Flashcards in Test 3 Blueprint (4) Deck (17):
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
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
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
What happens to urine when infant is in phototherapy for jaundice? Why?
Urine becomes darker colored as unconjugated bilirubin is broken down
What happens to stool when infant is in phototherapy for jaundice? Why?
Stools become frequent, loose, change color. Unconjugated bilirubin is broken down.
What enzyme changes bilirubin from unconjugated to conjugated?
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
What is kernicterus?
Normal blood glucose in the term neonate:
When would the nurse initiate treatment for hypoglycemia?
interventions started after 2 consecutive plasma glucose levels less than 40 mg/dl
Necessary calories for term newborn:
Normal stool cycle:
2) transitional stool
3) breast fed/bottle fed
first excreted; thick, tarry, dark green
Describe transitional stool...
brown to green; loose
Describe breast fed stool...
seedy, mustard colored; loose & aromatic
Describe bottle fed stool...
pale yellow to brown; more firm than breast fed stools