Why is the vitamin K injection important?
to reduce the risk of bleeding since newborns cannot form clots
What are the signs of respiratory distress syndrome (RDS)?
- grunting
- nasal flaring
- tachypnea
What is swelling of the scalp that does not cross the suture lines?
cephalohematoma
oliguria, sunken fontanelles
What does SGA mean?
small for gestational age; i.e. a baby less than the 10th percentile of weight
A baby is born with a darker area over his sacrum, and it is non-concerning. What is this area called?
Mongolian Spot
What are signs of jaundice?
-yellowing of the skin
-yellowing of the sclera
-poor feeding and lethargy
Name three signs of hip dysplasia
- gluteal folds uneven
- one leg shorter than the other
-a hip click on adduction of the hip
What is considered low blood sugar in a newborn? How about in a pre-term infant?
40- newborn
30- preterm
What is a nonpharmacological way to help an infant cope with pain?
What is an early indicator that a newborn is becoming septic
the temperature drops
what are nursing intervention in caring for a fresh circumcision site?
apply petroleum gauze to the site, monitor for edema, monitor for bleeding
When a child has cleft lip, how is it recommended that they feed?
through a specialized feeding device with a large, soft nipple
How many second does it take to diagnose a child with apnea?
20 seconds
When caring for a child with spina bifida - what product should you avoid?
latex
When is the ideal time to conduct the PKU screening?
24 hours
What baby's are at risk for Transient Tachypnea of the Newborn?
-c/section babies
-babies born from precipitate labor
What are signs of Neonatal abstinence syndrome?
-high-pitched cry
-sneezing
-excessive desire to suck
-high-pitched cry
-jitteriness
describe the kinds of heat loss in a baby
-evaporation: water being lost from the skin
-convection: cold air or water brushing against the baby
-conduction: a cold surface on the baby
-radiation: a cold surface near the baby
If a baby is having an apneic episode- what is the most appropriate first action to take
gently rub the infant's feet or back
Why might there be a false negative on a hearing screen?
- fluid still in the ear canal
-vernix in the ear canal
- a noisy environment or too much movement
A post-term infant is at risk for what issues?
- fractured clavicle
- meconium aspiration
- dry skin
- hypoxia
what are physical findings in a newborn with downsyndrome?
-hands short and thick, pinky finger is curved
-large, protruding tongue
-close-set and upward slanted eyes
-single, transvers palmar crease
name 5 infant reflexes and what they are
-rooting
-sucking
-babiknsi
-moro
-palmar grasp
(as well as blinking, sneezing, and gagging)
What is Retinopathy of Prematurity
an eye disease in premature babies where abnormal blood vessels grow in the retina- can lead to blindness. No s/s so must be diagnosed on an eye exam