Medical 2-30-Newborn Needs And Care

Front 1

Nursing diagnosis related to presence of mucus and retained lung field?

Back 1

ineffective airway clearance

Front 2

Nursing diagnosis related to evaporative, radiant, conductive, and convective heat losses?

Back 2

risk for altered body temperature

Front 3

Nursing diagnosis related to ineffective thermoregulation?

Back 3

altered peripheral tissue perfusion

Front 4

Nursing diagnosis related to vitamin K injection or heel sticks for glucose or hematocrit.

Back 4

acute pain

Front 5

Nursing diagnosis related to periodic breathing?

Back 5

risk for ineffective breathing pattern

Front 6

Nursing diagnosis related to limited nutritional or fluid intake and increased caloric expenditure?

Back 6

altered nutrition: less than body requirements

Front 7

Nursing diagnosis related to meatal edema secondary to circumcision?

Back 7

altered urinary elimination

Front 8

Nursing diagnosis related to umbilical cord healing, circumcision site, immature immune system, or potential birth trauma (forceps or vacuum extraction delivery)?

Back 8

Risk for infection

Front 9

Nursing diagnosis related to lack of information about basic baby care, male circumcision, and breast- and/or formula-feeding

Back 9

Health-Seeking Behaviors

Front 10

Nursing diagnosis related to integration of newborn into family unit or demands of newborn care and feeding

Back 10

altered family processes

Front 11

Call hcp when infant temperature reaches?

Back 11

above:
101 F rectally
100.4 F axillary

below:
97 F rectally
97.8F axillary

or if continual rise in temp

(......97,100......)

Front 12

Call hcp when infant experiences more than one episode of forceful vomiting or frequent vomiting over a
_______ ______ period.

Back 12

6 hour

Front 13

Call hcp when infant refuses to eat _______ in a row.

Back 13

twice

Front 14

Call hcp if infant lethargic or listless, with difficulty in awakening.

Back 14

okay

Front 15

Call hcp if infant cyanotic with or without a ________.

Back 15

feeding

Front 16

Call hcp if there is absence of breathing longer than _____ seconds.

Back 16

15

Front 17

Call hcp if infant inconsolable or there is a continuous _____-_____ cry.

Back 17

high-pitched

Front 18

Call hcp if mother has discharge or __________ from umbilical cord, circumcision, or any opening.

Back 18

bleeding

Front 19

Call hcp if there are two consecutive _______, ______ stools

Back 19

green, watery

Front 20

Call hcp if no wet diapers for _____ to _____ hours or fewer than _____ to _____
wet diapers per day after ____ days of age

Back 20

18 to 24
6 to 8
4

Front 21

Call hcp if there is drainage from the ______.

Back 21

eye

Front 22

Define circumcision?

Back 22

a surgical procedure in which the prepuce is separated from the glans penis and excised....permits exposure of glans for easy cleaning...Jews and Muslims..to look like father and to prevent later need for it...don't do if premature or compromised, has known bleeding problem, GI defect...use analgesia EMULA cream, dorsal penile nerve block, or subcutaneous ring block

Front 23

Define prepuce in male genitalia?

Back 23

epithelial layer covering the tip of the penis

Front 24

Some risks for circumcision?

Back 24

hemorrhage
infection
difficulty in voiding
separation of edges of
circumcision
pain
restlessness

Front 25

Nursing intervention for circumcised area using Plastibell?

Back 25

apply petroleum jelly and gauze..
apply pressure to light bleeding, call doctor if it gets worse..
keep using petroleum jelly to protect granulating tissue...
report to hcp swelling, pus,cessation urination..
don't let diaper rub it and don't put it on too tight..
okay to give prescribed analgesics..
Bell should fall off in 8 days or call doctor..
continue with jelly