q

Where do babies want to breath from: nose or mouth?

A

Nose

37
Q

Ears: Pinna in line with ______

A

Outer canthus of eye

38
Q

T/F: Genitalia may be enlarged

A

True

39
Q

Discharge may be present in female neonates. This is pseudo menses and is hormonal. What color may discharge be?

A

Pink or white

40
Q

Testicles are _____ in male neonates

A

Descended

41
Q

Excess breakdown of RBC= ?

Ex?

A

Jaundice

Hematoma, bruising

42
Q

Liver immaturity=?

A

Not enough of enzyme glucornyltransferase

43
Q

Poor sucking ability=?

A

Doesnt consume enough food to introduce intestinal flora so bill is not conjugated to direct (conjugated) form that can be excreted

44
Q

Can cold stress cause jaundice?

A

Yes

45
Q

Describe what you do for phototherapy for hyperbilirubinemia.

A
  • Under lights in mini diaper
  • Cover eyes, testes, ovaries
  • Monitor and maintain temp with skin probe
  • Monitor insensible water loses
  • Provide fluids
  • Provide stimulation
46
Q

Treatment for hypothermia?

A
  • Swaddle in double warm blankets
  • If temp doesnt respond go back to radiant warmer per protocol
  • Observe for resp. distress
  • Observe for signs of hypoglycemia
47
Q

Hypothermia treatment–why do we observe for resp distress?

A

Cold stress increases O2 need

48
Q

Hypothermia treatment–Why do we observe for signs of hypoglycmia?

A

Cold stress uses up glucose on board

49
Q

What is prevention for hypoglycemia?

A

Feed early and frequently and maintain safe glucose levels

50
Q

For high risk infants, when do we check glucose?

A

Within 2-3 hours of birth

51
Q

What are symptoms of hypoglycemia?

A

Jittery
High pitched cry
Eye rolling
Seizures

52
Q

Plasma glucose level in full term infant: Less than ___ requires intervention?

A

Less than 45

This is from ppt, I thought she said in class less than 43 … ?

53
Q

What has a longer lasting supply of glucose?

A

Milk

54
Q

If mom doesn’t breastfeed, what are other ways infant can get glucose?

A

Bottle feed D5W

NGT or IV glucose

55
Q

Can infant be fed before circumcision?

A

No, hold feeding before procedure

56
Q

Yellen and Mogen clamp procedure makes procedure ____

A

Blodless

57
Q

Can ointment be put on after Yellen procedure? Mogen? Plastibell?

A

Yellen: yes
Mogen: yes
Plastibell: no

58
Q

What do we document after circumcision?

A

First voiding past procedure

59
Q

What procedure has the bell fall off in diaper?

A

Plastibell

60
Q

If we see yellow exudate, what do we do?

A

DO NOT clean it off!

61
Q

What should we teach about the petroleum gauze?

A

To watch for strings that could wrap around penis and cause necrosis

62
Q

If infant is getting enough to eat, how many times should they pee? What color is urine? What if no voiding in first 24 hours?

A

6-8X/d

Pale; poorly concentrated

Notify MD

63
Q

Breast fed babies should be offered first feeding during _____.

How can we place them after feedings to encourage stomach emptying?

A

Stage 4 (recovery)

Right side

64
Q

Breastfeeding: What is secreted first 2-3 days?

A

Colostrum

Less fat and sugar; more protein and antibodies

65
Q

When is there traditional milk?

A

3rd day of/1st week

66
Q

Breastfeeding promotes ____

A

Bonding

67
Q

What are conditions in which breastfeeding should be avoided?

A
  • Active TB
  • Hep B or C
  • HIV
  • Cancer
  • Maternal drug abuse
68
Q
  • How should milk be stored?
  • Refrigerated for …?
  • Frozen milk attached to fridge is good for ____.
  • Frozen milk in deep freezer is good for ___.
A
  • Rigid, plastic containers
  • 48-72 hrs
  • 1 milk
  • 6-12 months
69
Q

What newborn screening test are required by all tests? How do you get it?

A

PKU and hypothyroid; blood sample from infant heel

70
Q

What is important about PKU test.

A

Infant needs to have ingested milk in adequate amounts before test…done 24 hours later

71
Q

What do accumulates of phenylketonuria result in?

A

Severe MR

72
Q

Glactosemia: Absence of enzyme result in damage to ___, ___, and ___.

What is treatment?

A

Liver, brain, eyes

Treatment is elimination of milk from diet and you cannot safely breastfeed; work with mom to find commercial formula

73
Q

What is bathing home care?
Diapering home care?
Crying?

A
  • Sponge bath till cord falls off; clean cord with water after each diaper change and keep diaper off cord
  • Diaper: clean infant with warm water after voiding and stools
  • Crying will happen when hungry, wet, or bored
74
Q

Signs of sick infant: how is sleep?

A

Lethargy or difficult to wake

75
Q

Signs of sick infant:

Temp above?

A

100F

76
Q

Signs of sick infant:

How is digestion?

A

Vomiting or green, liquid stools

Refusal of 2 feedings in a row

77
Q

Signs of sick infant:

How ar fontanels and mucous membranes?

A

Fontanels: Depressed

Mucous membranes: Dry, sticky

Maternal Newborn-MJ (29 decks)

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