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exam2

neonatal pt3

QuestionAnswer
these are therepeutic management for a preterm infant with what? be alert for signs of infection, cleanliness and maintenance of skin integrity, wash hands, restrict visitors w/ contagious diseases? infection
in a preterm infant these may all be signs and symptoms of what? inc intracranial pressure, hypoxia, changes in metabolic rate, adverse effects on growth and wound healing? pain
for a preterm infant for what do you do an assessment with vitals, assess response to painful stimuli, assess pharmacological/non-pharmacologic response, PIPP? Hr change, RR change, inc BP, dec o2 sat pain assessment
for what type of preterm infant would the interventions be to wake infant slowly and gently, use containment, keep one hand near mouth, pacifier, sucrose if age approp, pharm opioids pain
what is a baby born after 42 wks gestation happens in 12% of all preg, postmaturity syndrome in 20% of all preg? post term infant
what manifests itself as a dec in placental function, impaired nutritional transport and oxygenation, prone to hypoglycemia and hypoxemia when stresses of labor begin? postmaturity syndrome
what kind of infant is unusally alert, wide eyed, worried look, thin w/ loose skin, little sub q fat, little or no lanugo or vernix caserosa, abundant hair and long nails, skin wrinkled, cracked and peeling? post term baby
these common disorders are of what type of infant? hypoglycemia, meconium aspiration, polycythemia, congenital abnormalities, seixure, cold stress? post term infant
for what type of infant do you focus on prevention of symptomatic treatments, labor is induced for any signs of placental deterioration post term management
for what type of infant do you assess signs of postmaturity syndrome, assess for birth injurys, assess for hypoglycemia? post term infant
for what type of infant will respiratory complications need continuied assessment, test for hypoglycemia at birth and 1hr, early and more freq feedings, temp monitoring and prevention of cold stress, monitor for hyperbilirubinemia, post term interventions
these symptoms indicate what? cleft lip/palate, heart defects, genetic concerns infant w/ special needs
nurses are part of the genetic counseling team, provide counsling, guide woman thru prenatla diagnosis, supporting parents after receiving abnormal prenatal diagno results, help emotionaly after defect, coor dervices, assist family genetic concerns
what disease of the mother in pregnancy leads to neonatal mortality 5xs greater, congenital anormalities 3xs greater, (pregestational, hyperglycemia) heart defects ,neural tube defects, kidney abnormalities, caudal regression syndrome, iugr, asphyxia, SGA diabetes
what manifests itself as an infant whos face is round, body is obese, skin is red, poor muscle tone at rest, tremors when disturbed, hypoglycemia 25-50% (pregestetional) hypoglycemia 15-25% (GDM) diabetic
what manifests in the newborn as jitteriness, tremors, poor muscle tone, sweating, tachypnea, grunting, cyanosis, apnea, diaphoresis, low temp, poor suck, high pitch cry, lethargy, irritability, seizures, coma, asymptomatic sometimes? hypoglycemia
for what type of infant do you try to control the mothers diabetes during pregnancy? c/s if infant is large, care of respiratory problems, observe complications including: macrosomnia, fractured clavicle, hypoglycemia, hypocalcemia, hypomagnesimia, IDM infant diabetes melitus
for what condition do you monitor for polycythemia, hyperbilirubinemia, BG per protical, glucose levels < 40-45 need intervention, feed early, avoid cold stress, polycythemic infants need adequate hydration IDM
major function of the liver is conjugation of bilirubin, NB liver immature during 1rst week of life, what occurs in 50% of term neonates and 85% of preterm neonates, significance based on age and total billi level? jundice
what type of juandice is concidered normal, present after the first 24 hrs in term neonates, visible when serim billirubin levels are 5-7mg/dl, physiologic jaundice
what type of juandice is potential for hyperbilirubinism because of elevated RBC volume with short life span, elevated production of bili, reabsorbed unconjugated bili in intestine due to lack of intestinal bacteria, dec motility in the gut, young liver physiologic juandice
type newborn juandice, various disorders exascerbate physiological processes which lead to hyperbili, differences in time frame and bili levels rise faster, longer, lead to hyperbili, excessive desruction of RBCs, problem in bili cong, TX: PHOTOTHEREPY pathological jaundice
what type of jaundice is bili levels >12mg/kl in 13% by 1 wk of age, most common cause is insufficient intake, begins with 1rst wk of life, dehydration can occur, no food>no stimulation of gut>no stool>bili reabsorbed>inc levels breastfeding juandicee
for what newborn condition do you assess every 8-12 hrs, press infant's tip of nose or sternum and observe as skin blanches for yellow color, visible when serum bili 6-7 mg/dl obtain total serum bili or trascutaneous bili on infants w/ jaundice in 1rst 24 hyperbilirubinemia
what infant diseas common risk factors are prematurity, cephalohematoma, brusing, delayed or poor intake, breasfeeding, cold stress, asphyxia, Rh or ABO, incompatibility, infection, sibling w/ jaundice, male sex, polycythemia, asian, native american, hyperbilirubinism
what infant disorder develops due to underdeveloped and small alveoli, combined with insufficient levels of pulmonary surfactant, 7th leading cause of death/mortality rate of 21.3 in 100,000 live births, results in alveoli surface tension atelectasis? RDS
what infant disorders effects are hypoximia/hypercarbia, pulmonary artery vasoconstriction, compensation of compromised pulmonary perfusion, metabolic acidosis, prolonged periods of acidosis, respiratory acidosis, build up of CO? RDS
what infant disorder can cause patent ductus arteriosus, pneumothorax, bronchopulmonary hypertension, pulmonary edema, hypotension, anemia, oliguria, hypoglycemia, retinopathy of premiturity, seizures, IVH,? RD
what is a gastrointestinal disease that effects neonates, results in inflammation and necrosis of the bowel, 30% will die, 30% will recover from a mild case, 25% will develop bowel obstruction, risk factors: prem, bacteria from feeding tubes,umbilicalcath necrotizing enterocolitis
what may be the case if the baby is apnea, brady, tach, abdominal assessment: distended, bloody stools, tenderness, vomiting, inc in gastric residuals, discoloration of abdomen, visualizes loops in bowels CBC electrolyte imbalance, abnormal x-ray NEC
what is treated by x-ray, lab tests, meds (antibiotics, analgesia, antihypertensives) gastric decompression, IV fluids, surgical intervention, monitor i&o withhold feedings, NPO nec
what has elevated risks for no or inadequate prenatal care, inadequate w8 gain throughout preg, obstetrical complications, mood swings? substance abuse
what substance can cause low birth w8, IGR, small head, clef plate/lip, childhood cancer, lower iq, learning dificulty, attention deff disorder, inc risk for sudden infant death syndrome, inc risk for asthma/ resp infections, inner ear infections tobacco
what substance causes post birth:tremors, altered sleep, high pitch cry, exagerated startle reflex, weed
what substance causes hypertonia, tremors, irritability, high pitched cry, sleep instability, excoriation of skin, excessive sucking narcotics
understand and support differences in caring for newborns and families of different cultures, traditions and behavioral expressions, consider unique responses and needs of parents from different groups, understand and support cultural orientation and beli cultural and spiritual neesd
Created by: malcolmnursing2