Term
| The Newborn transitional pd consists of the first _______of life |
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Definition
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Term
| The nurse anticipates which newborns will be at greatest risk for problems in the transitional pd. State three factors that predispose to respiratory depression in the newborn. |
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Definition
| C-section delivery; Magnesium sulfate given to mother in labor; asphyxia or fetal distress during labor |
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Term
| What is the danger to the newborn of heat loss in the first few hours of life? |
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Definition
| It leads to depletion of glucose (there is little glycogen storage in immature liver); Body begins to use brown fat for energy, producing ketones and causing subsequent ketoacidosis and shock. |
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Term
| Normal NB temperature is? HR is? Respiratory is? BP? |
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Definition
| Temperature: 97.7 to 99.4; HR: 110-160bpm; Respiratory: 30 to 60; BP: 80/50 |
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Term
| The nurse records a temperature below 97*F on admission of the newborn. What nursing actions should be taken? |
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Definition
| Place newborn in isolette or under radiant warmer and attach a temperature skin probe to regulate temperature in isolette or radiant warmer. Wrap newborn double if no isolette or warmer available, and put cap on head. Watch for signs of hypothermia and hypoglycemia. |
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Term
| True or false. The newborns head is usually smaller than the chest |
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Definition
| FALSE: The head is usually 2 cm larger unless severe molding occured |
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Term
| During the physical exam of the newborn, the nurse notes the cry is shrill, high pitched, and weak. What are the possible causes? |
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Definition
| CNS anomalies, brain damage, hypoglycemia, drug withdrawal |
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Term
| The nurse notes a swelling over the back part of the newborns head. Is this a normal newborn variation? |
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Definition
| It depends on the finding. If it crosses the suture lines and is a caput (edema) it is normal. If it does not cross suture lines, it is a cephalhematoma with bleeding btwn skill and periosteum. This could cause hyperbilirubinemia. This is an abnormal variation |
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Term
| What symptoms are common to most newborns with down syndrome? |
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Definition
| Low set ears, simian crease on palm, protruding tongue, brushfield spots in iris, Epicanthal Folds |
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Term
| Identify three ways to determine the presence of congenital hip dislocation in the newborn? |
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Definition
| Hip Click determination, asymmetric gluteal folds, unequal limb lengths. |
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Term
| Should the normal newborn have a positive or negative babinski reflex? |
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Definition
| Positive; the transient reflex present until 12 to 18 months of age |
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Term
| A small for gestational age newborn is identified as one who? |
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Definition
| Has a wt below the tenth percentile for estimated weeks of gestation |
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Term
| When sunctioning the newborn with a bulb syringe, which should be suctioned first, the mouth or the nose? |
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Definition
| The mouth; Stimulating the nares can initiate inspiration, which could cause aspiration of mucus in oral pharynx |
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Term
| A new mother asks the nurse whether circumcision is medically indicated in the newborn. How should the nurse respond? |
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Definition
| There is controversy concerning this issue, but we do know it causes pain and trauma to the newborn, and the medical indications (Prevention of penile and cervical cancer) may be unfounded |
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Term
| Normal Blood glucose in the term neonate is? |
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Definition
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Term
| Why does the newbornn need Vitamin K in the first hour after birth? |
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Definition
| The sterile gut at delivery lacks intestinal bacteria necessary for the synthesis of vitamin K; vitamin K is needed in the clotting cascade to prevent hemorrhagic disorders |
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Term
| Physiologic jaundice in the newborn occus? It is caused by? |
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Definition
| Jaundice occurs at 2-3 days of life and is caused by immature livers inability to keep up with the bilirubin production resulting from normal RBC destruction |
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Term
| When is the screening test for phenylketonuria done? |
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Definition
| At 2 to 3 days of life, or after enough breast milk or formula is ingested to allow for determination of bodys ability to metabolize amino acid phenylalanine. |
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Term
| A term newborn needs to take in _____calories per pound per day. After the initial weight loss is sustained, the newborn should gain_________per day. |
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Definition
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Term
| List five s/s new parents should be taught to report immediately to the doctor or clinic. |
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Definition
| Lethagy, temperature>100*F, Vomiting, green stools, refusal of two feeds in a row |
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