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Women's Health > Neonatal 2 > Flashcards

Neonatal 2 Flashcards

(58 cards)

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1
Q

jaundice on the first day of life and for ______ days indicates pathological process

A

7 days

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2
Q

loss of heat in newborns may result in ___ leading to _______

A

acidosis; cold stress

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3
Q

when do you do APGAR score

A

1 min and 5 min

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4
Q

when would you do APGAR score again

A

at 10 min if the 5 min score was < 7

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5
Q

what does an APGAR score of 0-3 mean

A

severe distress

**resuscitations

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6
Q

what does an APGAR score of 4-6 mean

A

moderate difficulty

*may need blow by O2

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7
Q

what does an APGAR score of 7-10 mean

A

no difficulty

*no measures needed

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8
Q

what are the components of the APGAR score

A

heart rate, respiratory rate, muscle tone, reflex irritability, color

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9
Q

airway interventions

A

suction mouth THEN nose
infant is a obligate nose breather
suction SIDE of mouth (prevent gag)
side laying position

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10
Q

what are the types of gestational age

A

AGA (appropriate)
LGA (large)
SGA (small)

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11
Q

what is a normal BP

A

60-80 over 40-50

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12
Q

what is a normal pulse (apical)

A

120-160 bpm

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13
Q

what is a normal resp

A

30-60/min

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14
Q

what is a normal temp

A

97.7-99.5

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15
Q

describe why and when eye prophylaxis is given

A

can be delayed up to 2 hrs after birth
protection from gonorrhea and chlamydia
either erythomycin or tetracycline are the treatment

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16
Q

what measurements are done in the nursery

A

weight, length
abdomen and chest (should equal the same)
chest (should be 2-3 cm < head)

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17
Q

needs to void within _____

A

24 hrs (6-10x a day)

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18
Q

meconium within ____

A

24-48 hrs (viscous, green, black)

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19
Q

describe why and when vitamin k

A

give within 1 hr of birth
promote hepatic biosynthesis of vitamin K dependent clotting factors
neonates are predisposed to vitamin k deficiency (absence of bacteria which are major source of vitamin k)

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20
Q

what is the name of the vitamin k injection

A

aquamephyton

1 mg IM (vastus lateralis at 90 degree)

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21
Q

what is mili

A

little spots of white on nose

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22
Q

what is epstein pearls

A

white hard balls in upper gums

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23
Q

what is epicanthal fold

A

over inner corner of eye fold

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24
Q

what is epispadias (hypo)

Study These Flashcards
A

urethra below or above meatus

25
what is omphalocele
abdominal organs stick outside belly
26
what is myelomeningocele
backbone and spine dont close
27
what is hypothermia
body temp < 97.7 F
28
what are the signs of cold stress
``` increased activity level crying increased respiratory rate cyanosis mottling of skin ```
29
describe bathing
first bath delayed until body temp is stable 1-2 hrs skin needs to be at least 97.7 core needs to be at least 98.6
30
when should you wear gloves with infant
always until first bath is given
31
when do you remove cord clamp
after 24 hrs
32
describe ABO incompatibility
- mom is blood type O and baby is type A, B, or AB | - O types naturally develop anti A or B antibodies tha cross placental barrier
33
what can ABO incompatibility cause
hemolysis of fetal RBC Coombs is positive less severe hemolysis than Rh incompatibility
34
describe Rh incompatibility
Rh negative mother Rh positive baby Positive Coombs
35
if mom is Rh negative and dad is hetero for...
Rh + so baby will have 50% chance of being Rh +
36
if mom is Rh negative and dad is homo for...
Rh + so baby will have 100% chance of being Rh +
37
what are the potential effects of phototherapy
bronze, rash, decreased activity, green stool
38
phototherapy interventions
protect eyes and genitals turn 2q hours maintain hydration/nutrition monitor temp, urine specific gravity (I and O)
39
what is phototherapy
treatment for newborn jaundice | turns bilirubin into conjugated form so that it can excreted
40
what is the fluid requirement of of a newborn
80-100 ml in 24 hr period
41
should infants drink water
no, decreases caloric consumption
42
how often should an infant feed
every 3-4 hrs
43
what would an allergy to formula look like
colic, rash, D/V
44
describe circumcision and anethesia used
removal of prepuce (foreskin) local anesthesia-Lidocaine wait 5-10 min after anesthesia injection to begin procedure
45
immediate nursing care after birth
maintain patent airway prevent heat loss stabilize infant promote parent infant interactions
46
assessment of neonatal pain scales
neonatal infant pain scale (NIPS) premature infant Pain profile (PIPP) CRIES
47
what is the proper sleep position of a baby
BACK TO SLEEP
48
difficulty maintaining respiratory function adequate to meet O2 demands d/t decreased surfactant
respiratory distress syndrome (RDS)
49
what are the symptoms of RDS
cyanosis, tachypnea, bradypnea, dyspnea, decreased temp | **nasal flaring, grunting, retractions
50
what may you need if RDS
surfactant
51
describe how to determine if small infant or IGR or low maturity
determined by Ballard or Dubouitz score <10th % for gestational age Ballard score: 5 is mature on a -1 to 5 score
52
what are predisposing factors for IGR
smoking, alcohol, preeclampsia, malnutrition
53
if baby does not poop within 24 hrs then they are at risk for what
cystic fibrosis
54
what are the s/s of infections in infants
lethargy, poor feeding, increased respiration rate, increased WBC, wt loss, tremors, restlessness, D/V, abdominal distension
55
what are s/s of neonatal abstinence syndrome
hyperactivity, shrill cry, tremors, seizures, tachypnea, poor feedings, sweating, mottling, nasal congestion
56
perforation of acute abdomen
necrotizing enterocolitis (NEC)
57
s/s of necrotizing enterocolitis
abdominal distention, pallor, poor feeding, gastric residual, increase apnea
58
what is important to remember about necrotizing enterocolitis
infectious disease: WASH HANDS

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