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OB
Nursing Care of the Normal Newborn
| Question | Answer |
|---|---|
| this period of time requires close attention during the first 6-12 hours | transitional period |
| when you suction the newborn initially, to avoid the baby from crying and sucking in-leading to aspiration; with his head slightly lower than the body or on his side using a bulb syringe what do you do | suction mouth first then nose |
| if you require using a small suction machine for how long can you suction the newborn at a time? | 5 minutes at a time |
| to initially get the newborn's HR, quickly palpate the base of the cord and count for 6 seconds; multiply that by 10; how do you know it is a good number and baby can be with mom | HR will be 100 bpm or higher. |
| this increases the amount of O2 and glucose needed by the newborn putting him at risk for hypoglycemia; respiratory distress; and metabolic acidosis | cold stress |
| a method to keep the newborn warm is to keep the newborn warm using skin-to-skin contact and good for bonding | Kagaroo care |
| in the first 24 hours especially, the newborn should be kept in an environment in which the heat is neither lost nor gained. | thermoneutral enviroment |
| If you suspect hypoglycemia, and have taken an at the bedside test it shows below 50 mg/dL and you are waiting for the results to come back what should you do? | feed the baby...don't wait for results! |
| a sever eye infection contracted in the birth canal of a woman with gonorrhea or chlamydia | opthalmia neonatorum |
| the three antibiotic agents used to prevent ophthalmia neonatrorum | 1% silver nitrate; 0.5% erythromycin; 1% tetracycline |
| triple dye; bacitracin ointment; or providone-iodine are used initially after birth to help prevent infection where? | umbilical cord |
| how much Vitamin K will you administer IM? | 0.5 mL |
| There are 4 id bracelets you will check information such as mom's name, hospital number, and physician, and newborn's sex and date and time of birth; where are these located | 2 on newborn: one on the arm, the other on the leg; and one on mom; and one on dad or designated adult |
| signs of redness and edema at the base of cord and may have purulent d/c are s/s of what | infected cord |
| s/s of poor feeding, irritability, lethargy, apnea, temp instability are early signs of | sepsis |
| late s/s of this are enlarged spleen and liver, jaundice, petechiae | sepsis |
| immediately after a circumcision, what type of dressing do you apply | petroleum guaze |
| how often do you check the circumcised newborn once the procedure has occured | every 12 hours |
| babies normally feed how many hours at the beginning, before coming fairly approximate in 2 weeks | they eat every 2-4 hours |
| how many hours a day does the newborn typically sleep | 16-20 hours |
| how many hours a day is it typical for a newborn to cry; and can last between 6-7 weeks | 2 hours a day |
| dark greenish black and tarry stool that occurs initially | meconium |
| meconium like stool that is lighter green or light green-yellow and looser | transitional stool |
| this baby's stool is softer, sweetish odor | breast-fed baby |
| this baby's stool is well-formed, darker in color, and unpleasant odor | bottle-fed baby |
| this condition is best prevented with and treated with early and regular feedings; and if the baby cannot feed IV glucose will be given | hypoglycemia |
| if while taking care of the infants in the nursery and they show signs of crying, grimacing(or making other faces), and increased heart and respiratory rates; and you have done all the basics...what might be wrong? | newborn is in pain |
Created by:
gracekimes
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