Care / Assessment of Newborn (1) Flashcards
(42 cards)
when are apgar scores given
1 minute and 5 minutes of life
what is tested in APGAR
HR, resp effort, muscle tone, reflex irritability, color
how do you measure baby length
heel to crown
head circumference is usually ____ larger than chest circumference
2 cm
what is the average baby weight at birth
7lb 8oz
what determines a baby as average for gestational age?
weight, length, head circumference
what is the percentile for small for gestational age?
smaller than the 10%
what is the percentile for large for gestational age?
larger than the 90%
what are the 2 meds given right after birth?
“eyes and thighs”
erythromycin eye ointment and vitamin k shot
why is erythromycin eye ointment given and describe how its given
given for gonorrhea and chlamydia (legal)
-administer on lower conjunctival surface
why is vitamin k given and describe the injection
- since the gut is sterile, it is not producing enough vitamin k
- injected into the vastus lateralis muscle
what does the babys skin look like after birth?
can have acrocyanosis, which is normal for a couple hours after birth
could be pale, pink, or jaundiced
what is erythema toxicum?
newborn rash (common)
what is milia
little bump things, goes away, dont pick
what are mongolian spots?
look like bruises, not bruises
what shape is the anterior fontanel
diamond shape
what shape is the posterior fontanel
triangle shaped
which fontanel is bigger, anterior or posterior?
- anterior
when does the anterior fontanel close?
18 mo.
when does the posterior fontanel close?
8-12 weeks
what does the nurse assess on fontanelles?
soft and level
what can a bulging fontanel mean?
increased ICP
what can a sunken fontanel mean?
dehydration
what is an asymetrical appearance of the head called?
molding
