Shared Flashcard Set

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D.Dressler Module 5
Semester 2
101
Nursing
Professional
04/16/2015

Additional Nursing Flashcards

 


 

Cards

Term
Whats another term for newborn
Definition
Neonate
Infant
Baby
Child
Term
We do APGAR scoring at
Definition
1 minute

5 minute

Not normal we do at 10 minute as well
Term
We check umbilical cord in the delivery room for
Definition
Two arteries and one vein

Cord not pulsating
Term
If the cord is still pulsating that can mean
Definition
Hemorrhaging
Term
Certain lab screening done in delivery room or first few hours are
Definition
Testing baby BS
Term
Baby born to diabetic mother can be
Definition
Hypoglycemic
Term
NYS has how many congenital disorders baby must be screened for by taking blood from heel
Definition
22 anomalies
Term
In the baby first 6 month of life they are at risk for infection why
Definition
No antibodies and immune system is compromised
Term
When baby gets moved into nursery the nursery nurse does their own assessment which includes
Definition
Get a report and make an assessment

Check for safety

ID band, Tracer put on baby
Term
Babies like to be swaddled because
Definition
They have nervous reactions to open spaces
Term
It takes about how many hours for babies temperature to regulate
Definition
48 hours
Term
Vital signs need to be closely monitored for how long
Definition
48 hours
Term
Whats a normal fetal HR
Definition
120-160
Term
A normal newborn HR
Definition
110-150
Term
A normal newborn respiration
Definition
35-50
Noisy

Abdomen up & down
Term
Average weight of newborn
Definition
5 1/2-10lbs

Lose 10% body weight first 48 hours
Term
Why do newborn lose weight
Definition
They don't eat the two day
Lots of activity
Term
Measurement of the newborn
Definition
Length with legs extended head circumference
Term
What does hydrocephalic mean
Definition
Water on head
Term
Usually don't give a bath until temp. gets to
Definition
98.6
Term
For cord care we allow the cord to stay
Definition
Exposed to air
Term
We test for PKU and that is
Definition
An enzyme if not present can build up and cause brain damage
Term
PKU is very
Definition
Treatable early on

Testing done first 48 hours after baby has had a feed
Term
You want to administer vitamin k because
Definition
Baby can't make own yet, Decrease incident of bleeding (especially in brain)
Term
You will give vitamin k with a needle gauge
Definition
25 or higher

IM Vastus lateratus
Term
Can't use glutius muscle because
Definition
Baby hasn't started walking and developed muscle yet
Term
Infants don't eat they
Definition
Feed
Term
Babies can feed by either
Definition
Breast feeding or bottle feeding
Term
Con of breast feeding is
Definition
Everything mom ingest foes to baby and she can only feed baby
Term
With can formula you have to follow directions on the can such as after 24 hours after opening the formula
Definition
You have to discard
Term
You have to show baby how to latch
Definition
On to nipple

Grab onto nipple
Term
Cholostrum (Pre Milk) is
Definition
Protein and antibodies the baby receives from moms breasts
Term
As long as baby gaining weight then we know breast milk is
Definition
Working
Term
Average length of newborn is
Definition
18-22 inches
Term
The newborn cry should be
Definition
Loud and lusty
Term
The baby limbs are uncoordinated for how long
Definition
About first month
Term
The baby in the newborn is getting a head to toe assessment about
Definition
Every 4 hours
Term
Posterior fontanel close after about
Definition
1-3 months
Term
The anterior fontanel is triangular and close in about
Definition
12-18 months
Term
Babies see black and white for about the first
Definition
3 months

Fully present 6 months
Term
Ears too high or lows can be signs of
Definition
Certain syndromes
Term
Babies can't focus
Definition
Cross eyes
Term
Flat nose due too
Definition
Smush coming through
Term
Check for hard palette and baby able to suck you check by
Definition
Put a finger in baby mouth
Term
In male and female its common for swollen breast tissue due to
Definition
All the hormones
Term
The abdomen should be
Definition
Rounded
Term
Babies should void first
Definition
3-4 hours after birth
Term
Hypospadis/Epispadis had to do with
Definition
Erethral opening at the very end
Term
Cryptorchidism
Definition
Outside the body two testicles
Term
Rooting reflex need to be present so baby can
Definition
Feed
Term
Tonic neck reflex
Definition
Baby head on the side arms go other side
Term
Moro reflex
Definition
Startle
Term
Babinski reflex shows us
Definition
Total attachment toes frail out

At about 6 months to a year
Term
Sirfactant should be present in the neonates lungs
Definition
Naturally
Term
Respiratory rate of newborns
Definition
40-60

Irregular short periods of apnea

Shallow breathing
Term
Signs of early resp. distress
Definition
Grunting
Cyanosis
Difficulty feeding
Sternal retractions
Periods of apnea
Term
When the baby breaths for the first time it causes pressure on the heart and forces the circulatory pattern into a
Definition
Normal pattern
Term
Baby is born dark due to being
Definition
Hypoxic

After breathing it pinks up
Term
Normal heart rate
Definition
110-160
Term
Normal BP
Definition
60/40
Term
The stomach is a sterile
Definition
System
Term
Stomach has to take time to
Definition
Develop
Term
The abdomen should be
Definition
Soft and slightly descended
Term
The umbilical cord should be
Definition
Clamped
Term
Within the first hour of life we should start to hear
Definition
Bowel sounds
Term
We can do a rectal temp. to see if the anus is open and that is called a
Definition
Imperforated anus
Term
Green stool passed within the first 24 hours is important and that stool is called
Definition
Merconium
Term
Yellowish-green stool with mucous should be seen the
Definition
First week
Term
Breast feed babies should have what type of stoOL
Definition
Soft yellow pasty stool 6 or more a day
Term
Bottle feed babies have less stool and the color is
Definition
Yellow green to brown, firmer

Nice formed stool maybe after a month as compared to breast feed may still be watery
Term
Kidney function begins in
Definition
Utero
Term
Infants get fed on demand when
Definition
Crying basically
Term
Most babies are born with urine in
Definition
The bladder

6-8 wet diapers a day
Term
Babies MUST be urinating every
Definition
4 hours
Term
Hyperbilirubinemia
Definition
High bilirubin in the blood

Come from the liver
Term
Pathological means
Definition
Disease process

Reason for it
Term
Normal physiological jaundice means
Definition
The liver hasn't matured enough to function properly

Occurs first week of life
Term
s/s of the jaundice
Definition
Yellowish tinge on skin

We use indirect lighting
Press on forward and see a yellowing where you pressed
Term
You can use bilirubin lights in a baby with jaundice and that is
Definition
Fluorescent lighting
Not damaging to the baby

Cover eyes and genitals

Keep under light as long as possible
Term
Pathological jaundice occurs at
Definition
Birth or within 24 hours
Term
Bilirubin levels in pathological jaundice
Definition
12.9 and higher

The higher the level more likely brain damage
Term
Erythroblastosis fetalis means
Definition
Rh antibodies do no cause a termination in the pregnancy but causes pathological jaundice

Also common in babies who have ABO incompatibility
Term
Erythroblastosis is treated the same as physiological jaundice but
Definition
Baby will be under lights a few weeks
Term
Mongolian spots are
Definition
Darkened area on buttocks and lumbar region
Term
Acrocyanosis is
Definition
Hands and feet have bluish tint
Term
Lanugo is
Definition
Fine downy hair
Term
Vernix caseosa is a
Definition
White cheesy substance
Term
Milia are
Definition
Tiny white spots or papules
Term
Legs should be able to rotate well without
Definition
clicking
Term
Ortolanis manuver is
Definition
laying the baby down and taking leg up and rotate out
Term
Hip dislocation or hip dysplasia in a baby means
Definition
The buttex is uneven and one side is lower then another
Term
Singlemost best way to prevent infection
Definition
Handwashing
Term
True babies cant
Definition
Turn over
Term
Preterm infant means a baby born
Definition
Before 37 weeks gestation
Term
A preterm infant can have what type of skin
Definition
Thin transparent skin
Decrease in subq fat
Term
A preterm infant can have an excess of
Definition
Lanugo (hair)
Term
Pre term babies can have impaired
Definition
Sucking
Term
We give pre term babies two birthdates
Definition
Give them time to catch up
Term
Pre term baby gets bethamethasone a steroid to
Definition
Stimulate sirfactant in the baby
Term
Retinopathy of prematurity means
Definition
How the retina responds to high levels of oxygen
(The artificial oxygen)

Reason why so many pre mature kids wear glasses
Term
We need daily weight in the newborn because
Definition
Losing 10% weight is baseline as to how healthy
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