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15 Cards in this Set
- Front
- Back
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Babies after a c/s will have a (higher or lower) RR for _____. What might they exhibit? Normal term RR at end of transition? |
HIGHER RR (60-90), for ~ 1 hour after c/s May exhibit mild grunting, nasal flaring and retracting for 1 hr Normal term RR down to 50-60 by end of transition |
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Neonatal depression might be d/t _____ (3) |
Maternal meds - MgSO4, analgesics/anesthetics, illicit drugs Hypoglycemia Hypothermia |
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How much gastric contents is normal to suction? |
up to 15 mls is normal |
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A fetus swallows about ________ of amniotic fluid |
200-300 ml/kg/day |
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Do you use a tongue depressor? |
NO! |
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In what state is the newborn exam best done after transition? |
best in quiet alert state be opportunistic - step by step and when crying, look in mouth, when eyes open, look in eyes, etc |
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What are the 10 main things you look at when baby is being discharged? |
-VS -Temp stability -Feeding (check wt since birth, amount & frequency of feeds, voiding, and stooling) -CV status - murmurs? -Pulmonary status -Condition of cord -Hip stability -Normal state behavior -Eye and hearing exam (RED REFLEX! 1 month window before vision loss occurs if cataracts/glaucoma) -Color (jaundice?) |
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baby at 34-37 weeks - why are they at increased risk? |
-immature liver -less than optimal feeding (more sleepy) -more fluid in brain! |
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When do bili levels peak at term vs preterm? |
Term - 3-5 days Preterm - 5-7 days (it will skyrocket, keep lights on) |
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What 6 things do you look at to determine illness? |
1. Maternal factors may put baby at risk (maternal history is important) 2. Gross observation (posture, tone, ab distention) 3. Changes in activity? (seizures?) 4. Is there temp instability? (high temp = viral, low temp = bacterial) 5. Changes in physiologic parameters? (ex pain = high hr/bp) 6. Any changes in feeding pattern? (spit ups, not eating) |
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What do you want your blood glucose to be in the initial period after birth? |
> 45 mg/dl |
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Observation is most important! Look at... |
color, nutritional status, GA, head, hair, face, eyes, ears, nose, mouth, neck, ches, heart, abdomen, genitalia, musculoskeletal/neurologic, state/distress |
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Auscultation - listen with bell vs diaphragm -- which is used for high vs low pitched sounds? |
high - diaphragm low - bell |
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Can you use transillumination to diagnosis a pneumothorax? |
NO! Need an X-RAY! Transillumination just helps you think - might be pneumo |
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If you have a baby that is < 28 weeks or </= 1000 g, how soon do you have to do ballard score? |
within 12 hours - bc bottom of feet change! |
