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norm n high risk

QuestionAnswer
NIC immediately after delivery dry n stimulate,bulb suction mouth n nose,eye prophylaxis r/t gonorrhea n chlamydiae, vit k IM, bs s/b 40-60
LGA large for gestational age wgt >90th %
SGA small for gestational age wgt <10th %
LBW low birth wgt <2500g
VLBW very low birth wgt <1500g
ELBW extremely low birth wgt <1000g
S&S of low blood sugar via heel stick shakey, tired, diff feeding
when to do blood sugar after delivery 1h, 2h, & then b4 next feed
VS, always get their HR,Temp (100.4),RR, and I/O. What should the systolic and diastolic avg 60-80 sys 80-90 dia
at what point should baby go to breast q 2-3 h w/in 24 h
how many voids and stools w/inv 1st 24h period @ least 1 stool and 1 void
on the 2nd infants day how many voids s/b 2 voids 2 stools 2nd 24hrs
on the 3rd infants day how many voids s/b 3rd day 3voids & 3stools
on day 5 and 6 how many dirty diapers 6-10
For 6 to 8 hours after birth, your newborn will be in his first period of reactivity first 30 minutes after birth, your infant will be very alert #1 first period of reactivity
After your baby's initial stage of alertness, she will enter a second stage of the first reactive period, which generally lasts 2 to 4 hours. Your baby will enter a state of sleep and relative calmness #2- second stage of the first period of reactivity
For the next 2 to 3 days, your baby may sleep almost constantly to recover from the birthing process #3 - quiet-alert state
is a respiratory disorder usually seen shortly after delivery in full- or near-term babies Transient tachypnea;Transient means it is short-lived (usually less than 24 hours). Tachypnea means rapid breathing (most normal newborns take 40 - 60 breaths per minute).
Transient tachypnea is more likely to occur in babies who were: Born before 38 weeks gestation Delivered by C-section Born to a mother with diabetes
Newborns with transient tachypnea have breathing problems soon after birth, usually within 1 - 2 hours. Symptoms include: Bluish skin color (cyanosis) Rapid breathing, which may occur with noises such as grunting Flaring nostrils or movements between the ribs or breastbone known as retractions
is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the doctor how well the baby is doing outside the mother's womb. APGAR if they are AOX3= 2 if no response for HR <100, RR, muscle, reflex, color they get a 0
APGAR Breathing effort: not breathing= 0;slow or irregular= 1; cries= 2.
APGAR Heart rate is evaluated by stethoscope. This is the most important assessment: no heartbeat= 0; hr <100 bmp= 1; or hr >100= 2
APGAR Muscle tone: loose and floppy= 0 ; some muscle tone=1 active motion= 2
APGAR Grimace response or reflex irritability is a term describing response to stimulation such as a mild pinch
APGAR Skin color: pale blue scores 0; pink and the extremities are blue,scores 1 for color. If the entire body is pink, the infant scores 2 for color.
The heat generated from within the body is given-off to the surrounding atmosphere. RADIATION
When you sweat or when your skin or clothing gets wet, the evaporation of that liquid (i.e., the change from liquid to vapour form) promotes heat loss, and the natural result is a cooling effect. EVAPORATION
is the process of air or water flowing by the skin and carrying away body heat. CONVECTION
The body conducts heat to whatever the skin is in direct contact with CONDUCTION
is a common, noncancerous skin condition seen in newborns appearing within 48hrs of birth. Symptoms: The main symptom is a rash of small, yellow-to-white-colored papules surrounded by red skin Erythema toxicum;The rash usually clears within 2 weeks
are flat, blue, or blue-gray skin markings near the buttocks that commonly appear at birth or shortly thereafter.common among those who are of Asian, East Indian, and African descent Mongolian spots;The spots often fade in a few years
Latin for "birthmark", natural blemish or mark, deposit of pigmentation in the skin, mole Nevi
A port-wine stain consisting of superficial and deep dilated capillaries in the skin which produce a reddish to purplish discoloration of the skin,occur most often on the face nevus flammeus
a localized effusion of blood beneath the periosteum of the skull of a newborn, due to disruption of the vessels during birth, does not cross cranial suture lines. If severe the child may develop jaundice cephalhematoma; it feels like a water-filled balloon
triangle shaped fontanel (posterior fontanelle) usually closes by 1 - 2 months old.
Diamond shaped fontanel (anterior fontanelle) usually closes between 7 - 19 months.
is swelling of the scalp in a newborn.brought on by pressure from birth;Soft,puffy part of the scalp;Swelling may or may not have some degree of discoloration or bruising;may extend over the midline of the scalp Caput succedaneum
is a birth (congenital) defect in which the opening of the urethra is on the underside of the penis. Hypospadias
testes drop at ____ weeks 35
Usually appearing as reddish "brick dust" powder in the first few diapers, urine crystals can easily be mistaken for blood in the urine brick urine
a click heard in a test for a congenital dislocated hip. It is noted in infancy when the hip slips into or out of the socket. Also called Ortolani click. Ortolani's sign
Tx for a congenital dislocated hip. The Pavlik Harness is specially designed to position baby’s hips so they are aligned in the joint, and to keep the hip joint secure.
The arm on the side where the head is facing reaches straight away from the body w/the hand partly open. The arm on away from the face is flexed and the fist is clenched tightly. Turning the baby's face in the other direction reverses the position. The TONIC NECK REFLEX
occurs if you place a finger on the infant's open palm. The GRASP REFLEX
occurs when you stroke the baby's cheek. The infant will turn toward the side that was stroked and begin to make sucking motions with the mouth. The ROOTING REFLEX
head is gently lifted with enough support to just begin to remove the body weight,is then released suddenly, allowed to fall backwardbut quickly supported again.The normal response is for the baby to have a startled look Moro reflex
Absence of the Moro reflex in an infant is abnormal. Absence on both sides suggests damage to the brain or spinal cord. (moro absent in kernicterus) Absence on only one side suggests either a broken shoulder bone or injury to the brachial plexus.
reflex occurs when the big toe moves toward the top surface of the foot and the other toes fan out after the sole of the foot has been firmly stroked. Babinski's
is a commonly used technique of gestational age assessment. This scoring allows for the estimation of age in the range of 26 weeks-44 weeks Skin Ear/Eye Lanugo Hair Plantar Surface Breast bud Genitals Ballard Scale
refers to the poor growth of a baby while in the mother's womb during pregnancy. Specifically, it means the developing baby weighs less than 90% of other babies at the same gestational age. Intrauterine growth restriction (IUGR)
norm after the 1st 24h life; A bili level of more than 5 mg/dL manifests clinical _____ in neonates.Most infants develop visible jaundice due to elevation of unconjugated bilirubin concentration during their first week. This common condition is called physiological jaundice (norm)
Tx for physiological jaundice phototherapy
If physiological jaundice goes to belly button, get bili level stat. What are NIC for hyperbili freq feed, monitor stool, bili level per protocal, possible phototherapy
presents in 1st 24h of life, excessive destruction of rbc, maternal-fetal blood incompatibilities pathologic jaundice (abnorm)
is a condition that develops when a pregnant woman has Rh-negative blood and the baby in her womb has Rh-positive blood. Rh incompatibility
is human antibody to the Rh antigen,If any fetal blood cells escape into the maternal circulation, _____ binds to the Rh antigen and makes it “invisible” to the mother’s immune system. special immune globulins called RhoGHAM
Much like with phototherapy the level at which exchange transfusions should occur depends on the health status and age of the newborn. It should however be used for any newborn with a total serum bilirubin of greater than ( 25 mg/dL )
breastfeeding s/b encouraged q 2-3h for @ least 15min/breast
limit breast feed no more than 30 min @ a time
breast feed with a latch score of <6 means problem
acquired d/o typically occur at or soon after birth
congenital d/o present at birth
the fetus is deprived of air while on the birth canal and appears to have died during birth. Stimulation of respiratory movements and artificial respiration may cause respiration to resume neonatal asphyxia
is a respiratory problem seen in the newborn shortly after delivery. It consists of a period of rapid breathing (higher than the normal range of 40-60 times per minute). It is likely due to retained lung fluid Transient tachypnea of the newborn (TTN)
is a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs. Infant respiratory distress syndrome (IRDS),
is abnormal blood vessel development in the retina of the eye in a premature infant. Retinopathy of prematurity (ROP)give lowest O2 to maintain 92%
is a rare neurological condition that occurs in some newborns with severe jaundice. Kernicterus;bili >25 Early stage:Extreme jaundice,Absent startle reflex,Poor feeding or sucking, Extreme sleepiness (lethargy)
the head of the fetus is disproportionately large and will not pass through the pelvis of the dam. Caused usually by hydrocephalus. cephalopelvic disproportion
is a condition in pregnancy characterized by a deficiency of amniotic fluid. Oligohydramnios
withdrawl acronym wake,irritable,hyper, diarrhea,resp,autonomic attacks, wgt loss,alk,lacrination
is a group of problems that occur in a newborn who was exposed to addictive illegal or prescription drugs while in the mother’s womb. Babies of mothers who drink during pregnancy may have a similar condition. Neonatal abstinence syndrome (NAS)
S&S Sepsis; bacterial infection of the bloodstream causing neonatal morbidity resp distress tachy temp instability lethargy feeding intolerance hypotension
C section and fast delivery can put baby @ risk for trans tacypnea <60 GFR blue
<300ml amniotic fluid is olihydramnios
>2L amniotic fluid is hydramnios
this appear first at 12 weeks on the eyebrows and upper lip. By 20 weeks they cover the entire body lanugo
baby is restless, hyptensive, tachy, unstable temp, lethargic, doesnt want to eat. sepsis
Created by: troop27