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Nursing 113 > Wellborn test > Flashcards

Wellborn test Flashcards

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0
Q

Fetal HR concern

A

<60 perform CPR or nr

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1
Q

Apgar hr

A 
<100 = 1
>100 = 2
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2
Q

Erythromycin

A

Gohnorrea and chlamydia

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3
Q

Hep B

A

1st of 3

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4
Q

Vit K

A

Clotting pathway not established

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5
Q

Weight

A

6.5-10lb
Lose weight initially but gain back in 7-14 days
Gain 2lbs/month for 6 months
80% between 5.5-8 lbs 13

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6
Q

Small gestational age

A

10%

Poor fat, brain growth, development

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7
Q

Sga risk factors

A

Adolescent, IUGR

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8
Q

Iugr causes

A

Nutrition, tobacco,alcohol, drugs

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9
Q

Lga

A

90% up
Macro
Excessive body fat

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10
Q

Sga risks

A

Gestational diabetes, maternal obesity

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11
Q

Newborn VS

A

T, p, r

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12
Q

Vs only for sga, lga, nicu

A

Bp and GLU

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13
Q

Newborn temp

A

Check axillary

97.6-99.2

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14
Q

Cold stress cycle

A 
Get cold
Kick and cry to increase metabolism
Increase RR
Decrease GLU
Increased acid
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15
Q

Oxygenation

A

Cord care
First breath
Decreased pulmonary artery pressure
Ducts close

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16
Q

Oxygenation

A

RR of 30-60

Breathing gets easier with alveoli expansion

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17
Q

Breath sounds differences

A

More crackles in c section

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18
Q

Respiratory distress locations

A 
Chest- see saw
Intercostal- visible 
Xiphoid- marked
Nares- flared
Grunt- audible
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19
Q

Impaired oxygenation

A

Perfusion, metabolism, temp, elimination, pH

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20
Q

Infant urine output

A

2mL/kg/hr

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21
Q

GI characteristics

A

2-3 ounces

Immature gastroesophogeal sphincter

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22
Q

Stool

A

Meconium
BF- yellow
Formula- green/brown

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23
Q

Diapers per day

A

Minimum of 6-8

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24
Q

Reflexes

A

Root, suck, grasp, Moro, babinski

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25
Q

Cyanosis

A

From feeding, cold, resp problems

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26
Q

Mongolian spots

A

Increased skin pigmentation

Disappear by school age

27
Q

Hemangiomas

A

Bruise like patches.
Strawberry superficial
Bluer is deeper
Steroids to treat if growth can cause damage

28
Q

Port wine

A

Do not disappear but may lighten. Does not blanch

29
Q

Strawberry hemangioma

A

Disappear usually at 5-7. Almost always by 10

30
Q

Cavernous hemangioma

A

Doesn’t go away

31
Q

Cephalehematoma

A

Fluid/blood contained on one fontanelle

32
Q

Caput

A

Goes across midline. Not localized

33
Q

Female genitalia assessment

A

Symmetry, discharge, pseudo-discharge, skin tag

34
Q

Male genitalia assessment

A

Slide that

35
Q

Risks for hypermobile femur/hip movement

A

Girls because of relaxin
Breech
First born
Never perform Ortalani hip click

36
Q

Labs run

A

Bilirubin

PKU

37
Q

Security

A

Hugs, name tags, bassinet,

38
Q

SIDS strategy

A

Pacifier, fan, breastfeeding, staying cool, avoiding smoke, empty crib

39
Q

SIDS risk

A

Vlbw, preterm, adolescent, substance abuse, being sick, pulmonary edema, males, smoke,

40
Q

SIDS tissue abnormalities

A

Brain stem, heart, lung alveoli, breathing pattern, neurotransmitter

41
Q

Hunger signs

A

Restlessness, rooting reflex, restlessness, hands in mouth, crying is last sign

42
Q

Measuring baby intake

A

Urine output, meeting milestones, continuous growth, turgor, act satisfied, loses no more than 10% of BW and regains in 10-14 days

43
Q

Why babies feed constantly

A

High metabolic rate, fluid loss, not efficient eaters and metabolizers

44
Q

Feeding needs

A

120 calories/kg/day

150-200mL/kg/day

45
Q

Formula and breast milk have:

A

Fat, protein, carbs, Vit, minerals

46
Q

Breast milk baby advantages

A 
Enzymes for carbs and fat
Continual Antibodies
Changes with gestational and baby age
Easier to digest and more efficient
Better electrolyte regulation
Much better for premies
47
Q

Breast milk advantages for mother:

A 
Helps involution
Helps bond
Cheaper
Empowering
Reduces cancer, postpartum, osteoporosis, and diabetes
Weight loss
48
Q

Breastfeeding contraindications

A 
Tb
STILL
Chemo/radiation
Drugs and some medicines
Metabolism problems
49
Q

Colostrum

A 
0-4 days
Thin
High antibodies
Helps line gi tract
Laxative to clean out
Total nutrition
50
Q

Foremilk

A

Beginning of feeding
Always available
High carbs
More abundant after letdown

51
Q

Hind milk

A

Thicker
High fat
Available after foremilk consumed

52
Q

LATCH

A 
10 score:
Latch
Audible swallowing
Type of nipple
Comfort
Hold
53
Q

Breastfeeding problems:

A

Leaking
Sore nipples
Flat/inverted nipples
Clogged duct

54
Q

Mastitis

A 
After a week
Localized lump
Fever
Redness
Antibiotic treatment
55
Q

Engoregement

A

First few days
Painful full breasts
Firm
Natural

56
Q

Engorgement treatment

A

Hot shower
Milk expression
Cabbage leaves
Frequent feedings

57
Q

Bottle teaching:

A

Careful microwave use or don’t use for breastfeeding

Breast milk good for 3-6 hours if fresh. 2-3 hours if stored

58
Q

Bottle nevers

A

Never prop the bottle
Cut larger holes
Add cereal
Microwave breastmilk

59
Q

Head assessment

A

Overlap and molding Occurs during birth but evens out

Anterior fontanel occurs by 18 months

60
Q

Fat

A

Neuro, eyes, brain, behavior

61
Q

Carbs

A

Energy, vitamins,

62
Q

Protein

A

Bone and muscle

63
Q

Vitamins needed

A

Don’t really need much except maybe Vit d

64
Q

Minerals

A

Trace found in both

65
Q

Breast milk decreases (good things)

A

SIDS, type ii, GI problems, obesity, cardiac problems, skin reactions

66
Q

Breast feeding good increases

A

Iq, vision, bonding with mother

Nursing 113 (10 decks)

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