4.2.3 Care of the Newborn I Flashcards Preview

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Flashcards in 4.2.3 Care of the Newborn I Deck (33)
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1
Q

What is used to assess gestational age?

A

Ballard assessment

2
Q

SGA and LGA risks on physical exam?

A
3
Q

Considerations in history for care of newborn during transition period

A
4
Q

What is the APGAR Scoring System chart?

A
5
Q

How does baby know it is born?

A

Extra blood in circulation -> catecholamines released

6
Q

Describe the initial urine?

A

Cloudy scant amounts with uric acid cystals (brick dust in diaper)

7
Q

What is the organ of heat generation?

A

Brown fat (tons of Mito)

8
Q

What measurements are taken at birth?

A

Weight, length, head circumference

9
Q

What are the different changes during transition?

A
10
Q

How do you distinguish tremors from seizures?

A

Tremors will stop when the limb is grabbed, but seizures will continue to shake. Tremors are normal

11
Q

What happens to the mass to surface area ratio?

A

Decreases

12
Q

What helps eliminate fluid from lungs?

A

Catecholamines

13
Q

What are some causes of LGA (large for gestational age)?

A

Maternal diabeetus, maternal obesity

14
Q

What occurs to glucose metabolism before and after birth?

A
15
Q

What is transition?

A

Process of physiologic change in the newborn infant that begins in utero as the child prepares for transition from intrauterine placental support to extrauterine self-maintenance

16
Q

What are the three fetal shunts?

A

Ductus venosus, foramen ovale, ductus ateriosus (all must close for normal circulation

17
Q

Changes necessary for breathing in newborn?

A
18
Q

What is determined by the APGAR score?

A

Need for resuscitation

19
Q

What are some respiratory problems which exacerbate transition?

A
20
Q

What are routine meds for newborns?

A

Erythromycin eye ointment (gonorrhea and chlamydia)

Aquamephyton (vit K)

First Hep B vaccine

HBIG if mother is Hep B surface Ag positive (95% effective w/ vaccine)

21
Q

What three heat regulatory measures?

A

Generation, conservation, loss

22
Q

What are the five area graded in APGAR?

A

Acitivity, pulse (taken by grabbing umbilicus), grimace, appearance, respiration

23
Q

What is used to assess the newborn?

A

APGAR Score

24
Q

What are some of the different mechanisms of heat loss?

A

Conduction, convection, radiation, and evaporation

25
Q

When do the shunts typically close?

A
26
Q

What are some of the newborn reflexes?

A
27
Q

What some symptoms of improper glucose transition?

A
28
Q

Should a mom breastfeed if sick?

A

Yes, she is passing along enough Ig to keep them healthy

29
Q

What is transient tachypnea of the newborn? When is it most often seen?

A

After C-section

30
Q

What is the initial glucose level in newborns?

A

40-45 normal

31
Q

Symptoms of breathing problems?

A

Tachypnea, grunting, flaring, retractions, cyanosis

32
Q

When is an APGAR score taken?

A

1, 2, 5, and 10 minutes after birth

33
Q

What are some causes of SGA (small for gestational age)?

A

Fetal factors: genetic, infection, metabolic disorders

Maternal factors: smoking and drug use

Placental factors: insufficiency from HTN, drugs

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