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Nursing 113 > Wellborn test > Flashcards

Wellborn test Flashcards

0
Q

Fetal HR concern

A

<60 perform CPR or nr

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1
Q

Apgar hr

A 
<100 = 1
>100 = 2
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2
Q

Erythromycin

A

Gohnorrea and chlamydia

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3
Q

Hep B

A

1st of 3

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4
Q

Vit K

A

Clotting pathway not established

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5
Q

Weight

A

6.5-10lb
Lose weight initially but gain back in 7-14 days
Gain 2lbs/month for 6 months
80% between 5.5-8 lbs 13

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6
Q

Small gestational age

A

10%

Poor fat, brain growth, development

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7
Q

Sga risk factors

A

Adolescent, IUGR

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8
Q

Iugr causes

A

Nutrition, tobacco,alcohol, drugs

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9
Q

Lga

A

90% up
Macro
Excessive body fat

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10
Q

Sga risks

A

Gestational diabetes, maternal obesity

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11
Q

Newborn VS

A

T, p, r

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12
Q

Vs only for sga, lga, nicu

A

Bp and GLU

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13
Q

Newborn temp

A

Check axillary

97.6-99.2

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14
Q

Cold stress cycle

A 
Get cold
Kick and cry to increase metabolism
Increase RR
Decrease GLU
Increased acid
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15
Q

Oxygenation

A

Cord care
First breath
Decreased pulmonary artery pressure
Ducts close

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16
Q

Oxygenation

A

RR of 30-60

Breathing gets easier with alveoli expansion

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17
Q

Breath sounds differences

A

More crackles in c section

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18
Q

Respiratory distress locations

A 
Chest- see saw
Intercostal- visible 
Xiphoid- marked
Nares- flared
Grunt- audible
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19
Q

Impaired oxygenation

A

Perfusion, metabolism, temp, elimination, pH

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20
Q

Infant urine output

A

2mL/kg/hr

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21
Q

GI characteristics

A

2-3 ounces

Immature gastroesophogeal sphincter

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22
Q

Stool

A

Meconium
BF- yellow
Formula- green/brown

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23
Q

Diapers per day

A

Minimum of 6-8

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24
Reflexes
Root, suck, grasp, Moro, babinski
25
Cyanosis
From feeding, cold, resp problems
26
Mongolian spots
Increased skin pigmentation | Disappear by school age
27
Hemangiomas
Bruise like patches. Strawberry superficial Bluer is deeper Steroids to treat if growth can cause damage
28
Port wine
Do not disappear but may lighten. Does not blanch
29
Strawberry hemangioma
Disappear usually at 5-7. Almost always by 10
30
Cavernous hemangioma
Doesn't go away
31
Cephalehematoma
Fluid/blood contained on one fontanelle
32
Caput
Goes across midline. Not localized
33
Female genitalia assessment
Symmetry, discharge, pseudo-discharge, skin tag
34
Male genitalia assessment
Slide that
35
Risks for hypermobile femur/hip movement
Girls because of relaxin Breech First born Never perform Ortalani hip click
36
Labs run
Bilirubin | PKU
37
Security
Hugs, name tags, bassinet,
38
SIDS strategy
Pacifier, fan, breastfeeding, staying cool, avoiding smoke, empty crib
39
SIDS risk
Vlbw, preterm, adolescent, substance abuse, being sick, pulmonary edema, males, smoke,
40
SIDS tissue abnormalities
Brain stem, heart, lung alveoli, breathing pattern, neurotransmitter
41
Hunger signs
Restlessness, rooting reflex, restlessness, hands in mouth, crying is last sign
42
Measuring baby intake
Urine output, meeting milestones, continuous growth, turgor, act satisfied, loses no more than 10% of BW and regains in 10-14 days
43
Why babies feed constantly
High metabolic rate, fluid loss, not efficient eaters and metabolizers
44
Feeding needs
120 calories/kg/day | 150-200mL/kg/day
45
Formula and breast milk have:
Fat, protein, carbs, Vit, minerals
46
Breast milk baby advantages
``` Enzymes for carbs and fat Continual Antibodies Changes with gestational and baby age Easier to digest and more efficient Better electrolyte regulation Much better for premies ```
47
Breast milk advantages for mother:
``` Helps involution Helps bond Cheaper Empowering Reduces cancer, postpartum, osteoporosis, and diabetes Weight loss ```
48
Breastfeeding contraindications
``` Tb STILL Chemo/radiation Drugs and some medicines Metabolism problems ```
49
Colostrum
``` 0-4 days Thin High antibodies Helps line gi tract Laxative to clean out Total nutrition ```
50
Foremilk
Beginning of feeding Always available High carbs More abundant after letdown
51
Hind milk
Thicker High fat Available after foremilk consumed
52
LATCH
``` 10 score: Latch Audible swallowing Type of nipple Comfort Hold ```
53
Breastfeeding problems:
Leaking Sore nipples Flat/inverted nipples Clogged duct
54
Mastitis
``` After a week Localized lump Fever Redness Antibiotic treatment ```
55
Engoregement
First few days Painful full breasts Firm Natural
56
Engorgement treatment
Hot shower Milk expression Cabbage leaves Frequent feedings
57
Bottle teaching:
Careful microwave use or don't use for breastfeeding | Breast milk good for 3-6 hours if fresh. 2-3 hours if stored
58
Bottle nevers
Never prop the bottle Cut larger holes Add cereal Microwave breastmilk
59
Head assessment
Overlap and molding Occurs during birth but evens out | Anterior fontanel occurs by 18 months
60
Fat
Neuro, eyes, brain, behavior
61
Carbs
Energy, vitamins,
62
Protein
Bone and muscle
63
Vitamins needed
Don't really need much except maybe Vit d
64
Minerals
Trace found in both
65
Breast milk decreases (good things)
SIDS, type ii, GI problems, obesity, cardiac problems, skin reactions
66
Breast feeding good increases
Iq, vision, bonding with mother

Nursing 113 (10 decks)

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