Test 3 Blueprint (4) Flashcards Preview

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Flashcards in Test 3 Blueprint (4) Deck (17):
1

Immediate nursing care for the baby just circumcised:

- assess for bleeding q15-30 min for first hour, then hourly for next 4-6 hr
- monitor urinary output noting time and amount of first voiding after circumcision

2

What do you teach the mother to care for circumcision?

- observe for bleeding, infection
- keep area clean & change petroleum gauze
- pain, comfort measures both pharm & non-pharm
- no tub bath until healed

3

What nursing responsibilities for baby under bili lights or bili blanket?

- turn frequently (exposes all areas and avoids pressure ulcers)
- minimal clothing, just diaper: cover eyes & genitals
- prevent insensible water losses
- provide stimulation
- monitor temp with skin probe

4

What happens to urine when infant is in phototherapy for jaundice? Why?

Urine becomes darker colored as unconjugated bilirubin is broken down

5

What happens to stool when infant is in phototherapy for jaundice? Why?

Stools become frequent, loose, change color. Unconjugated bilirubin is broken down.

6

What enzyme changes bilirubin from unconjugated to conjugated?

glucornyltransferase

7

What constitutes a dangerous level of bilirubin?

increase by more than 6 mg/dl in a 24 hr period
exceeds 15 mg/dl at any time
could lead to kernicterus if left untreated

8

What is kernicterus?

bilirubin encephalopathy...irreversible

9

Normal blood glucose in the term neonate:

60-70 mg/dl

10

When would the nurse initiate treatment for hypoglycemia?

interventions started after 2 consecutive plasma glucose levels less than 40 mg/dl
(preterm =

11

Necessary calories for term newborn:

110 cal/kg/day

12

Normal stool cycle:

1) meconium
2) transitional stool
3) breast fed/bottle fed

13

Describe meconium...

first excreted; thick, tarry, dark green

14

Describe transitional stool...

brown to green; loose

15

Describe breast fed stool...

seedy, mustard colored; loose & aromatic

16

Describe bottle fed stool...

pale yellow to brown; more firm than breast fed stools

17

S/S that baby is sick...

- lethargy or difficulty waking
- temp above 100 F
- vomiting or green liquid stools
- refusal of two feeding in a row
- depressed fontanels
- dry sticky mucous membranes