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parent/child: ch 23
| Question | Answer |
|---|---|
| Apgar score | Routine rapid assessment of the newborn’s overall status & response to the resuscitation: 1) HR 2) Respiratory 3) Muscle tone 4) Reflex irritability 5) Color; assigned at 1 & 5 minutes after birth; scoring > 7 is good; < 7 = NICU |
| Baseline measurements | Performed & recorded to help assess the future progress & growth patterns of the infant: weight, head circumference, & body length |
| Gestational age | Measured in weeks |
| Appropriate for gestational age (AGA) | Can be presumed to have grown at a normal rate regardless of the length of gestation — preterm, term, or postterm |
| Large for gestational age (LGA) | Can be presumed to have grown at an accelerated rate during intrauterine life |
| Small for gestational age (SGA) | Can be presumed to have grown at a restricted rate during intrauterine life |
| Early-term infants | Associated with higher risk for hypoglycemia, respiratory problems, & greater likelihood of NICU admission |
| Late-preterm infants | Often the same size & weight of term infants; at increased risk for respiratory distress, temperature instability, hypoglycemia, apnea, feeding difficulties, & hyperbilirubinemia |
| Postterm infants | Little vernix caseosa (stained yellow or green), absence of lanugo, abundant scalp hair, & long fingernails; skin is often cracked, parchment-like, & peeling; wasted physical appearance that reflects placental insufficiency; thin, elongated appearance |
| How do we clean a bulb syringe? | With warm soapy water & rinse thoroughly after each use |
| How do we maintain body temperature? | Skin-to-skin, drying & wrapping the infant in warm blankets, or placing them in a preheated warmer or incubator |
| Why do we give eye prophylaxis? | To prevent ophthalmia neonatorum or neonatal conjunctivitis |
| Why do we give vitamin K prophylaxis? | Babies don’t have clotting factors |
| Sign that baby is hypoglycemic | Jittery |
| Where do we usually take baby’s temp? | Axillary |
| Normal weight | 6 - 9 lbs |
| Common birth injuries | Retinal & subconjunctival hemorrhages (result from rupture of capillaries caused by increased pressure during birth), erythema, ecchymosis, petechiae, abrasions, lacerations, or edema (forceps injury or from vacuum, face presentation, or scalpel) |
| Hyperbilirubinemia | Jaundice; measures through screening & lab tests (TSB & TcB level > 12 - 15 is bad); treatment: phototherapy (used to release bilirubin through urine & stool) |
| Hypoglycemia | The lower limit for normal plasma glucose levels during the first 72 hours after birth is often cited as 40 to 45 mg/dL |
| Universal newborn screening | Important public health program aimed at early detection of genetic diseases that result in severe health problems if not treated early |
| Types of screening | Genetic, endocrine, metabolic disorders, hearing, & for critical congenital heart disease |
| Heel stick | A heel warmer should be applied first; blood flow is diminished when extremity is cold |
| Circumcision | Removal of foreskin of the penis, exposing the glans; nerve blocks & anesthetic cream are applied to the area & sucrose & swaddling are used to soothe baby at the time; post: acetaminophen & monitoring of bleeding & urinary output |
| Babies that are breastfeeding | Don’t poop as much as babies that are formula fed |
Created by:
tatianalopez03
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