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23 Cards in this Set
- Front
- Back
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.
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>60,
<20, flaring, breath |
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If a baby is turning blue or is bradycardic this is a sign of ? this must be reported to a RN/Instructor
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Apnea
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What does a respiratory assessment include ?
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RR, color, Breath sounds etc...
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Fetal circulation is complex and ?
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different
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AR for a newborn is between ?-? Listen for a full minute for ? and for 15 sec time 4 if rate is ?
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110-160,
murmurs, regular |
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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.
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80-90,
180, 90 |
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The newborns ? can range from 65-95/30-60 for a normal.
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BP
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The most important VS for a newborn are ? and ?
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Temp,
repirations |
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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.
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foramen ovale,
shuts |
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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.
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arteriosus,
constricts |
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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
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venous,
constricts |
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In the fetus the lungs are not ? but when born within the first few breaths the lung become ?
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inflated,
inflated |
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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.
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tissue,
increased, pink |
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There is ? pulmonary vascular resistance (high pressure non-inflated lungs) in the fetus and in the newborn there is ? pulmonary vascular resistance thereafter.
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high,
low |
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Nsg Dx for newborn as far as temp is conserned would be: ?
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Dx-Innefective thermoregulation rt-newborn transition to extrauterine environment, aeb- decreased temp
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Infants are dependent on ? to maintain their temp.
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caregivers
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Infants maintain temp by blood flow through ? fat also called brown adipose tissue. This tissue is on the upper ? and upper back and upper ?
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shoulders,
back, buttocks |
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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 ?
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O2,
sugar, 50 |
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What are the s/s of hypoglycemia ?, tremors of ? and many times there can be ? signs.
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lethargy,
hands, NO |
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Infant adverse effects of hypothermia includes ?, ? distress, cardiac ? (ductose arterioses closes), and increased risk of ?
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hypoglycemia,
respiratory, shunting, kernicterus |
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If the baby has cardiac shunting the foramen ovale, the ductus arteriosus, and venous arteriosus could ?
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close
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Increased billirubin can cross the blood brain barrier and attach to brain cells and cause irreversible brain damage, this is known as ?
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kernicterus
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Our goal for a newborns temp is to keep it between ?-?F and ?-?C with no ? distress
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97.7-99.5F or 36.5-37.5C,
respiratory |