Newborn Flashcards

Question

More prone to Hypothermia... (3)

Answer 1

Calorie intake restricted Infection Stressors Cold Stress

Answer 2

Hypothermia Hypoglycemia Polycythemia -- increased erythrocyte count Pain

Answer 3

Hypothermia = axillary temperature below 97.7° F ``` Prematurity SGA Hypoglycemia Prolonged resuscitation Sepsis Neurological, endocrine, or cardiorespiratory anomalies ```

Answer 4

``` Cool skin Lethargy Pallor Tachypnea Hypoglycemia Jitteriness Hypotonia Irritability Weak suck ```

Answer 5

In newborns, every stress leads to hypoglycemia and hypothermia and then results in respiratory distress

Answer 6

Physiologic jaundice onset 2 to 3 days after birth; transient normal hemolysis of RBCs bruising increases hyperbilirubinemia Pathologic jaundice present at birth or within 24 hours Rh hemolytic, ABO incompatibility Breastfeeding “jaundice” (dehydration) onset 2 to 4 days Breast milk jaundice onset 7-10 days; peaks at 2 wks – 3 wks

Answer 7

Unconjugated bilirubin (fat soluble) formed by the normal breakdown of RBCs is unready for excretion. Conjugated bilirubin (water soluble) has been converted in the liver and is ready for excretion in stool and urine. 50% (term) -> jaundice ≈ 5% elevated enough -> tx

Answer 8

Visual assessment is subjective and unreliable Assessment all babies should be assessed with transcutaneous bilimeter If transcutaneous bili is too high (based on hospital policy) a total serum bilirubin should be drawn prevent Kernicterus If transcutaneous bilimeter is not available, jaundice is assessed during blanching on mid-forehead Phototherapy bili lamps, bili blanket

Answer 9

``` Rh Antibodies (mom negative, dad positive, positive baby) ABO incompatibility (type O mom, type A, B, or AB baby) ``` At risk for development of Etythroblastosis fetalis all red blood cells are destroyed Hydrops fetalis multi-system failure -- anemia that causes HF and edema -- babies anemic from destruction of RBCs

Answer 10

Breastfeeding “jaundice” (dehydration) Onset 2 to 4 days May need to supplement with formula Onset 7 days Peaks at 10-14 days Reduced production of diphosphoglucuronic acid (UDPGA) glucuronyl transferase inhibits conjugation of bilirubin Substances in breastmilk may increase absorption of bilirubin from intestine and interfere with conjugation

Answer 11

``` Behavioral Irritability Jitteriness, tremors Increased muscle tone Restlessness Exaggerated, startle reflex Prolonged high-pitched cry Difficult to console ``` ``` Feeding Excessive suck Uncoordinated suck and swallow Frequent regurgitation or vomiting Diarrhea ``` Respiratory Nasal stuffiness, sneezing Tachypnea Apnea ``` Other signs Poor sleeping patterns Yawning Seizures Diaphoresis ``` Narcan? NO -- can result in seizure of baby

Answer 12

opiates – 48-72 hours cocaine – 2-3 days alcohol – within 3-12 hours Obtain meconium and urine for drug screen Feeding – more difficult may need to gavage Rest – keep stimulation to minimum, reduce noise and lights, calm, slow approach Promote bonding Teach measures for frantic crying: rock, coo, dark room, avoid stimulation Finnigan score to wean off medication High risk for if mom is using SGA Preterm

Answer 13

What influences the parents’ decision to have their newborn circumcised? ``` “Pending circumcision” Surgical procedure - consent Pre-op Stable VS NPO Pain management Post-op complications Exudate with no scab; purulent drainage = HCP Teaching ```

Answer 14

What needs to be done? ``` Car Seat Challenge Hearing Screening LATCH Newborn Screening (ex. PKU) Pulse Oximetry Transcutaneous Bilimeter Vaccination: Hepatitis B ```

Answer 15

``` Newborn care Dressing/Clothing Diapering, Circumcision care Bathing Feeding and diet Solid foods Bottle feeding Safety Back to Sleep Vaccinations Car seat ``` ``` Normal growth & development Safety Normal appearance and activity Signs and management of illness Prevention Temperature Treatments ```

Answer 16

“Crib Death” Sudden Unexpected Infant Death (SUID) Unexplained death of infant >1 month

Answer 17

``` Maternal smoking during pregnancy Use of soft bedding Sleeping prone Sibling w/SIDS Infections Prematurity Low birth weight ``` Back to sleep prone to play

Answer 18

Role model | Plagiocephaly

Answer 19

``` Immunizations Anticipatory Guidance Assessment of Growth Assessment of Developmental Milestones achieved SAFETY ```

Answer 20

Chronic disease HIV positive Active Tb, leprocy Herpes lesions on breasts Meds Chemo, nuclear dx testing, lithium, prozac, celexa, drugs Contraindication Newborn with PKU Talk to moms -- need to keep their weight up; not the time to lose weight

Answer 21

``` Increased oxygen need Decreased surfactant production Respiratory distress Hypoglycemia Metabolic acidosis Jaundice ```

Answer 22

Bilirubin crosses into brain and stains brain tissue No tests to verify Causes CP and inability to form emotional attachments

Answer 23

Area of localized edema that appears over vertex or head as a result of pressure against moms cervix -- crosses sutures

Answer 24

Bleeding between periosteum and skull as the result of pressure during birth -- clear edges at end of suture lines

Answer 25

Thick, white and covers body

Answer 26

Tiny white bumps that commonly appear on a baby's face.

Answer 27

fine, soft hair, especially that which covers the body and limbs of a human fetus or newborn.

Newborn Flashcards

(51 cards)