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