Shared Flashcard Set

Details

NR652
The Sick Term Newborn
28
Nursing
Graduate
03/08/2012

Additional Nursing Flashcards

 


 

Cards

Term

How can you anticipate a sick newborn? 

Definition

Know the history

 

Maternal/family

Previous pregnancies

Complications of gestation

Labor and delivery

 
Term
Transitional care offers the best? 
Definition
opportunity for early detection of problems  
Term
Transitional Observations
Definition

Temperature, Heart Rate, Respirations, Blood Pressure, Color, Tone, Activity, Behavior, Blood Glucose, Hematocrit

 
Term
Problems associated with low apgar scales
Definition

PERINATAL ASPHYXIA

DRUG DEPRESSION

BIRTH TRAUMA

Neuromuscular Disease

CNS Malformation

 
Term

Clinical manifestations of asphyxia

Definition

Pallor, Poor Perfusion, CHF, Respiratory Distress, Oliguria, Anuria, NEC, Bleeding, Hypoglycemia, Hyperalert, Hypotonia, Hypertonia, Irritability, Obtunded, Seizures, Apnea, Hypotension

 
Term
IUGR Etiology
Definition

UTERO-PLACENTAL INSUFFICIENCY

UNKNOWN

NORMAL INFANT

Substance Abuse

Congenital Infection

Genetic Syndromes

 
Term
IUGR Complications
Definition

Birth Asphyxia

Meconium Aspiration

Hypoglycemia

Hypothermia

Polycythemia

 
Term
LGA Etiology 
Definition

Infant of a Diabetic Mother (IDM)

Normal Infant

 
Term
LGA Complications (IDM)
Definition

Birth trauma

Hypoglycemia

Hypocalcemia

Poor Feeding

Polycythemia

Hyperbilirubinemia

Congenital Anomalies

 
Term
Parent’s Rights of congenital malformations
Definition
To be informed quickly that all is well or there is a problem
Term
Baby’s Rights of congenital malformations
Definition
Early recognition, assessment and appropriate referral
Term
Differentials for initial Respiratory Distress in the term newborn 
Definition

Infection/pneumonia

pneumothorax

Diaphragmatic Hernia

 
Term
Respiratory Distress data from observation 
Definition

Tachypnea

Grunting

Flaring

Retracting

Cyanosis

 
Term
Respiratory Distress data from auscultations
Definition

Breath Sounds

Equality

Heart Sounds

PMI **

Term
Determine rapid diagnosis of respiratory distress by?
Definition
obtaining chest xray 
Term
Apnea in the term newborn 
Definition
is never normal 
Term
Differentials for apnea in the term newborn 
Definition

Infection

Respiratory Distress

Hypoglycemia

Hyperthermia

CNS Depres

Term
Central cyanosis  in the term newborn 
Definition
Is always  a serious sign
Term
Central cyanosis Differentials in the term newborn 
Definition

Respiratory Distress

Cardiac Disease

CNS Abnormality

Hypoglycemia

Hypothermia

 
Term
Should a term baby need gavage feeds
Definition
Never gavage feed. if needed suspicion for further evaluation 
Term
Signs a term newborn needs further eval for feeding difficulties 
Definition

Persistent secretions

Choking with feeds

Cyanosis with feeds

Persistent emesis

 
Term
Feeding difficulty evaluation in the term newborn suspicious of? 
Definition

Think esophageal atresia: pass a tube

 
Term
Jaundice in the term newborn 
Definition
Never normal in the firsst 24 hours
Term
How do you check for jaundice in a dark skinned baby? 
Definition

Blanch the gums in dark skinned babies

 
Term

Explanations for a sleepy floppy baby 

Definition

Maternal drugs

Difficult delivery

Asphyxia

Infection

Hypoglycemia

Polycythemia/hyperviscosity

CNS Abnormality

 
Term
Explanation for a alert floppy baby 
Definition

Neuromuscular Disease

 
Term
Signs of infection in the term newborn 
Definition

Poor Color

Poor Skin Perfusion

Irritability

Lethargy

Poor Feeding

Temperature Instability

 
Term

baby’s best protection against long term sequelae

 
Definition
Early recognition, assessment and reporting 
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