Module 6 (Exam 1) ****3**** Flashcards Preview

Semester Three - Half Two - Nursing 212 > Module 6 (Exam 1) ****3**** > Flashcards

Flashcards in Module 6 (Exam 1) ****3**** Deck (32):
1

Physical elements of Ballard Scoring

  1. Skin
  2. Lanugo
  3. Plantar Surface
  4. Breasts
  5. Ears
  6. Genitalia

2

First period of reactivity

begins at birth and extends up to 2 hours

3

Order of Reactivity

  1. First period of reactivity
  2. Period of sleep
  3. Second period of reactivity

4

Second period of reactivty

  • Variable duration
  • Elevated pulse and respiratory rate
  • Mobilizationof R and gastric secretions
  • priority intervention bulb syringe

5

Quiet Sleep

Deep, relaxed sleep

little response to environmental stimuli

6

Active Sleep

  • Precursor to waking
  • Movement of extemities
  • Rapid eye movement

 

7

Drowsy

transitional period

8

Quiet Alert

  • Optimal time for bonding/feeding
  • Calm, attentive, bright-eyed, responsive
  • Engagement/feeding cue exhibited

 

9

Active Alert

Restless, fussy state

10

Engagement

  • "Stilling"
  • Bright-eyed, attentive gaze
  • Relaxed posture, symmetrical movements

11

Disengagement

  1. Turning away from stimulus
  2. Crying, fretting
  3. Hiccough, yawn

12

Blanch Test for Jaundice

  1. Forehead
  2. Nose
  3. Chin
  4. Sternum
  5. Abdomen
  6. Groin
  7. Thigh

13

Why are infants prone to physiologic jaundice?

  1. Immature liver function
  2. Short fetal RBC lifespan
  3. Poorly established hydration and feeding

14

Onset of physiologic jaundice

After the first 24 hours

15

Total Bilirubin levels for physiological jaundice

greater than or equal to 13-15mgs/dL

16

Total bilirubin peak physiological jaundice

Day3-5 of life

17

What might a two-vessel cord be an indicator of?

  1. Congenital malformation
  2. Renal or chromosomal

18

24-48 Hours Normal Bilirubin

5-7mg/dL

Facial jaundice

19

48-72 Hours Normal Bilirubin

10-12mg/dL

Chest jaundice

20

72hr+ Normal Bilirubin Level

13-15mg/dL *peak level*

jaundice to abdomen

21

Calorie Requirments for normal neonate

110-120kcal/kg/24 hours

OR

50-55 kcal/lb/24 hours

22

Calorie content 1 oz formula

20kcal/30mL

30mL=1oz

23

When should birthweight be regained?

10 days-2 weeks

24

Normal gastric capacity of neonate at birth

30mL

25

Colostrum

Yellow or cream-colored first milk, high in protein and immunoglobulins, appearing prior to onset of true lactation

26

Lactation

Physiologic process of synthesizing breast milk on a supply/demand basis

27

Adequate Breastfeedings in 24 hours

q 1.5-3 hours X 8-12 per day

28

Adequate Formula feedings in 24 hours

q3-4 hours X 6-8 feedings per day

29

Gestational age assessment

Standardized evaluation of the neonate's physical characteristics and/or neurologic development to determine gestational age

30

Appropriate for Gestational Age

Infant weight between the 10th and 90th percentiles for gestational age

31

Small for Gestational Age

Infant weight less than 10th percentile for gestational age

32

Large for gestational age

Infant weight greater than the 90th percentile forgestational age

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