week 7 Flashcards
appropriate for gestational age is when the newborn’s weight is
between the 10th and 90th percentile
epstein’s pearls
small yellow-white nodules that appear on the roof of the newborn’s mouth
2 signs the newborn is adapting to extrauterine life
apnea for 10 second periods
obligatory nose breathing
erythema toxicum
pink rash anywhere on the body during the first 3 weeks of life – no treatment
nevus flammeus
capillary angioma commonly found on the face
DOES NOT BLANCH OR DISAPPEAR
Telangiectatic Nevi
flat pink/red marks that EASILY BLANCH on the nose, behind the neck, eyelids & forehead
disappears by 2 years old
Mongolian spots
dark spots of pigmentation on buttocks and back normally found in dark skin
temperature range for a newborn
99.7 to 99.5 degrees farenheit
blood pressure range for a newborn
60/40
respirations for a newborn
30 to 6o bpm
w/ short apnea periods lasting LESS THAN 15 SECONDS
APGAR SCORING
review of systems a 1 min & 5 min of life
scored 0 to 2 pts w 5 categories
0 = absent
1= below normal
2 = normal or better
score of 7 to 10 is expected
A = appearance
P = pulse
G = grimace
A= activity
R = respirations
new ballard score
assess neuromuscular and physical maturity in relation to weeks gestation w 12 categories total (6 each)
highest priority for a newborn following birth
covering the newborns head with a cap to prevent cold stress
order of aspiration
- side of mouth first
- nose
4 methods of heat loss
- conduction = direct contact w cool surface
- convection = cool environmental air
- evaporation
- radiation = closeness to cool surface
erythromycin administration
single 1 to 2 cm ribbon dose from INNER CANTHUS OUTWARD
can be delayed after birth by 1 hour
most IM vaccines for newborns can be administered in
vastus lateralis
Hep B vaccine is administered
3 doses – first at birth, second at 1 month, & third at 6 mo
**within first 12 hrs if parent has it
Umbilical Cord Care
clamp stays on for 24 to 48 hours
clean w plain water
do not submerge into water
falls off in 10 to 14 days
Vitamin K and Hep B vaccines
can not be administered in the same thigh
normal weight loss after birth
loss of 5 to 10% of weight
*regain in 10 to 14 days
a newborn should be breastfed up to
8 to 12x a day
breast milk in room temperature
8 hours
refrigerated breast milk lasts
8 days
frozen vs deep frozen breast milk
frozen = 6 mo
deep frozen = 12 mo
thawing breast milk
in the refrigerator over 24 hours
do not shake —- rotate
formula can be refrigerated for how long
48 hours
birth to 3 month an infant should consume
110 kcal/kg
3 mo to 6 mo an infant should consume
100 kcal / kg
normal amount of stools per day
3 to 4 per day
