Term
| List the major CNS danger signals that occur in the neonate |
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Definition
| Lethargy, High pitched cry, kitteriness, seizures, and bulging fontanels |
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Term
| A baby is delivered blue, limp, and with a HR <100. The nurse dries the infant, suctions the orophrynx and gently stimulates the infant while blowing 02 over the face. The infant still does not respond. What is the next nursing action? |
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Definition
| Begin oxygenation by bag and mask at 30 to 50 breaths per min. If heart rate is <60 start Cardiac massage at 120 events per minute (30 breaths and 90 compressions). Assist health care provider in setting up for intubation procedure. |
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Term
| What does the Silverman-Anderson index Measure? |
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Definition
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Term
| What are the two major complications of 02 Toxicity? |
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Definition
| Retrolental Fibroplasias and bronchopulmonary dysplasia |
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Term
| Necrotizing enterocolitis results from __________and is manifested by________. Ischemia/hypoxia results in_____________ |
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Definition
| Ischemic hypoxia, Abdominal distention, sepsis, and lack of absorption from intestines; Manifested by: (injury to the intestinal mucosa) |
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Term
| Intraventricular hemorrhage is more common in________and results from symptoms of? |
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Definition
| Premature neonates and VLBW babies; increased intracranial pressure |
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Term
| What conditions make oxygenation of the newborn More difficult? |
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Definition
| Respiratory distress syndrome: Alveolar prematurity and lack of surfactant; anemia; and polycythemia |
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Term
| In order to prevent problems with oxygenating the newborn, what parameters can the nurse observe? |
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Definition
P02 50 to 90
Sv02 60 to 80 mmHg |
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Term
| What are the cardinal symptoms of sepsis in a newborn? |
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Definition
| Lethargy, temperature instability, difficulty feeding, subtle color changes, subtle behavioral changes, hyperbilirubinemia |
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Term
| A premature baby is born and develops hypothermia. State the major nursing interventions to treat hypothermia. |
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Definition
| Place under radiant warmer or in incubator with temperature skin probe over liver. Warm all items touching newborn. place plastic wrap over neonate. |
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Term
| Nurses often weigh diapers in order to determine exact urine output in the high risk neonates. Explain this procedure |
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Definition
| Diaper is weighed in grams before being applied to infant. Diaper is weighed after infant has wet it. Each gram of added weight is calculated and recorder as 1mL of urine. |
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Term
| What factors does a nurse look for in determining a newborns ability to take in nourishment by nipple and mouth? |
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Definition
| Infant has good suck, has coordinated suck-swallow, takes less than 20 minutes to deed, gains 20 to 30g/day |
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Term
| What complications are associated with total parenteral nutrition (TPN)? |
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Definition
| hyperglycemia, electrolyte imbalance, dehydration and infection |
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Term
| In order to prevent rickets in the preterm newborn, what supplements are given? |
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Definition
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Term
| List four nursing interventions to enhance family and parent adjustment to a high risk newborn. |
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Definition
| Initiate early visitation at ICU. Provide daily info to family. Encourage participation in support group for parents. Encourage all attempts at care-giving (enhances bonding) |
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Term
| List the risk factors for hyperbilirubinemia. |
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Definition
| Rh incompatibility; ABO incompatibility; prematurity; sepsis; perinatal asphyxia |
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Term
| List the symptoms of hyperbilirubinemia in the neonate. |
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Definition
| Bilirubin levels rising 5 mg/day, Jaundice, dark urine, anemia, high reticulocute (RBC) count, and dark stools |
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Term
| List three nursing interventions for the neonate undergoing phototherapy. |
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Definition
| Apply opaque mask over eyes; leave diaper loose so stools and urine can be monitored; turn every 2 hours; watch for dehydration |
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Term
| List the symptoms of neonatal narcotic withdrawal? |
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Definition
| Irritability, hyperactivity, high pitched cry, frantic sucking, coarse flapping termors, and poor feedings |
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Term
| Neonates who are "sick" are prone to recieve too much stimulation in the form of invasive procedures and handling and too little developmentally appropriate stimulation and affection. How might such an infant respond? |
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Definition
| Failure to thrive; absence of crying |
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Term
| How should a nurse determine the length of a tube needed for the oral gavage feeding of a newborn? |
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Definition
| Measure from the bridge of the nose to the ear lobe and then to a point halfway btwn the xiphoid and the umbilicus |
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Term
| What are the two best ways to test for correct placement of the gavage tube in the infants stomach? |
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Definition
| Aspiration of stomach contents and pH testing; Auscultation of an air bubble injected into the stomach |
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Term
| What characteristics would the nurse expect to see in a neonate with fetal alcohol syndrome? |
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Definition
| Microcephaly, growth retardation, short palpebral fissures, and maxillary hypoplasia |
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Term
| Write one nursing diagnosis generated fromt he dater pertinent to hyperbilirubinemia. |
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Definition
| Risk for injury r/t predispostion of bilirubin for fat cells in brain |
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