Term
| Nursing plan/intervention after delivery: |
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Definition
| Immediately dry infant under warmer or skin-to-skin with mother, suction mouth first, then nose with bulb syringe, keep head slightly lower than body, assess airway status. |
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Term
Symptoms of Respiratory Distress: |
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Definition
-Retractions
-Tachypnea >60 resps/min
-Dusky color/circumoral cyanosis
-Expiratory grunt
-Flaring nares |
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Term
| When does the nurse obtain Apgar Scores? |
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Definition
At 1 and 5 minutes after delivery. A hands-on examination. Scores given of 0-2. Do NOT wait until 1 minute Apgar is assigned to begin resuscitation of compromised neonate.
7-10=good
4-6=needs moderate resuscitative efforts
0-3= severe need for resuscitation |
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Term
| What does Apgar Assessment measure? |
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Definition
HR: Absent=0, Under 100=1, 100 or >=2
Respiratory effort: No cry=0, Weak cry=1, Vigorous cry=2
Muscle tone: Flaccid=0, Some flexion=1, Total flexion=2
Reflex irritability= No response to tap=0, Slight response=1, quick foot removal=2
Color= Dusky/cyanotic=0, Acrocyanotic=1, Totally pink=2 |
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Term
NB Prophylactic eye care: Erythromycin Tetracycline ointment
Indications/Adverse reactions/Nursing implications |
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Definition
Indications/Prevent ophthalmia neonatorum/chlamydia
Adverse reactions/ Most commonly used agent, puffy eyes from manipulation
Nursing implications/Thin line along entire lower lid in conjunctival sac, one tube per baby and discard, manipulate eye to ensure complete coverage, may wipe excess after one minute |
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Term
Newborn prophylactic eye care- Silver Nitrate drops
Indications/Adverse reactions/Nursing implications |
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Definition
Indications- Prevention of ophthalmia neonatorum from gonorrhea expoure through birth canal in vag delivery
Adverse reactions- Red,puffy eyes, staining of skin if contact occurs
Nursing implications- May not kill other organisms such as Chlamydia, 2gtts in lower congunctival sac making sure drops spread over entire eye, DO NOT irrigate eyes following instillation |
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Term
| How to give IV meds during labor, |
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Definition
| Push IV bolus in line slowly, at beginning of contraction, give med during contraction, when uterine blood vessels are contricted, so less reaches to fetus. |
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