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23 Cards in this Set

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It is critical to assess respiratory distress in the newborn. Signs of respiratory include RR>?, or RR< ?, pallor, circumoral cyanosis, cyanosis, Nasal ?, grunting, retractions, decreased or unequal ? sounds.
>60,
<20,
flaring,
breath
If a baby is turning blue or is bradycardic this is a sign of ? this must be reported to a RN/Instructor
Apnea
What does a respiratory assessment include ?
RR, color, Breath sounds etc...
Fetal circulation is complex and ?
different
AR for a newborn is between ?-? Listen for a full minute for ? and for 15 sec time 4 if rate is ?
110-160,
murmurs,
regular
AR can be ?-? when sleeping, we should chart that the baby is SLEEPING with a rate this slow. The baby's heart rate can go up to ? if crying. We should let someone know if the baby's AR is in the <? range when crying. If there is an abnormal rate we must go back and Validate/check this later to make sure it becomes normal.
80-90,
180,
90
The newborns ? can range from 65-95/30-60 for a normal.
BP
The most important VS for a newborn are ? and ?
Temp,
repirations
the structure of the fetus's heart from the left to the right atrium is the ? ovale. When the baby is born/newborn this opening ?s.
foramen ovale,
shuts
The structure of fetus's heart that goes from the pulmonary artery to the aorta which keeps blood with O2 going out to the baby's body is the ductus ? When the baby is born/newborn this opening ?s.
arteriosus,
constricts
The structure of the heart that goes from the umbilical vein to the moms inferior vena cave is the ductus ? When the baby is born/newborn this opening ?s
venous,
constricts
In the fetus the lungs are not ? but when born within the first few breaths the lung become ?
inflated,
inflated
In the fetus a very small amount of blood flows to the lungs, to provide O2 for the lung ? itself to grow and mature. At birth the newborn has ? blood flow to the lungs which serves to oxygenate the entire baby, this is when you will see a ? color.
tissue,
increased,
pink
There is ? pulmonary vascular resistance (high pressure non-inflated lungs) in the fetus and in the newborn there is ? pulmonary vascular resistance thereafter.
high,
low
Nsg Dx for newborn as far as temp is conserned would be: ?
Dx-Innefective thermoregulation rt-newborn transition to extrauterine environment, aeb- decreased temp
Infants are dependent on ? to maintain their temp.
caregivers
Infants maintain temp by blood flow through ? fat also called brown adipose tissue. This tissue is on the upper ? and upper back and upper ?
shoulders,
back,
buttocks
To compensate for a falling temp infants will increase use of ? and ? this will make the BG decrease. A normal BG for a baby is ?
O2,
sugar,
50
What are the s/s of hypoglycemia ?, tremors of ? and many times there can be ? signs.
lethargy,
hands,
NO
Infant adverse effects of hypothermia includes ?, ? distress, cardiac ? (ductose arterioses closes), and increased risk of ?
hypoglycemia,
respiratory,
shunting,
kernicterus
If the baby has cardiac shunting the foramen ovale, the ductus arteriosus, and venous arteriosus could ?
close
Increased billirubin can cross the blood brain barrier and attach to brain cells and cause irreversible brain damage, this is known as ?
kernicterus
Our goal for a newborns temp is to keep it between ?-?F and ?-?C with no ? distress
97.7-99.5F or 36.5-37.5C,
respiratory