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42 Cards in this Set
- Front
- Back
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immediate care after birth |
apgar score and initial assesment |
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apgar score |
heart rate respiratory effort muscle tone reflex irritability skin color made at 1 and 5 min 7-10 is good |
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general appearance |
assess posture activity distress bruising flexion |
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neonatal respirations |
shallow and irregular |
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respirations |
30-60 |
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birth weight is usually |
2500-4000 |
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baseline measurements of physical growth |
WHT Head and body measurements |
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head is measured |
at largest diameter occipitofrontal diameter placed above eyebrows 32-36.8 |
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gestational age looking at what |
whats approaiate for week they were delivered above 10% is diabetic moms |
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newborn classification by |
gestational age and why |
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AGA |
appropiate for gestational age |
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LGA |
large for gestational age above 90th percentile this is diabetic mom |
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SGA |
small for gestational age below 10th perceintle |
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birth weight influences |
mortality lower the weight the more likely |
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are fine crackles for the hours after birth normal |
yes |
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four conditions needed to maintain oxygen |
clear airway respirations adequate circulation and cardiac function thermoregulation |
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cold stress increases the need for |
o2, can deplete glucose |
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ideal way to promote warmth and maintain body temp is |
early skin to skin contact |
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how often is temp checked |
every hour |
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how should the hypothermic infant be warmed |
slowly fast can can apneic spells and acidosis |
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why do we put the erythromycin in the eyes |
to prevent against opthalmia neonaroum caused by gonnorhea and chlyamdia |
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vitamin K given when |
right after birth its made by intestinal flora and the babies don't have this yet |
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do determine between rashes and petichea or ruptured blood vessels |
rashes will blanch |
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physiologic jaundice |
increased unconjugated billirubin no treatment goes away |
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pathologic jaundice |
needs pathotherapy high billirbun |
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two ways to decrease hyperbillirubinemia |
phototherapy: need to protect eyes, monitor stool and urine output, need to be turned every 2 exchange transfusions: when phototherapy doesn't work |
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hyopglycemia |
less then 40-45 breast feed early to prevent |
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hypocalcemia |
ca below 7.8-8 |
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two tests for hearing |
EOAE and if thats not normal do ABR |
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most serious complication of heel stick |
necrotizing osteochondritis hitting bone use outer aspect |
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for IM injection |
use 25 gauge can't take more then 0.5 ml at once 90 degrees vastus lateralis |
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no feedings how long before circumscision |
2-3 hours |
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Hep B is |
usually given is given if don't know moms status |
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after circumscision check every |
15 min for bleeding to clean use water and soap not wipes will get yellow exudate thats normal change diaper every 4 |
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CRIES |
crying requiring more o2 increase in VS sleeplessness assesment for pain |
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follow parental cues for teaching |
ok don't give a bunch of info at once info overload |
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use zinc oxide for |
diaper rashes protects from moisture |
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what angle in car seat |
45 |
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if too small can you put towel under them and on side |
yes |
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does pacifiers prevent SIDS |
yes |
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the umbilical cord falls of with the process of dry gangrene so |
smell isn't determinate of infection |
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on what day can newborns make their own Vit K |
day 8 |
