Week 05 Flashcards
Newborn Care
newborn care equipment and supplies
- cord clamp
- bulb syringe
- infant warmer with timer
- warmed blankets and infant hat
- medications
- syringes and needles
- ID bracelets
- infant scale
- tape measure
- thermometer
- infant BP cuff
- pulse oximeter
- stethoscope
- O2 source
- suction
immediate newborn assessment
airway, breathing, circulation, thermorgluation
circulation
- can immediately assess FHR by palpating at the base of the cord
- trunk and lips should be pink
thermoregulation
- convection: dry infant
- radiation: window and walls
- conduction: surface
- evaporation: dry infant
APGAR
- appearance (color)
- pulse (HR)
- grimace (reflex irritability)
- activity (muscle tone)
- respiratory effort
APGAR score: appearance- blue or pale
0
APGAR score: appearance- body pink, hands/feet blue
1
APGAR score: appearance- completely pink
2
APGAR score: pulse- absent
0
APGAR score: pulse- <100 BPM
1
APGAR score: pulse- >100 BPM
2
APGAR score: grimace- no responce to stimulation
0
APGAR score: grimace- no change in crying with stimulation
1
APGAR score: grimace- good cry and active movement with stimulation
2
APGAR score: activity- flaccid
0
APGAR score: activity- some flexion of extremities
1
APGAR score: activity- well flexed
2
APGAR score: respiratory effort- absent
0
APGAR score: respiratory- slow, weak cry
1
APGAR score: respiratory- good cry
2
newborn RR
30-60
newborn HR
110-160
newborn temp
97.7-99.4
newborn vital signs
RR, HR, temp, weight, head/chest/abdominal circumference
ID bracelets
- 4: 1 mother, 1 support person, 2 infant
- placed before leaving the delivery room
security alarm is checked..
every shift
slick sheet
infants feet prints and mothers finger prints placed on sheet
erythromycin
- conjunctivitis in infants causes blindness
- apply in the first hour after delivery
- dry eyes, apply from inner canthus to outer
vitamin K
- 0.5 mg IM injection within 1 hour after delivery
- infants do not produce enough
- inadequate supply in breast milk
hep B vaccine
- can be refused before discharge
- mother with hep B, infant has to receive shot
amount of wet diapers and BM per day
- 6-8 wet diapers
- 3 BMs
breastfeeding contrainsications
HIV, chemo (methotrexate), litium, TB, herpes on breast, varicella, hep B and C, drug abuse, exposure (isotopes), infants with galactosemia
bathing a newborn considerations
- check temp before and after bath
- wait until 12 hours old
- hospital policy determines location
- cold stress
additional newborn care
- blood glucose monitoring
- temperature
- swaddled
- circumcision
- CCHD
- phenol ketone urea (PKU)
car seat safety considerations
- car seat test
- positive asphyxiation
- over the bone
- pinch test
- rear facing for 2+ years
ABCs of sleep
- alone
- back
- crib
- danger
how long do you have to administer vitamin K and erythromycin after birth
1 hour
after birth listen to _ & _ for how long
lungs and apical heart rate for 1 minute
where is vitamin K administered
half-way point between side of thigh and top of thigh
when APGAR is less than score of 5 check again when
now and 5 mins
at what HR is O2 given
160
at what HR is CPR started
60
