Normal Newborn Care
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| ____ period is the first few hours of life when the newborn stabilizes respiratory and circulatory function | show 🗑
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| show | To identify actual or potential problems that may require immediate or emergency attention
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| show | Mechanical Stimuli
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| show | Sensory Stimuli
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| show | Thermal Stimuli
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| ____ is made up of lipoprotein in the lungs to keep alveoli from collapsing creating an alveolar surface tension | show 🗑
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| Surfactant is made up of Lecithin/Sphingomyelin, what L/S ratio is needed to create alveolar surface tension | show 🗑
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| show | mechonium - Hypoxia
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| degree of lung ____ is how well the lungs expand and contract | show 🗑
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| show | Lungs
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| show | murmers
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| Onset of respiration triggers increased blood flow to the ____ after birth | show 🗑
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| show | Increased aortic pressure and Decreased pulmonary pressure
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| show | increased systemic pressure
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| show | closure of foramen ovale (L&R atriums), ductus arteriosus (aortic arch and pulmonary artery) and ductus venosus (to liver)
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| T/F oxygen saturation of newborn's blood is greater than adult's | show 🗑
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| show | oxygen.
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| show | Airway resistance
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| show | 120-160
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| show | 90 deep sleep 180 crying
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| ____ values during the first 12 hours of life vary with birth weight and are not routinely done unless in PICU or NICU | show 🗑
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| show | 50-55 mm/Hg
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| show | 90%
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| show | 30 - 60
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| show | 5-15 seconds
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| ____ is when the palms of hands and feet are blue because the cardiovascular system has not caught up yet. | show 🗑
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| show | nose
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| show | rhythm - if rhythm was not normal there would be a sea saw breathing where the abdomen and thorasic are in opposition
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| what happens to hematocrit levels in a newborn | show 🗑
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| show | leukocytosis
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| Blood volume of term infant is estimated to be ____ mL/kg of body weight | show 🗑
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| blood volume varies based on: | show 🗑
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| ____ in newborn is closely related to rate of metabolism and oxygen consumption | show 🗑
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| show | shiver
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| Newborns have decreased ____ and ____ fat | show 🗑
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| Newborn's poor thermal stability primarily due to excesive ____ rathen than impaired heat production | show 🗑
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| example of heat loss by convection | show 🗑
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| show | cold environment, infant placed next to (not on) cold surface areas and window..
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| example of heat loss by evaporation | show 🗑
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| show | body placed on cold surface like a scale
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| Three ways a newborn can produce heat by thermogenesis-physiologic mechanisms | show 🗑
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| Encouraging early breastfeeding and using heated and humidified oxygen are some interventions of minimize ____ stress | show 🗑
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| show | Conjugated bilirubin (direct) Think lipid to water
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| ____ bilirubin is breakdown product derived from heoglobin, not water soluable, released primarily from destroyed RBC's and crosses the placents | show 🗑
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| Total serum bilirubin (conjugated and unconjugated) is less than ___ mg/dl shortly after birth | show 🗑
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| jaundice is caused by | show 🗑
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| Concentration of bilirubin in the blood must exceed ___ mg/dL for the coloration of jaundice to be visible | show 🗑
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| show | normal
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| physiologic jaundice of newborn is caused by: | show 🗑
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| show | encourage early and frequent feeding, sunlight helps,
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| show | obstruction of liver, ABO incompatibility
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| ____ jaundice occures in first days of life associated with poor feeding practices | show 🗑
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| Coagulation factors (senthesized in liver) activated under influence of ____ | show 🗑
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| Vitamin K is synthesized in ___ | show 🗑
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| Vitamin K is given prophylactically on day of birth to combat potential ____ | show 🗑
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| show | 36-38
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| intestinal and pancreatic ____ are needed to digest most simple carbohydrates, proteins and fats and are deficient during the first few months of life | show 🗑
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| show | trouble digesting starches and digests and absorbs fats less efficiently
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| ____ are well digested and absorbed from newborn intestine | show 🗑
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| Air enters stomach immediately after birth and with bottle feeding more often than breast feeding. so burp baby every ____ oz or ____ with breastfeeding | show 🗑
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| newborn's stomach capacity | show 🗑
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| show | immature cardiac sphincter
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| Due to the sucking reflex, a newborn can ____ easily | show 🗑
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| show | 120
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| term newborns usually pass mechonium within ____ hours | show 🗑
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| show | mechonium - thick, tarry black or dark green
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| show | 34-36 weeks gestation
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| show | low compared to adult rate
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| Why are full term newborns less able than adults to concentrate urine | show 🗑
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| show | tubular
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| show | 6 times with 15mL/day (about 5mL/kg/day)
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| Newborn subsequently voids up to ____ times a day with urine output of ____mL/kg per day | show 🗑
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| limitations in newborn's ____ response result in failure to recognize, localize, and destroy invasive bacteria | show 🗑
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| show | Fever - anything over 100 F call pediatricians office
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| show | Viral 4-8 months, certain bacteria 4-8 weeks.
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| show | antigen (except IgM antibodies which respond to bacteria and some viruses)
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| Immnizations at 2 months of age is to develope active ____ immunity | show 🗑
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| Newborn Immunity IgA is from | show 🗑
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| show | IgM
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| IgM antibodies does not normally cross ____ | show 🗑
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| show | 10-15 weeks gestation
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| elevated levels of IgM at birth may indicate | show 🗑
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| show | IgG
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| show | antibodies (HIV antibodies)
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| The first period of reactivity is followed by a sleep phase before the second period of reactivity, how long do these periods last? | show 🗑
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| During the first period of reactivity it is good to initiate breastfeeding, why | show 🗑
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| show | inactivity to sleep phase
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| show | second period of reactivity
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| during the second period of reactivity, gagging, choking and regurgitating with turning blue are due to | show 🗑
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| During the second period of reactivity the nurse must be alert for ____ periods | show 🗑
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| show | REM Rapid eye movement
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| show | No eye movement, regular respirations, jerky motions (startles but rapidly suppressed), heart rate 100-120,
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| show | Irregular respirations, eye movement, sucking motions, minimal activity, smooth nonjerky movements
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| REM (active sleep) and quiet sleep occure in intervals of | show 🗑
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| show | 45-50% active REM, 35-45% quiet, 10% transitional between two
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| Which stage of sleep stimulates highest peaks of growth hormone and growth of neural system | show 🗑
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| show | drowsey or semi dozing, wide awake, active awake
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| show | eyes can be open or closed, eyelids fluttering, slow regular movements, & mildly startles
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| show | wide awake - quietly takes in the environment and stimuli. Active awake - Lots of moving, increased stimuli response and crying
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| Which alert state elicits an appropriate response of help from parents | show 🗑
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| show | Self-quieting ability & Habituation (ability to process and respond to stimuli) for example; ability to fixate and follow complex visual stimuli, and newborn perfers human face and bright objects
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| show | minimal starter reflex, cardiac rate rises, and respond with definate organized behavior
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| olfactory capacity of norman newborn include | show 🗑
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| show | sensitive to being touched, cuddled and held & settled newborn is able to interact with environment
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| T/F It is normal for a baby to have jaundice within the first 24 hrs? | show 🗑
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| What is SBAR and what does each letter mean? | show 🗑
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| Baby boy smith is 16 hours old and looks jaundice. As his nurse what will you do? | show 🗑
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| show | Yes a concern bilirubin should never be above 12. Call doctor or initiate hospital protical if there is one. Keep feeding them frequently to encourage the excretion of bilirubin…
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| show | • Total serum bilirubin is sum of conjugated (direct) and unconjugated (indirect) bilirubin. Is less than 3 mg/dl shortly after birth. Levels should not be greater than 12.
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| Levels of 20 or greater are considered kenicterus and may cause permanent _____ damage | show 🗑
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| show | NON Shivering Achieved by Thermogenesis-physiologic mechanisms that increase heat production.
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| show | Increased metabolic rateMuscular activityNonshivering Thermogenesis – chemical process which converts brown fat stores into heat energy
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| show | Expect stool color; frequency stool & urine 1st day 2-6 times and after 6-8 at least and 5-25; as milk come in what the stool color will look like
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| Baby boy smith is turning blue and gagging parent screaming and freaking out what do you do? | show 🗑
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Created by:
cgwayland
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