Care of the Newborn Flashcards
(15 cards)
Appropriateness for gestational age
•Small for GA – weight <____th centile for age •Large for GA – weight >____th centile for age
10
90
3 main causes of newborn death are ????
prematurity, asphyxia and sepsis
Transition at Birth
___________ and ___________ constrict after cord is clamped
___________ constricts with the establishment of respiratory function.
___________ closes functionally as respirations are established, but anatomic or permanent closure may take several ___________.
Umbilcal vein ; ductus venosus
Ductus arteriosus
Foramen ovale; months.
Transition at Birth
Heart rate ____-____beats per min
Respiratory rate ____-___ cycles per min
BP ____/____ mmHg
120-160
40-60
73/55
Establish and maintain the airway
The optimal position for the baby is with the head neither markedly flexed against the chest, nor extended with the chin up in the air. Instead, the head should be in a “_________” attitude, looking ___________.
military
straight up
The single most important thing in neonatal resuscitation is __________________ !!!
VENTILATION OF THE LUNGS
Breathing
GOLDEN MINUTE
Every baby must be breathing by _______ of life either spontaneously or being assisted by the health care provider by bag and mask
1 min
Circulation
Cord pulsation or heart rate >100b/min
HR <100b/min – ventilate, give oxygen
If less than _______ – add chest compression to ventilation (_____ compressions to ______ breath)
60
3; one
Acrocyanosis – bluish discolouration or cyanosis of the _______ is normal for a newborn during the first __________.
Disappears over the __________.
It is due to relatively __________ circulation of blood through the peripheral structures.
extremeties
few hours; next day
sluggish
Mongolian spots- ________ large areas on the ________ and ________ (disappears over ________ yr)
bluish
back ; buttocks
1st yr
Mongolian spots- ________ large areas on the ________ and ________ (disappears over ________ yr)
bluish
back ; buttocks
1st yr
Umbilical Cord and Eye Care
Delay cord clamping for __________ (Any exceptions?)
Clamp the cord with a __________ to prevent bleeding.
Keep the __________ clean
Apply ____________________ should be applied daily. (Essential newborn care guideline)
___________________ eye ointment to both eyes at birth.
1-3 minutes
cord clamp ; cord stump
4% chlorhexidine gel
0.5% erythromycin
Vitamin K
During the first few hours following delivery, a _______ dose of Vitamin K (___mg for term and ___mg for preterm babies) is given ________________ can help prevent hemorrhagic disease.
single ; 1mg
0.5mg
intramuscularly
Infant unable to concentrate urine for the 1st _________
3months
Meconium is usually passed within _________ after birth.
12- 24 hours
