Shared Flashcard Set

Details

high risk newborn
Maternal Child Nursing
8
Nursing
Undergraduate 3
02/24/2014

Additional Nursing Flashcards

 


 

Cards

Term
Define premature (preterm) infant and identify several conditions related to preterm births
Definition
preterm infants are born before the 38th week of gestation. many problems can occur. These problems include, but are not limited to: respiratory problems, thermoregulation problems, fluid and electrolyte imbalance, skin issues, infection problems, and pain issues
Term
Identify methods for assessment of gestational age in regard to prenatal and postnatal assessment
Definition

prenatal assessments include fundal height, ultrasounds, and head rump circumference of the fetus.

 

postnatal assessment includes apgar scores, gestational age assessment, assessment of newborn, relexes, respiratory, and well being 

Term

     Discuss the characteristics, pathophysiology, and nursing care of the preterm infant in regard to:

General appearance

Respiratory Distress Syndrome (RDS)

Chronic Lung Disease (Bronchopulmonary Dysplasia- BPD)

Apnea of Prematurity

Patent Ductus Arteriosus

Temperature regulation

Periventricular-Intraventricular Hemorrhage

Gastrointestinal system

Necrotizing Enterocolitis

Renal system

Immune system

 

Retinopathy of Prematurity 

Definition
the preterm infant with have very thin skin, its head will be bigger in proportion than the body, respiratory distress (premature lungs), excessive apnea spells, inability to breathe on their own, lack of coordination, lack of ability to flex muscles, heart murmur, inability to stay warm, risk for bleeding, immature gastrointestinal system, defects in GI system, immature kidneys, weak immune system, risk for retinal detachment
Term
Discuss developmental care of the preterm infant
Definition
watch baby closely for s&s of RDS, keep baby on stomach, keeps arms and legs in flexed position
Term

       Discuss parental-infant attachment in relation to the high risk newborn.

Definition
risk for ineffective bonding, risk for parental role strain, anxiety related to the unknown
Term

    Identify the characteristics of the post mature infant. Discuss the physiologic action, potential side effects and nursing implications for each of the following medications. Be prepared to identify the therapeutic effect of each medication.          

a.       Surfactant (survanta, exosurf))

b.      Indocin

 

c.       Ibuprofen

Definition

LGA, placental insufficiency,decreased amniotic fluid, or umbilical cord compression

 

*surfactant-used for fetal lung maturity, may prevent RDS; SE pale skin, slow heartbeat, blood in urine, noisy breathing, feeding/bowel problems

*indocin- NSAID; SE chest pain,weakness, tarry stools, coughing up blood, weight gain, swelling

*ibuprofen- NSAID; SE upset stomach, bleeding, N/V/D, headache, flatulence

Term
Define small for gestational age (SGA) and large for gestational age (LGA) and formulate a plan of care for each
Definition

SGA-hypoglycemia, temperature regulation, jaundice, weight, measurements

 

LGA-injuries, hypoglycemia, polycythemia

Term
Describe the steps involved in neonatal resuscitation
Definition

Circulation, Airway, Breathing

 

30:2 or 15:1

1 breath every 6 to 8 secs

compression just below the nipple

about 1.5 inches deep

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