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16 Cards in this Set
- Front
- Back
Always suction the ___ first so that there is nothing for the infant to aspirate if he gasps when the ___ is suctioned
|
Mouth
Nose p1560 |
|
Approx ___% of newborns require no resuscitation beyond suctioning of airway, mild stimulation, maintenance of body temp
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80%
p1560 |
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____ is on of the most crtitcal steps in caring for newborns
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Airway Manangement
p1560 |
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Why do you maintain newborns at the same level as the mother's vagina
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it facilitates the drainiage of secretions and helps to prevent aspiration
p1560 |
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Name the 4 ways heat loss occurs and how the newborn losses the most heat
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1-evaporation
2-convection 3-conduction 4-radiation Newborn-evaporation p1560 |
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The temp in a delivery room/ambulance should be at a min. of
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23-24C (74-76F)
p1561 |
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Do not milk or strip the umbilical cord because it increases ____ or ____
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blood viscosity or polycythemia
P1563 |
|
When cutting the umbilical cord place the clamps w/in ___ secs after birth. Place the 1st clamp ___ cm from newborn and 2nd clamp ___cm farther away from the first
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30-45 seconds
10cm 5cm p1563 |
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The presence of fetal meconium at birth indicates ___ has occured at some point during pregnancy
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fetal distress
p1563 |
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What vital sign is most important indicator of neonatal distress
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Heart rate
p1563 |
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Cardiac output depends more on ___ than ___
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Heart rate than stroke volume
p1563 |
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____ begins w/ drying, warmong, positioning, suctioning, and stimulating the newborn
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Resuscitation
p1564 |
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Deep suctioning can cause a ____ response, resulting in bradycardia
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Vagal
p1564 |
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Name the 6 steps of the Inverted Pyramid of Neonatal Resuscitation
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1-drying,warming, positioning, suctioning, tactile stimulation
2-oxygen 3-bag-mask ventilation 4-chest compressions 5-intubation 6-medications p1564 |
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Name and describe the 4 newborn assessment parameters
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1-Resp. Effort-rate and depth should increase, if inadequate begin positive pressure ventilations
2-Heart Rate- check rate by listening to heart, feeling umbilical cord, or checking brachial/femoral pulse. if less than 100 begin ventilations 3-Color-maybe cyanotic, if central cyanosis is noted admin. supp O2 4-APGAR- unless resuscitation is required, obtain 1 & 5 min score p1566-1567 |
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Norrmal Newborn Vital signs
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Respirations-30-60
HR- 100-180 B/P- 60-90 systolic Temp- 36.7-37.8C (98-100F) p1567 |