CH 24 Nursing Care Of Newborns Flashcards Preview

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Flashcards in CH 24 Nursing Care Of Newborns Deck (24)
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1

What is PKU

A defect in protein metabolism in which the accumulation of the amino acid phenylalanine can result in mental retardation. Tx in the 1st 2 months can prevent retardation

2

What is considered bradypnea in a newborn

Respiration so less than 25

3

How often should newborn vital signs be checked

On admission/ birth
Q30 min
Q 1 hr x2
Then q8 hr

4

What is phenylketonuria

PKU is a defect in protein metabolism in which the accumulation of the amino acid phenylalanine can result in mental retardation. Tx in the first 2 months of life can prevent retardation

5

What is considered bradypnea in babies

RR under 25

6

What is considered tachynea in infants

RE above 60

7

What are signs of abnormal breathe sounds in babies

Exploratory grunting
Crackles
Wheezes

8

What are signs of respiratory distress in babies

Nasal flaring
Retractions
Labored breathing

9

Which type of delivery is more prone to fluid remaining on the lungs

C section births

10

How Can a nurse monitor for hypothermia in a newborn

Auxiliary temp of less than 36.5 ( 97.7)
Cyanosis
Increased RR rate

11

Conduction

Loss of body heat resulting from indirect contact with cooler surfaces

12

Convection

Flow of heat from the body surface to cooler environmental air

13

Evaporation

Loss of heat as surface liquid is converted to vapor

14

Radiation

Loss of heat from the body surface to a cooler solid surface that is close to but not In direct contact.

15

How often should a newborn void within 24 hours of birth

Once

16

How often should a newborn void after 4 days of life

6-10 times a day

17

When should me coming be passed

Within the first 24 hours of life

18

What is ophthalmia neonatorum caused by

Gonorrhea or chlamydia

19

What are Meds used to treAt gonorrhea or chlamydia In a newborn

Forms of erythromycin and tetracycline

20

What is vitamin K ( aquamephyton)

It is administered to prevent hemmoragic disorders
Vitamin K is not produced in the the GI TRACT of the newborn until around day 8. It is produced in the colon by bacteria that forms once breast milk or formula is introduced into the gut of the newborn

21

How much vitamin k should be administered to the newborn

0.5- 1 mg IM into the vastus lateralis,where muscle development is adequate within 1 hr of birth

22

For newborns born to healthy woman what is the recommended dose of hepatitis b immunization

At birth
1 month
2 months
And 12 months

23

For a woman affected with hepatitis b, when is the vaccine given

Within 12 hours of birth
1 month
2 months
12 months

24

If a newborn is not dried properly after delivery, what mechanism causes the newborn to loose heat

Evaporation