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113 Cards in this Set

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  • Back
The Ortoloni test ______ the thighs
Abducts
The barlow test _____ the hips
adducts
Stroke one side of neonate for upward from heal and across the ball of the foot
Babinski Sign (Plantar)
While using the Palmer reflex, you place a finger in the neonates palm and the neonate should ______ the finger
Grasp
While using the _____ reflex, you gently drop the neonate head backward and the neonate should extend and abduct all extremities bilaterally and symmetry
Moro
The sucking reflex is different from the rooting reflex because the sucking reflex, you stick your finger in the baby's ______, while in the rooting you touch a finger to the corner of the mouth
Mouth
The galant reflex checks the ___________ for scoliscos and other issues
Spine
These things are common if found in a newborn who has a ______ mother:
High incidence of hypoglycemia
Respiratory distress syndrome
Hypocalcemia or congenital anomalies
Jaundice
Diabetic Mother
Hyperbilirubinemia is ________ and frequently occurs in diabetic mothers
Jaundice
Level of glucose under ____mg in 1st 72 hours or less than _____ mg after 3 days of life always suspect hypoglycemia
30mg
45mg
Normal blood glucose for a 1 day old is ____ to _____
40-60
Older than 1 day the normal glucose is _____ to _______
50-90
The #1 sign of hypoglycemia is?
Jitterness
Other signs of hypoglycemia include
Increased RR
Twitching, nervousness, or tremors
Unstable temp
Cyanosis
These are nursing interventions for newborns with hypoglycemia:
-_______ respiratory distress
- monitor bilirubin and blood sugar
-Monitor edema and weight
-Monitor apnea, seizures and _____
monitor
Tremors
If a baby is delievered by a woman who has HIV, the first thing that should be done is for the baby to be _________
Bathed
These are all signs of __________:
Signs of immune deficiency
Hepatomegaly
Splenomegaly
Lymphadenopathy
Impairment in growth and development
HIV positive mother
If the mother wants to have the baby get circumsizied is that ok?
NO CIRCUMCISION
The baby of a HIV positive woman should be seen at 1 week, 2 week ,1 month and ___ months
2
1st HIV culture should be done at ____ month
1
Fetal alcohol syndrome is caused by the maternal alcohol _____ during pregnancy
Use
Most serious cause of __________
Teratogenesis
Fetal Alchol Syndrome causes ____ and _____ retardation
Mental and Physical
Assessment of infant with fetal alcohol syndrome include these signs:
Facial Changes
Short upturned nose
Thin upper lip
flat midface
low nasal bridge
Abnormal palmar creases
Respiratory Distress
Tremors
Poor feeding
Seizures
Hypersensitivity to stimuli
The appriorate nursing dx for a infact with fetal alcohol syndrome Te is ______ ___ ________
Failure to Thrive
Nursing interventions for a baby with Fetal alcohol syndrome include:
-_____Respiratory Status
-ALWAYS HAVE _______ equipment at bedside
-Turn newborn on _____ to facilitate drainage
-Assess ____ and swallow reflexes
-Adminster _____ feedings and burp well
Monitor
Resuscitation
Side
suck
Small
The mother is usually GBS___ if baby has sepsis
+
1st indicator that a newborn has sepsis is _________ _________
Behavioral Changes
Signs and symptoms of _______ nclude:
Pallor
Tachypnea
Tachycardia
Poor Feeding
Abdominal distension
Tempurature instability
Sepsis
Nursing interventions for a baby with Sepsis include:
-Assess for periods of ____ or irregular respiration
-Maintain _____ temp
Assess _____ and sucking reflex
-Adminster ABx as ____ and observe for toxicity
Apnea
Proper
Feeding
Ordered
A serious lung disorder due to immaurity and inability to produce surfactant resulting in hypoxeia and acidosis
Respiratory Distress Syndrome
You always have to _________ the baby first then you can check the 02
Stimulate
You want the baby to have a 02 sat of ____% or greater
95%
Nursing interventions for respiratory distress syndrome include:
-_______ color, resp. rate and degree of breathing
ABG obtained from _____ artery
-Provide nutrition and bonding
-____ exam for babies
Monitor
Umbilicial
Eye
2 types of jaundice
Pathological and Physiological
_________ jaundice is when the jaudice appears wihin 1st 24 hours, or 1st 48 hours for pre-mature
Pathological
________ jaundice appears 2-3 days after birth
Physiological
You must intervene when the serum bilirubin level is ____ or greater
5
Pathological babies must be under the ________
Light
Bilirubin is only excreted in ________
Stool
Physiological jaundice bilirubin levels at birth are about ____mg and should not exceed _____mg
5-12
Nursing care for a newborn with Physiological jaundice include:
Keep well hydrated!!!!
Promote elimination
-early feedings tend to keep bilirubin levels down by stimulating intestinal activity thus removing the contents and not allowing reabsorbtion
When doing an assessment on a baby with jaundice, you should note:
-_______
-_______ liver
-_______ muscle tone
-_______ sucking reflex
-Lethargy
Color
Enlarged
Poor
Poor
When assessing a baby with jaundice, you should always examine the skin color in ________ light!
Natural
When you press on a newborns bony prominence, it will show a _________ color
Yellow
A baby with jaundice has an elevated serum and transcutaneous ____ level
Bili
If you have a baby with jaudice you shoould notify the physican and prepare the newborn and parents for ____________
Phototherapy
The baby has jaundice if bilirubin is >___mg
5
Milder jaundice only occurs on the ____ and upper thorax
Face
Phototherapy converts _________ to water solube form that is easily excreted in stool
Bilirubin
Fluorescent lighting
Fiberoptic blankets
are 2 forms of?
Phototherapy
Goal of phototherapy is to decrease TSB by ____-____mg or 15mg total
4-5
Erythroblastosis fetalis is a condition where _______ will develop rapidly after birth and before 24 hours
Jaundice
ABO incompability needs the _________
Light
Discharge teaching includes _______ to call the physician:
-Behavioral changes too sleepy or too fussy
-poor feeding
-vomiting and or diarreea
-blood/mucus on stools
-back to sleep
follow up care and immunization
When
Before the mother can leave, the nurse has to have:
-_______ orders
-________ screening (PKU)
-Initation of birth certificate
Discharge
Hearing
Discharge teaching should include the following:
-_______ and handling
-Feeding
-Bathing and ________
-Urine and _____ specimun
-Temp. Assessment
-Activity and sleeping
-Crying
Positioning
Dressing
Stool
SGA
small for gestational age
AGA
appriorate for gestational age
IUGR
interuterine growth rate
If a baby is dx with cephalhematoma they may develop _________
jaundice
___________ is bleeding between bone and periosteum that does not cross sutures
Cephalhematoma
Hepatic and liver changes can cause __________
Jaundice
A newborn is at a disadvantage in maintaing a normal temp. becuase ____ body surface in relation to body mss and because they have a _____ amount of insulating subcutanous fat
Larger
Small
A priority nursing intervention for thermoregulation is keep the baby _____ and _______t
Dry and Warm
Blood samples obtained from the heel, if hemocrit is higher than _____% then a central venous sample is needed
65
If the baby Hemocrit is higher than 65% ________ or ________ depend is suggested
Hypertension
Insulin
Vitamin ____ should be given in L&D to promote clotting
K
Aspirin and Dilantin may interfere with ________ ability
Clotting
Newborns ability to conserve heat is lacking due to not being able to _________
Shiver
Always bath the baby's _____ 1st then the head
body
A temp of less than ________ is Cold Stress
96.5
These are symptoms of ___ _____:
Increased Metabolic rate
increased need for 02
increased respiratory rate
loss of energy
loss of glucose
anaerobic metabolism
metabolic acidosis,fatigue
CV collapse
Cold Stress
What is the first sign for respiratory distress
Nasal Flaring
When trying to get a baby to get out secretions, you should turn the baby on its _____
side
Erthema neonatorum is a bad sign or a good one?
Positive
This signals the successful completion of fetal to neonatal transition of the cardiopulmonary system
Erthema neonatrum
Blushed red color
few hours after birth
lasts several minutes to an hour
Erythema Neonatorum
What is the first sign for respiratory distress
Nasal Flaring
When trying to get a baby to get out secretions, you should turn the baby on its _____
side
Erthema neonatorum is a bad sign or a good one?
Positive
This signals the successful completion of fetal to neonatal transition of the cardiopulmonary system
Erthema neonatrum
Blushed red color
few hours after birth
lasts several minutes to an hour
Erythema Neonatorum
APGAR
Activity
Pulse
Grimace
Appearance
Respirations
Absence of tachypnea in the prescene of cyanosis & poor air movement then it indicates inadequate _________ drive
Repsiratory
A normal temp for a baby is?
96-8-99.0
Normal HR for baby
120-160
The PMI is on the ________ side of the chest
Left
TACHYPNEA is?
Abnormal
Respirations of ___to_____ are normal
30-60
You should not feed a baby if the respirations are _____ due to the risk for aspiration
80
BP of 60-99/ 30-62 is ?
Normal
Baby's normal length is ____ to ____
19-21
The head should be larger than the chest by ____ or ____ cm
1-2
Newborns lose ___ to ____% of birth weight the first few days after birth
5-10
If a baby loses more than 10% weight loss, this is considered a _____ flag!!!
Red
If a baby is 34 weeks or less, their will be many more cerfactin issues which can make the lungs _________
collapse
Lungs serve ____ function while intrauterine, while within a few minutes of being extrauterine the vital capacity is established
NO
While intrauterine, ______ supply secured through the placenta and the babies lungs are filled with lung fluid which keeps them partically expanded
Oxygene
______ reduces surface tension in alveoli and keeps the lungs from collapsing while extra utertine
Surfactant
When the doctor cuts the cord, it removes the babies _____ supply, so Asphysia occurs
Oxygen
Their is an increase in CO2 and a decrease in O2 and a decrease in pH which =
acidosis
This state stimulates the respiratory center in the medulla and the chemoreceptors in carotid artery to initiate breathing
Acidotic State
Always have a _____ syringe in the basinet
Bulb
Silverman-Anderson is specific for _________
Respiratory
If the baby only has 1 artery and 1 vein in umbilical cord, think _____ problems
Renal
_____ milk the cord
Don't
If the foramen ovale does not close, you will hear a ________
murmur
Central cyanosis is always __________, look for a cause
Abnormal
The baby should void within the first ____ hours
24
Immunglobin transfers over the placenta during the _____ trimester
3rd
IgM helps protect against _____ bacteria
Gram
Newborns recieve passive immunity from _________ immunoglobin
colostrum