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| Whats another term for newborn |
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1 minute
5 minute
Not normal we do at 10 minute as well |
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| We check umbilical cord in the delivery room for |
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Two arteries and one vein
Cord not pulsating |
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| If the cord is still pulsating that can mean |
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| Certain lab screening done in delivery room or first few hours are |
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| Baby born to diabetic mother can be |
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| NYS has how many congenital disorders baby must be screened for by taking blood from heel |
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| In the baby first 6 month of life they are at risk for infection why |
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| No antibodies and immune system is compromised |
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| When baby gets moved into nursery the nursery nurse does their own assessment which includes |
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Get a report and make an assessment
Check for safety
ID band, Tracer put on baby |
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| Babies like to be swaddled because |
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| They have nervous reactions to open spaces |
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| It takes about how many hours for babies temperature to regulate |
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| Vital signs need to be closely monitored for how long |
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| A normal newborn respiration |
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35-50
Noisy
Abdomen up & down |
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| Average weight of newborn |
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5 1/2-10lbs
Lose 10% body weight first 48 hours |
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| Why do newborn lose weight |
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They don't eat the two day
Lots of activity |
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| Measurement of the newborn |
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| Length with legs extended head circumference |
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| What does hydrocephalic mean |
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| Usually don't give a bath until temp. gets to |
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| For cord care we allow the cord to stay |
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| We test for PKU and that is |
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| An enzyme if not present can build up and cause brain damage |
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Treatable early on
Testing done first 48 hours after baby has had a feed |
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| You want to administer vitamin k because |
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| Baby can't make own yet, Decrease incident of bleeding (especially in brain) |
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| You will give vitamin k with a needle gauge |
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25 or higher
IM Vastus lateratus |
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| Can't use glutius muscle because |
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| Baby hasn't started walking and developed muscle yet |
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| Babies can feed by either |
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| Breast feeding or bottle feeding |
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| Everything mom ingest foes to baby and she can only feed baby |
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| With can formula you have to follow directions on the can such as after 24 hours after opening the formula |
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| You have to show baby how to latch |
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On to nipple
Grab onto nipple |
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| Protein and antibodies the baby receives from moms breasts |
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| As long as baby gaining weight then we know breast milk is |
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| Average length of newborn is |
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| The newborn cry should be |
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| The baby limbs are uncoordinated for how long |
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| The baby in the newborn is getting a head to toe assessment about |
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| Posterior fontanel close after about |
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| The anterior fontanel is triangular and close in about |
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| Babies see black and white for about the first |
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3 months
Fully present 6 months |
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| Ears too high or lows can be signs of |
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| Check for hard palette and baby able to suck you check by |
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| Put a finger in baby mouth |
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| In male and female its common for swollen breast tissue due to |
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| Hypospadis/Epispadis had to do with |
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| Erethral opening at the very end |
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| Outside the body two testicles |
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| Rooting reflex need to be present so baby can |
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| Baby head on the side arms go other side |
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Total attachment toes frail out
At about 6 months to a year |
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| Sirfactant should be present in the neonates lungs |
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| Respiratory rate of newborns |
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40-60
Irregular short periods of apnea
Shallow breathing |
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| Signs of early resp. distress |
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Grunting
Cyanosis
Difficulty feeding
Sternal retractions
Periods of apnea |
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| When the baby breaths for the first time it causes pressure on the heart and forces the circulatory pattern into a |
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| Baby is born dark due to being |
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Hypoxic
After breathing it pinks up |
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| Stomach has to take time to |
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| Soft and slightly descended |
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| The umbilical cord should be |
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| Within the first hour of life we should start to hear |
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| We can do a rectal temp. to see if the anus is open and that is called a |
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| Green stool passed within the first 24 hours is important and that stool is called |
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| Yellowish-green stool with mucous should be seen the |
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| Breast feed babies should have what type of stoOL |
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| Soft yellow pasty stool 6 or more a day |
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| Bottle feed babies have less stool and the color is |
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Yellow green to brown, firmer
Nice formed stool maybe after a month as compared to breast feed may still be watery |
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| Kidney function begins in |
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| Infants get fed on demand when |
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| Most babies are born with urine in |
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The bladder
6-8 wet diapers a day |
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| Babies MUST be urinating every |
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High bilirubin in the blood
Come from the liver |
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Disease process
Reason for it |
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| Normal physiological jaundice means |
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The liver hasn't matured enough to function properly
Occurs first week of life |
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Yellowish tinge on skin
We use indirect lighting
Press on forward and see a yellowing where you pressed |
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| You can use bilirubin lights in a baby with jaundice and that is |
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Fluorescent lighting
Not damaging to the baby
Cover eyes and genitals
Keep under light as long as possible |
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| Pathological jaundice occurs at |
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| Bilirubin levels in pathological jaundice |
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12.9 and higher
The higher the level more likely brain damage |
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| Erythroblastosis fetalis means |
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Rh antibodies do no cause a termination in the pregnancy but causes pathological jaundice
Also common in babies who have ABO incompatibility |
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| Erythroblastosis is treated the same as physiological jaundice but |
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| Baby will be under lights a few weeks |
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| Darkened area on buttocks and lumbar region |
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| Hands and feet have bluish tint |
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| Tiny white spots or papules |
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| Legs should be able to rotate well without |
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| laying the baby down and taking leg up and rotate out |
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| Hip dislocation or hip dysplasia in a baby means |
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| The buttex is uneven and one side is lower then another |
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| Singlemost best way to prevent infection |
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| Preterm infant means a baby born |
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| Before 37 weeks gestation |
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| A preterm infant can have what type of skin |
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Thin transparent skin
Decrease in subq fat |
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| A preterm infant can have an excess of |
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| Pre term babies can have impaired |
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| We give pre term babies two birthdates |
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| Give them time to catch up |
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| Pre term baby gets bethamethasone a steroid to |
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| Stimulate sirfactant in the baby |
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| Retinopathy of prematurity means |
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How the retina responds to high levels of oxygen
(The artificial oxygen)
Reason why so many pre mature kids wear glasses |
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| We need daily weight in the newborn because |
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| Losing 10% weight is baseline as to how healthy |
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