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Flashcards in Wellborn test Deck (67):
0

Apgar hr

<100 = 1
>100 = 2

1

Fetal HR concern

<60 perform CPR or nr

2

Erythromycin

Gohnorrea and chlamydia

3

Hep B

1st of 3

4

Vit K

Clotting pathway not established

5

Weight

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

6

Small gestational age

10%
Poor fat, brain growth, development

7

Sga risk factors

Adolescent, IUGR

8

Iugr causes

Nutrition, tobacco,alcohol, drugs

9

Lga

90% up
Macro
Excessive body fat

10

Sga risks

Gestational diabetes, maternal obesity

11

Newborn VS

T, p, r

12

Vs only for sga, lga, nicu

Bp and GLU

13

Newborn temp

Check axillary
97.6-99.2

14

Cold stress cycle

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

15

Oxygenation

Cord care
First breath
Decreased pulmonary artery pressure
Ducts close

16

Oxygenation

RR of 30-60
Breathing gets easier with alveoli expansion

17

Breath sounds differences

More crackles in c section

18

Respiratory distress locations

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

19

Impaired oxygenation

Perfusion, metabolism, temp, elimination, pH

20

Infant urine output

2mL/kg/hr

21

GI characteristics

2-3 ounces
Immature gastroesophogeal sphincter

22

Stool

Meconium
BF- yellow
Formula- green/brown

23

Diapers per day

Minimum of 6-8

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