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Dressler > Dressler Module 5 Neonatal Care > Flashcards

Dressler Module 5 Neonatal Care Flashcards

(117 cards)

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1
Q

Apgar scoring is done in what frequency

A

first minute, then every 5 minutes

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2
Q

In immediate care in delivery room it is important to assess and prevent

A

hypothermia

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3
Q

Average weight for newborn is

A

5.5-10 lbs , 7-8 avg

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4
Q

Nutrition is provided in immediate care orally be giving

A

glucose water hardly any formula

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5
Q

Avg head circumference for newborn

A

13-14 inch avg.

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6
Q

We give bath to newborn to remove (3)

A

secretions, vernix, lanugo

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7
Q

Describe cord care

A

Allow exposed to air

observe for drainage

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8
Q

Cord will fall out on its own in

A

7-10 days

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9
Q

In doing a screening test in immediate care we are checking for _____ and we will do this _________

A

PKU

after first feeding

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10
Q

We administer Vitamin ____ with a ______ because _____

A

Vitamin K with small bore needle, because baby is unable to produce because gi tract is sterile

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11
Q

We administer Erythromycin Ointment in the

A

Lower Conjunctival Sac

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12
Q

Me must discard formula

A

24 hours after opening

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13
Q

Baby should not go more than ___ hours w/o eating this can cause _____

A

4 hours

can cause failure to thrive

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14
Q

Avg length of newborn is

A

18-22 inches

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15
Q

Edema of the scalp cone shape is also known as _____ and will _____

A

Caput Succedaneum

Disappear within a few days

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16
Q

Accumulation of blood between the periosteum and the skull bones is known as ______ and will ________

A

Cephalohematoma

Disappear within a week

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17
Q

Diamond shaped on the head is also called _____ and will _____

A

Anterior Fontanel

close 12-18 months

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18
Q

Triangle shape on head is also called ______ and will ____

A

Posterior Fontanel

close 3 months

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19
Q

Eye color is always

A

Blue when born

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20
Q

Characteristics we look for (eye) (3)

A

Pupil react to light
Tears absent for a few weeks
Ophthalmia Neonatorum

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21
Q

Ears should be

A

symmetrical

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22
Q

Nose should be

A

flat

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23
Q

It is not considered thrush if you could

A

wipe it away

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24
Q

Neck should be

A

short

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25
Chest avg size
31-35cm
26
In the chest the breast tissue should be
swollen
27
The abdomen should be
Round, Protruding
28
Avg wet diapers in 24 hour period should be
6-8
29
It is normal for female genitalia to have (2)
Labia | Blood tinged discharge
30
In males if a circumcision was done we can apply
A&D ointment
31
Undescended testicle is called
Cryptorchidism
32
Urethra on top surface of penis is called
Epispadias
33
Urethra underneath surface of penis
Hypospadias
34
Extremities should be
symmetrical
35
Baby does not see in color until
2-3 months
36
It is important to remove all (Respiratory)
Remove fluid and secretion
37
Regular Resp rate
40-60
38
Respirations are usually (2)
Irregular and shallow
39
Common med given for respiratory distress
Narcan
40
Reg Apical Heart Rate
110-160
41
Norm B/P
60-40
42
Thoracic pressure increases and closes the
openings in the babys heart
43
Anus should be
imperforated
44
First stool is called the
Meconium
45
Meconium should pass within first
24 hours
46
If bottle fed what color should meconium be
yellow green to brown
47
If breast fed Meconium should be
Soft yellow pasty 6 or more/day
48
Baby should void within
8-12 hours
49
Darkened area on buttocks and lumbar region
Mongolian Spots
50
Hands and feet have blueish tint
Acrocyanosis
51
Find downy hair is called
Lanugo
52
White cheesy substance
Vernix Caseosa
53
Tiny white spots or papules
Milia
54
Normal physiological jaundice usually appears on day
2-3
55
Normal Pathological jaundice usually appears within
first 24 hours
56
The higher the bilirubin level, the higher the chance for
brain damage
57
Anything higher than _____ mg/dl is considered high serum bilirubin levels
12'9
58
Highest blood type at risk for jaundice
O-
59
The check legs for equal length and to stretch them we can use the
Ortolanis maneuver
60
If baby has club foot we can use
Denis-Browne Splint
61
Common s&s of Congenital Hip Dysplasia (3)
Limited abduction of leg Skin folds asymmetrical Buttocks higher in affected side
62
Head of femur displaced from acetabulum is called
Congential Hip Dysplasia
63
Tx for Hip dysplasia
Pavlik Harness
64
Surfactant is given in neonatal babies to
help lungs mature
65
Accumulated Phenylalanine causes
damage to brain tissue
66
two most common birth defects are ______ and usually comes from
Cerebral bleeding and Anorexia | Prolapsed Cord
67
Postpartum Care begins ______ after delivery and ends _____ after delivery
4 hours - 6 weeks
68
Postpartum - Elevated temperature will decrease within
24 hours
69
Postpartum - Within one hour P, R, B/P and T should
return to levels PRE LABOR
70
Postpartum - Contractions after birth can last
24-72 hours
71
Postpartum - Contractions and after pains are more common in
Multiparas
72
Return of uterus to non-pregnant state is called
Involution
73
After delivery uterus is about how big
20 week pregnancy
74
The uterus ends app
7 days, 1cm/day
75
Uterus is hastened by (2)
Athletic moms | Nursing moms
76
Putting baby immediately after birth to breast helps with
contractions
77
Internal Os and External Os may remain
slightly open
78
Vaginal Rugae return will happen within
6 weeks
79
Ovulation will return
3-5 weeks
80
Menstruation will return
6-8-12 weeks
81
Menstruation is usually delayed in
Lactating women
82
Lochia goes from (3)
Rubra - Serosa - Alba
83
Soaking through pad in 1-2 hours is called
Profuse
84
Colostrum should be given for
2-3 days
85
Colostrum helps babies
immunity
86
Breast milk benefits (3)
Easily digested Carries natural antibodies Increase lactose / calcium
87
Common staph infection of breast
Mastitis
88
Care of breast (3)
Pat dry Expose to air Good support bra
89
Normal blood volume decreases by
4th week
90
Normal blood loss for vaginal delivery
300-500ml
91
Normal blood loss for C-section
500-1000ml
92
DVT is due to
Increased Fibrinogen level
93
In moms with DVT it is important to check for
+ Homon's sign
94
3 nursing interventions for Embolism
Early ambulation Teds stockings Dont cross legs
95
For regular mom we should decrease calories by about
300
96
Diet for nursing mom
Increase iron/fiber/fluid
97
Diuresis : Postpartum patients can void up to ____ for up to ______
3000ml/24hours | 6 weeks
98
Burning while urinating for first 24 hours is
normal
99
Protein in urine and ketones in urine is normal until
mom goes home
100
Massage uterus when it is
boggy
101
Moms with _____ need intervention for baby safety we are scared she might hurt the baby
Psycosis
102
Postpartum blues could last up to ______ if it lasts more than _____ we call it
3 months - 1 year | if more than 1 year we call it generalized depression
103
5 reportable symptoms
``` Temp change Bright red vaginal lochia Pain in calf Pain in abdomen Dysuria ```
104
We consider hemorrhage blood loss more than
500ml
105
If uterus is not going back 1 finger width per day it is called
Subinvolution
106
S&S of Hemorrhage (3)
Decreased B/P Increased Pulse Lochia Rubra
107
S&S of Uterine Atony (2)
Boggy fundus | Increased bleeding with clots
108
Tx for Atony
Oxytocin | Methergine
109
Tx for Vaginal or Cervical Laceration
D&C
110
Tx for late hemorrhage
D&C
111
S&S of Puerperal Infection (4)
Foul Smelling lochia Pain Tenderness Redness
112
Tx for Puerperal Infection
ABT
113
What is reduced in premature infant that puts it as risk for pulmonary problems
Surfactant
114
A premature infant has a _____________ putting it as risk for malnutrition
Decreased metabolism
115
What can occur if jaundice is not treated
Brain Damage
116
Best way to treat anemia is to give
Iron supplements
117
Best way to treat DVT
TEDS

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