Newborns and Infants Flashcards
(88 cards)
What is the age range of a newborn?
Up to 28 days
What is the age range of an infant?
28 days to 12 months
During an assessment of newborns and infants, what percentage is subjective information?
80%
During an assessment of newborns and infants, what percentage is objective information?
20%
How often should preventative care wellness visits be?
For milestones (9 months)
When getting a health history of an infant, what do we need to know that would not necessarily apply to the health history of an adult?
Mother’s number of pregnancies, neonatal diseases of mom, medications taken by mom, alcohol and drug use of mom, etc.
What should happen within the first hour of birth?
Breastfeeding
Skin to Skin
Weight, length, and head circumference
Eye prophylaxis
Vitamin K
Pulse ox
Hep B
Newborn metabolic screening
Newborn hearing screening (first few days)
What does APGAR measure?
How to baby is transiting from the uterus to the world (adapting)
What does APGAR stand for?
Appearance
Pulse (HR)
Grimace (reflex irritability)
Activity (muscle tone)
Respirations
Is an APGAR of 8 good or bad?
Good
What APGAR score is concerning
7 or less
What timeframe is early preterm?
less than 32 weeks
What timeframe is preterm?
32 to 37 weeks
What timeframe is late preterm?
34 to 37 weeks
What timeframe is term?
37 to 41 weeks
What timeframe is post term?
After completion of week 42
What is there an increased risk of complications post term?
Placenta becomes less effective. Begins to age and does not perfuse well enough.
How do you determine disposition?
Are they consolable? crying? calm? sleepy?
What might be happening if the newborn/infant appears cyanotic during feeding?
Possibly heart issues
What is SIDS (sudden infant death syndrome)
Unexplained death, usually during sleep. Baby appears to be healthy. Less than 1 years old
What increases risk for SIDS
Put baby to sleep on side or stomach, smoking near baby, low birth rate/pre mature, overheating, baby sleeping on soft surface/comforter, family hx, maternal use of drugs/alcohol, male, nonwhite
What is included in breastfeeding assessment
Latch and milk transfer
Suck and swallow coordination
Maternal milk supply
weight gain and output
What is included in formula feeding
Tolerance of formula (GI upset)
Milk flow through nipple
Weight gain and output
At what point in gestation does the suck and swallow reflex develop?
34 to 35 weeks