Unit 2 - Part 2 - Newborn Care Part 2 Flashcards

1
Q

T/F: Half of the pt’s who have gonorrhea will have chlamydia

A

T

= by law erythromycin must be put in baby’s eyes

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2
Q

Do we suction the mouth or nose first?

A

Mouth!

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3
Q

Low-set ears are a characteristic of _____

A

syndromes

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4
Q

Fist cry helps initiate _____ _____

A

hearing improvement

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5
Q

What does it mean to examine for talipes?

A

Examine for clubbed feet

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6
Q

Defintion: elicited by holding the newborn in ventral suspension (face down) and stroking along the one side of the spine

A

Trunk incurvation (Galant reflex)

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7
Q

Maneuver that evaluate whether or not the child has problems with hips and dislocation

A

Ortolani or Barlow

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8
Q

T/F: newborn nurses need to be able to evaluate the difference between tremors and convulsion

A

T

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9
Q

Infection in the nursery is best prevented by requiring that all personnel who have direct contact with newborns scrub for _____ _____ from the _____ up to and including the _____ at the beginning of each shift. Each caregiver’s hands must also be washed with soap and rubbed vigorously for _____ before and after contact with every newborn and after touching any soiled surface, such as the floor or one’s hair or face.

A

2–3 minutes
fingertips
elbows
15 seconds

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10
Q

How often do we measure newborn’s vitals

A

every 30 minutes until stable for 2 hours

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11
Q

Where to give Prophylactic injection of vitamin K1 on newborn

A

IM in middle of third section of vastus lateralis muscle

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12
Q

What is included in ophthalmic ointment for prophylactic eye treatment for gonorrhea

A
  • 0.5% erythromycin

- 1% tetracycline

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13
Q

T/F: ophthalmic ointment for prophylactic eye treatment for gonorrhea may cause redness and swelling

A

T

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14
Q

When to instill ophthalmic ointment for prophylactic eye treatment for gonorrhea

A

after mother and baby have a chance to bond & within 1 hour of birth (instillation may be delayed up to 1 hour after birth to allow eye contact during parent-newborn bonding

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15
Q

Is IgA affected by gastric action

A

No, unlike other immunoglobulins

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16
Q

Where can you find a high secretory concentration of IgA

A

in Colostrum

17
Q

Can newborns produce secretory IgA

A

yes, in their intestinal mucosa approximately 4 weeks after birth

18
Q

If baby is supplemented with formula-fed bottles, when do you give it to them

A

by hour 5, ~q4h

19
Q

How often to breastfeed child

20
Q

What do you suction the baby’s mouth and nose with

A

a bulb syringe prn

21
Q

How to maintain cardiopulmonary function in a newborn

A
  • vital signs q6-8h
  • place newborn on back to sleep
  • bulb syringe within easy reach
22
Q

Can you put anything in a baby’s crib?

A

NO! NOTHING that they can pull over their faces!

23
Q

Newborns of diabetic mothers:

_____ feedings contain protein and will maintain blood sugar better than glucose water alone

24
Q

Newborns of diabetic mothers:

The onset of hypoglycemia occurs at _____ _____ after birth and can continue for several days

25
Newborns of diabetic mothers: | T/F: Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose.
Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose.
26
Newborns of diabetic mothers: Blood glucose levels should be checked _____ during the _____ _____ _____ and then at _____ _____ _____ until stable normal levels are attained.
hourly first 4 hours 4-hour intervals
27
Newborns of diabetic mothers: | Is hyperthyroidism associated with newborns of diabetic mothers?
NO!
28
A minimum of _____ wet diapers per day indicates adequate fluid intake for the infant.
six
29
Stool color turns _____ _____ when lactation is established
golden brown
30
Is eye drainage in newborns normal?
NO! Must be reported to baby's provider
31
T/F: small amounts of uric acid crystals are normal in the first days of life and may be mistaken as blood because of reddish appearance
T
32
What color is transitional stool
thin, brown to green
33
What color is a breastfed stool
yellow gold
34
How often should an infant have stool
6-10 small, loose yellow stools per day, or only one every few days after breastfed is well established (~1 month)
35
Should you use cow's milk on newborns
NO! NOT BEFORE 12 MONTHS! = lactose intolerant and milk allergies are more likely if started before 12 months *Breast milk or formula only!*
36
After circumcision care:
- don't wash off yellow tissue (granulation tissue)! It is evidence of healing - swelling is NOT expected = report!