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PEDS
CHAPTER 7-PHYSIOLOGIC ADAPTATION AND ASSESSMENT
| Question | Answer |
|---|---|
| WHAT IS THE INITIATION OF BREATHING IN NEWBORN? | Chemical factors stimulate breathing Hypoxemia Hypercarbia Low pH Thermal stimuli Newborn leaves warm environment to relatively cooler atmosphere. Sensory impulses to skin are transmitted to respiratory center in the medulla. |
| AT WHAT AGE DOES SURFACANT PRESENT? | AT 40 WEEKS. IF NOT, WE HAVE TO MANUALLY OPEN IT UP |
| NEWBORN MANAGEMENT INCLUDE: | tactile stimulation by drying the wet skin of the newly delivered infant. Remove wet linens immediately after drying the newborn. Do rub or flick the soles of the newborn’s feet if additional stimulation is required. |
| WHAT ADAPTATION OCCURS AFTER BIRTH? | REMOVAL OF PLACENTA PRESSURE DECREASE TO INCREASE LUNGS TAKE IN AIR INCREASE TO DECRESE PRESSURE |
| THE NEWBORN CIRCULATION INCLUDE: | Circulatory changes allow blood to flowThrough lungs Pressure changes in heart, lungs, and vessels |
| Functional closure of fetal shunts INCLUDE: | FOVOMEN OVALE CLOSE FEW MINUTES AFTER BIRTH Foramen ovale Ductus arteriosus-CLOSE WITHIN FEW HOURS OF LIFE Ductus venosus-CLOSE WITHIN DAYS CLAMPING THE UNBILICAL:WITHIN DAYS |
| WHAT HAPPEN IF DUCTUS DOESNT CLOSE: | MUMUR, TAKE BLOOD AWAY FROM PULMONRY CIRCULATION, DELAYS CLOSURE OF FORAMEN OVALE AND DUCTUS ARTERIOSUS |
| BABY CANT BE COLD AT BIRTH BECAUSE OF | METABLOLIC ACIDOSIS, GLYCOLYSIS , |
| BABY ARE PRONE TO? | DEHYDRATION, ACIDOSIS AND FLUID OVERLOAD |
| WHAT IS BABY FIRST STOOL CALL? | MECONIUM 24-48 HOURS/ DOESNT SMELL TRANSITIONAL STOOL:IN 3 DAYS MILK STOOL:IN 4 DAYS OF BIRTH |
| HOW OFTEN IS BABY SUPPOSED TO VOID | 10-20 TIMES BLADDER CAN HOLD 15-30 ML |
| WHAT ARE THEY SUSCEPTIBLE TO UV LIGHT? | DOESNT HAVE ALOT OF MELANIN |
| IS IT GOOD TO KEEP FEDING BABY? | YES, MOM WILL PASS IMMUNITY TO BADY |
| APAGAR | USE TO DETERMINE HOW THEY ADJUSTING TO NEW ENVIRONMENT |
| THE FIRST 30 MINUTES, BABIE SARE: | ALERT AND ACTIVE SKIN-TO-SKIN GLUCOSE, WARM, BOND 2-4 SLEEPY |
| BALLARD SCALE | PG 202 DETERMINE GESTATION MATURITY AT 20-44 WEEKS |
| Gestational age reflects fetal maturity | AGA: growth between 10th and 90th percentiles |
| AT BIRTH, DO: | EYE PROPHYLASIS VITAMIN K(IMMATURE LIVER) VACCINES-B PKU-BREAKDOWN OF AMINO ACID-IF NOT, IT COULD LEAD TO MENTAL RETARDATION (METABOLIC NEWBORN SCREENING) |
| NEWBORN CARE | CORD CARE:DRY WITH ALCOHOL, RETURN TO OFFICE IF ERYTHEMA OR FUL SMELL CIRCUMCISION |
Created by:
Seka_nurse
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