Care Of The Newborn

Front 1

Apgar Score

Back 1

.........0pts 1pt 2pts
HR....absent....<100......>100
RR.....absent...slow,reg...good cry
muscle.flaccid..min flex...gd flex
tone.....limp.....of extr..act.motion
reflex...no resp..min resp..resp.
irritab..............to suction..promp
skin......pallor....skin norm.skin n
color.....cyanosis..extrem blue..&extr.

Front 2

apgar score intervention

Back 2

8-10 no intervention support the infants spontaneous efforts

4-7 gently stimulate, rub infants back, admn o2

0-3 infant requires resuscitation

Front 3

newborn VS norms

Back 3

HR- 100 to 160
Resp- 30-60 breaths
Temp(axillary) 96.8- 99
BP- systolic 60-80
.....diastolic 40-50

Front 4

newborn body measurements norm

Back 4

length: 45-55cm(18-22 inches
weight: 2500-4300g (5.5-9.5 lbs)
head circumference: 32-36.8(12.6 to 14.4 inches)
chest circumferenced: 30 to 33 cm(12 to 13 inches)

Front 5

fotanels

Back 5

anterior- soft flat, diamond shaped (closes 12-18 months)

posterior- triangular (closes 2-3 months)

Front 6

Harlequin sign

Back 6

deep pink or red color develops over one side of the body while the other side remains pale or of normal color,
May indicate sepsis or shunting of the blood caused by cardiac problem.

Front 7

Vit.__ is administered to the neonate, where? why?

Back 7

K.
lateral aspect of the middle third vastus lateralis muscle,
to prevent hemorrhagic disorders

Front 8

hepatitis B vaccination neonate

Back 8

usually within 12 hours
parental consent should be obtained before administration
administer w a 25 gauge syringe, 5/8 inch needle.

Front 9

Metabolic system/ GI system

Back 9

newborn stomach capacity is 90 ml
breastfeeding can begin immediately after birth. give sterile water or 5% dextrose b4 formula.

Front 10

moro reflex

Back 10

hold the newborn on a semi sitting position and then allow the head and trunk to fall backwards to at least 30 degree.
Newbprn should abduct, extend arms, form C with forefinger and thumbs.
present at birth-8 weeks
body jerk 8-18 weeks
no response by 6 months
persistent response more than 6 months indicate brain damage during birth

Front 11

preterm newborn

Back 11

newborn born before 37 weeks gestation.
primary concern is immaturity of all body systems

Front 12

postterm newborn

Back 12

neonate born after 42 weeks

mon for meconium aspiration
mon for hypoglycemia

Front 13

meconium aspiration syndrome

Back 13

fetal distress increases intestinal peristalsis relaxing the anal sphincter and releasing meconium into the amniotic fluid.
Aspiration can occur in the utero or with the first breath.

Front 14

meconium aspiration syndrome
intervention & data collection

Back 14

resp distress is present at birth. the infants nails, skin, and umbilical may be a stained yellow-green color.
Suctioning must be done stat after the head is delivered b4 the first breath is taken.
vocal cords should be viewed and airway clear b4 stimulation and crying.
infants w severe meconium aspiration may benefit from extracorporeal membrane oxygenation

Front 15

bronchopulmonary dysplasia

Back 15

chronic pulmonary condition that affects infants who have experienced Resp. failure who have been oxygen dependent more than 28 days

Front 16

bronchopulmonary dysplasia s/s

Back 16

tachypnea, TACHYCARDIA
retractions, nasal flaring, labored breathing.
crackles, decreased air movement. occasional expiratory wheezing

Front 17

transient tachypnea of the newborn

Back 17

resp. condition that results from incomplete evaluation of fetal lung fluid in full term infants.
Usually disappers within 24-48 hours.

Front 18

transient tachypnea- s/s

Back 18

tachypnea, nasal flaring, expiratory grunting, retraction.
wet lung sounds heard during auscultation
cyanosis that responds to minimal oxygen.

Front 19

retinopathy of prematurity

Back 19

vascular disorder invilves gradual replacement of the retine by fibrous tissue and blood vessels
Primarily caused by prematurity and use of supplemental oxygen more than 30 days.

Front 20

necrotizing enterocolitis

Back 20

inflammatory disease of the GI tract.
occurs 4-10 days after birth in full term baby.
S/S
^abd. girth, decreased or absent bowel sounds, loops of bowel seen through abd.wall, vomiting, bilestained emesis, abd. tenderness, occult blood in stool

Front 21

hyperbilirubinemia

Back 21

appearance of jaundice during the 1st day of life indicates a pathological process.
Immediate attention for bilirubin levels >than 12 mg/dl
therapy is aimed to prevent kernicterus which results in premanent neurological damage