Term
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Definition
| 30-60 BPM
Babies have short periods of apnea. If these periods are >15 seconds they must be evaluated.
If RR <30 may be analgesis or anesthesics. Apenea can be related to rapid heating or cooling
If RR>60 may be aspiration or diaphragmatic hernia |
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Term
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Definition
| 80-100 BPM when sleeping
120-160 BPM when awake
Assess PMI at 4th ICS in the L MCL |
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Term
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Definition
| Systolic btween 60-80mmHg; Diastolic 40-50mmHg
4 point BP's are in all 4 extremities
Don't usually do infant BP |
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Term
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Definition
| Between 40-75. It's increased because fetal RBC's don't hold as much oxygen or live as long, so they need more.
Jaundice occurs when RBC's are broken down |
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Term
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Definition
| 9000-30000/mm3. Not a good way to look for infection. Instead look for left shift or temp instabilities. |
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Term
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Definition
| Flow from body surface to air. Change this by turning up the temp in the delivery room, getting the baby dry and covered |
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Term
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Definition
| Heat goes to a cooler surface not directly touching the baby--like the sides of a warmer |
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Term
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Definition
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Term
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Definition
| heat to a direct contact surface. It's vital that warming table preheats and that wet blankets are taken away. |
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Term
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Definition
| Increased respiratory rate
Acidosis, blood is shunteda way from the periphery, so there's a decrease in O2 which causes a decrease in pH leading to acidosis |
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Term
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Definition
| Babies can't sweat. Overheating can result in dehydration, heat stroke and death |
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Term
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Definition
| Should have one diaper in 1st 24 hours. Number of diapers= number of days old until there are 6-8 diaper changes perday. |
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Term
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Definition
| Child should not lose more than 10%. Will lose some in the first 3-5 days of life, but should gain it back in the next 10 days (be minimally back at birthweight) |
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Term
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Definition
| Test all babies of diabetic moms, >4000g, <2500g and premies for glucose levels.
Babies of diabetic moms tend to have lower glucose because their pancreases have worked harder in utero. |
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Term
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Definition
| Insoluable and bound to circulating abumin, can leave the vascular system and permeate other tissues resulting in jaundice. It can also cross the BBB and result in kernicterious.
The liver conjugates bilirubin so that it can be excreted through meconioum. Increased fluids promotes this. Phototherapy also conjugates bilirubin.
Levels should be between 12-15mg. We treat once levels are above 12. Bili should increasel ess than 5mg/day. |
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Term
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Definition
| Most serious complication of excess bili.
Can be found with conjugated bilirubin is >20mg/dl.
In this condition bili enters neuronal cells and destroys them==>CP, epilepsy, MR or death. |
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Term
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Definition
| Common up to the first week. Hands and feet are blue when the baby is at rest. This is because the baby has immature circulation and the skin is the last thing that needs to be perfused. |
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Term
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Definition
| Generalized easily idenitifide swolle, fluid filled area on teh scalp which extends accross the suture line of teh skull. Resolves by itself.
Sustained pressure on the presenting part (by something like vaccume pressure) causes compression of local vessels and slows venus return
Resolves in 3-4 days. |
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Term
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Definition
| Collection of blood between the skull and periosteum. **does not cross the suture line!**
Appears after brith and spontaneously resolves after birth. (Hemolysis of RBCs as it resolves, so look for bilirubin levels). |
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Term
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Definition
| Most dangerous hematoma! Between periosteum and gleal. Blood does cross teh suture line. Looks like caput, but you can see blood.
These are CONTINUING hemorrhages. |
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Term
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Definition
| Common and see in all infants when the child is upset. You should NOT see it when the infant is not crying. IF you DO see it when the baby is at rest, it could indicate hypoglycemia. |
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Term
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Definition
| Based on HR, RR, muscle tone, reflex irritability and color.
If less than 6, you need interentions! |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Intrauterine growth restriction
Child follows a growth curve in utero and then suddenly falls off
Caused by a sucky placenta |
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Term
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Definition
| Goal: Prevent opthalmia neonatorum (gonnorrhea of the eye)
Erythromycin or tetracycline opthalmic ointment |
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Term
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Definition
| Want to prevent/detect hemorrhage or infection.
Assess for bleeding, edema, redness, purulent drainage. Clamp removed at 24-48 hours when it's dry. |
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Term
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Definition
| With no dressing put a glob of vasciline in the diaper. Check dressing every 15 minutes for the 1st hour. A drop of blood is normal, an active bleed is not.
With an active bleed you do surgicel (and do not vascelene)
After 24 hours a yellow pus is common. DO NOT touch. It's healing. |
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Term
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Definition
| Occur at 10 days, 3 weeks, 6 weeks, 3 months, and 4-6 months.
Require more feedings. Seem like you're feeidng all the time |
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Term
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Definition
| Infant feeds 8X per day
After latch, infant feeds 15-20 minutes (not more than 30 because this is burning more calories than it's taking in).
Infant appears satisfied
Infant has adequate out put
Infant has adequate weight gain
Mom has tugging feeling at nipple/warm feelings |
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Term
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Definition
| Infants need 8-12 feedings per day
They should wake the child up q3h during the day and q4h during the night to feed. |
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