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Whats another term for newborn |
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1 minute
5 minute
Not normal we do at 10 minute as well |
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We check umbilical cord in the delivery room for |
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Two arteries and one vein
Cord not pulsating |
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If the cord is still pulsating that can mean |
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Certain lab screening done in delivery room or first few hours are |
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Baby born to diabetic mother can be |
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NYS has how many congenital disorders baby must be screened for by taking blood from heel |
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In the baby first 6 month of life they are at risk for infection why |
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No antibodies and immune system is compromised |
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When baby gets moved into nursery the nursery nurse does their own assessment which includes |
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Get a report and make an assessment
Check for safety
ID band, Tracer put on baby |
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Babies like to be swaddled because |
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They have nervous reactions to open spaces |
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It takes about how many hours for babies temperature to regulate |
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Vital signs need to be closely monitored for how long |
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A normal newborn respiration |
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35-50 Noisy
Abdomen up & down |
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Average weight of newborn |
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5 1/2-10lbs
Lose 10% body weight first 48 hours |
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Why do newborn lose weight |
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They don't eat the two day Lots of activity |
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Measurement of the newborn |
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Length with legs extended head circumference |
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What does hydrocephalic mean |
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Usually don't give a bath until temp. gets to |
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For cord care we allow the cord to stay |
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We test for PKU and that is |
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An enzyme if not present can build up and cause brain damage |
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Treatable early on
Testing done first 48 hours after baby has had a feed |
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You want to administer vitamin k because |
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Baby can't make own yet, Decrease incident of bleeding (especially in brain) |
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You will give vitamin k with a needle gauge |
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25 or higher
IM Vastus lateratus |
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Can't use glutius muscle because |
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Baby hasn't started walking and developed muscle yet |
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Babies can feed by either |
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Breast feeding or bottle feeding |
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Everything mom ingest foes to baby and she can only feed baby |
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With can formula you have to follow directions on the can such as after 24 hours after opening the formula |
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You have to show baby how to latch |
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On to nipple
Grab onto nipple |
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Protein and antibodies the baby receives from moms breasts |
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As long as baby gaining weight then we know breast milk is |
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Average length of newborn is |
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The newborn cry should be |
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The baby limbs are uncoordinated for how long |
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The baby in the newborn is getting a head to toe assessment about |
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Posterior fontanel close after about |
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The anterior fontanel is triangular and close in about |
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Babies see black and white for about the first |
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3 months
Fully present 6 months |
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Ears too high or lows can be signs of |
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Check for hard palette and baby able to suck you check by |
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Put a finger in baby mouth |
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In male and female its common for swollen breast tissue due to |
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Hypospadis/Epispadis had to do with |
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Erethral opening at the very end |
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Outside the body two testicles |
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Rooting reflex need to be present so baby can |
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Baby head on the side arms go other side |
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Total attachment toes frail out
At about 6 months to a year |
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Sirfactant should be present in the neonates lungs |
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Respiratory rate of newborns |
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40-60
Irregular short periods of apnea
Shallow breathing |
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Signs of early resp. distress |
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Grunting Cyanosis Difficulty feeding Sternal retractions Periods of apnea |
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When the baby breaths for the first time it causes pressure on the heart and forces the circulatory pattern into a |
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Baby is born dark due to being |
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Hypoxic
After breathing it pinks up |
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Stomach has to take time to |
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Soft and slightly descended |
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The umbilical cord should be |
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Within the first hour of life we should start to hear |
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We can do a rectal temp. to see if the anus is open and that is called a |
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Green stool passed within the first 24 hours is important and that stool is called |
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Yellowish-green stool with mucous should be seen the |
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Breast feed babies should have what type of stoOL |
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Soft yellow pasty stool 6 or more a day |
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Bottle feed babies have less stool and the color is |
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Yellow green to brown, firmer
Nice formed stool maybe after a month as compared to breast feed may still be watery |
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Kidney function begins in |
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Infants get fed on demand when |
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Most babies are born with urine in |
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The bladder
6-8 wet diapers a day |
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Babies MUST be urinating every |
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High bilirubin in the blood
Come from the liver |
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Disease process
Reason for it |
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Normal physiological jaundice means |
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The liver hasn't matured enough to function properly
Occurs first week of life |
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Yellowish tinge on skin
We use indirect lighting Press on forward and see a yellowing where you pressed |
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You can use bilirubin lights in a baby with jaundice and that is |
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Fluorescent lighting Not damaging to the baby
Cover eyes and genitals
Keep under light as long as possible |
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Pathological jaundice occurs at |
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Bilirubin levels in pathological jaundice |
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12.9 and higher
The higher the level more likely brain damage |
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Erythroblastosis fetalis means |
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Rh antibodies do no cause a termination in the pregnancy but causes pathological jaundice
Also common in babies who have ABO incompatibility |
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Erythroblastosis is treated the same as physiological jaundice but |
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Baby will be under lights a few weeks |
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Darkened area on buttocks and lumbar region |
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Hands and feet have bluish tint |
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Tiny white spots or papules |
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Legs should be able to rotate well without |
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laying the baby down and taking leg up and rotate out |
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Hip dislocation or hip dysplasia in a baby means |
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The buttex is uneven and one side is lower then another |
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Singlemost best way to prevent infection |
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Preterm infant means a baby born |
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Before 37 weeks gestation |
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A preterm infant can have what type of skin |
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Thin transparent skin Decrease in subq fat |
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A preterm infant can have an excess of |
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Pre term babies can have impaired |
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We give pre term babies two birthdates |
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Give them time to catch up |
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Pre term baby gets bethamethasone a steroid to |
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Stimulate sirfactant in the baby |
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Retinopathy of prematurity means |
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How the retina responds to high levels of oxygen (The artificial oxygen)
Reason why so many pre mature kids wear glasses |
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We need daily weight in the newborn because |
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Losing 10% weight is baseline as to how healthy |
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