assessment Flashcards
(21 cards)
apgar
skin color, pulse, grimace: reflex, irritability; activity:muscle tone, Resp:cry; 1 & 5 min
Ballard scale
assess neuromuscular and physical maturity
Weight length head chest
2500-4000, 45-55cm, 32-36, 30-33
Telengiectatic nevi
flat pinkish red marks that easily blanch
nevus flammeus
capillary angioma below skin dont blanch or disappear
erythema toxicum
rash appears suddenly on nb in 3 wks
uric acid crystals
rust color urine first days of life
abducting hips
no click
Bili
less than 6
less than 8
less than 12
loss of ___ to ____ immediately after birth, regain ___
5-10%, regain 10-14 days after
gain ___ to ___g/week for first ___ months
110-120g/week first 3 months
Fluid intake
100-140 ml/kg/24hr
first 3 months ___kcal/kg/day
110 kcal/kg/day
3-6 months ___kcal/kg/day
100kcal/kg/day
NB should be bottle fed how often
q2-3hrs, (8-12times/24hrs)
EFM
FHR patterns and uterine activity
EFM steps
must be dilated 2-3 cm, place US transducer over abdomen , toco transducer for contractions
Moderate variability
6-25 above baseline
Non reassuring patterns
brady/tachycardia, absence of variability, late decels, variable decels
amniotomy
risk of prolapsed cord, compression or molding of head bc of loss of cushion, increase in pain more difficult to manage
epidural hypotension
prevented w preloading iv bolus, O2, trendlenburg, ephedrine if bp not restored in 1-2 minutes
