Unit 2 - Part 2 - Newborn Care Part 1 Flashcards
Pulse of a newborn
110-160 bpm
sleep: low is 70
cry: high is 180
BP of a newborn
birth: 70-50/45-30
day 10: 90/60
RR of a newborn
30-60 breaths per minute
Normal Temp. for newborn
36.5-37.5 C (97.7-99.4 F)
Axillary Temp for newborn
36.5-37.2 C (97.7-99 F)
Skin Temp for newborn
36-36.5 C (96.7-97.7 F)
Rectal Temp for newborn
36.6-37.2 C (97.8-99 F)
What does the APGAR scoring include?
- Heart Rate
- Resp. Effort
- Muscle Tone
- Reflex Irritability
- Color
What is a good APGAR score
7-10
What to do if APGAR is less than 7 at 5 minutes
- repeat every 5 minutes up to 20 minutes
- resuscitative measures
What to do it APGAR is less than 3 at 5 minutes
correlate with neonatal mortality
When are umbilical clamps placed
after identification of vessels
Where are umbilical clamps placed
0.5-1 inch from abdomen
When do you remove the umbilical clamp
24 hours after the cord has dried
_____ _____ is the blood that remains in the umbilical cord and placenta following birth. This blood is usually discarded. However, _____ _____ _____ utilizes facilities to store and preserve a baby’s cord blood (can help if child were to develop cancer)
Cord Blood, cord blood banking
T/F: To maintain life, the lungs must function immediately after birth.
T
Two changes necessary for the lungs to function immediately after birth:
- Pulmonary ventilation must be established through lung expansion following birth.
- A marked increase in the pulmonary circulation must occur.
The first breath of life—the gasp in response to mechanical and reabsorptive, chemical, thermal, and sensory changes associated with birth—initiates …
the serial opening of the alveoli
What happens to a newborn when air enters the lungs
- triggers decreased pulmonary vascular resistance
- blood distributed throughout lungs
Fetal hgb has a _____ affinity for oxygen than adult hgb
greater
First two things you do as immediate care of newborn
1: Respiratory/Cardiac Assessment
2. Temperature Assessment
What is part of the Respiratory/Cardiac Assessment
- mouth THEN nose suctioned
- infant placed on mother’s abdomen
How will a baby lose heat
- evaporation: dry them off quickly
- conduction: warm towels (not room temp.)
- radiation: neutral thermal environment
- convecton: worry about wind drafts (skin to skin)
How to count newborn’s pulse
Use apical pulse! Count for full minute!
Are a newborn’s respirations regular or irregular
irregular = count for full minute!
T/F: Anything that sedates mother, sedates the baby too
T (takes a lot longer to get out of baby’s system)
Grunting respirations are an indication of _____ _____
respiratory distress
Infants should produce _____ wet diaper within the first 24 hours of life
one
Describe hct values in Newborn
may rise above fetal levels
Describe hgb values in Newborn
fall