Admin Orders
According to policy, a newborn physical assessment is performed by a care provider within this time.
What is within the first two hours after birth?
Normal Newborn Heart Rate for Infants 37 Weeks or Greater in L&D and the New Family Center
What is 100 – 160 beats per minute (bpm)?
Vital sign frequency for term newborn.
What is, "Every 30 minutes x 2 hours and then Every 8 hours."
I should educate parents on the importance of scheduling an outpatient follow up visit _______ hours after discharge as recommended by the pediatric provider.
What is 24-72 hours?
"My baby's fontanelle feels lower than before, what does that mean?"
What is, "Sunken fontanelles can indicate dehydration, tell me more about your baby's feedings and diapers?"
What is: Normal Newborn Heart Rate – 100 – 160 beats per minute (bpm), Normal Respiratory Rate – 30 - 60 breaths per minute, and Normothermia – 97. 7⁰F to 99.5⁰F?
Hyperglycemia glucose checks
What is infants with a glucose reading greater than 100 mg/dL should be rechecked in 30 minutes; if the subsequent reading is again greater than 100 mg/dL, notify the health care provider?
Vital sign frequency for preterm infant.
What is every 30 minutes x 2 hours and then every 4 hours x 24 hours.
Safe sleep includes...
What is laying babies on their back, using a firm mattress, no blankets or soft items, and no sleeping in the carseat unless in the car?
A nurse should gain consent and administer these two medications within 2 hours of life.
What is Erythromycin eye ointment and Vitamin K Injection?
I should notify the provider if...
What is, "Notify the healthcare provider for any abnormal findings (for example: hypoglycemia, Hypothermia, feeding difficulties)."
Hypoglycemia protocol begins when
What is the infant has a blood glucose of <45 mg/dL and is symptomatic or blood glucose is 25-40 mg/dL and asymptomatic?
Umbilical cord care includes
What is leaving the umbilical cord dry and open to air by folding the diaper under and continually inspecting cord for signs of infection?
Topics to teach parents of a newborn (3 possible answers, 100 pts each)
What is, "Signs and symptoms of when to seek care or assistance after leaving the hospital, physical care of the newborn, and feeding the newborn."
Gestational age assessment should be done if...
What is early ultrasonography (before 20 weeks gestation) was not done?
Frequency of Transcutaneous Billi Check
What is every 8 hrs for 24 hours and every 12 hours beginning at 36 hours of life?
Assess oxygen saturation when the following situations occur:
What is breath sounds are not clear bilaterally, increased work of breathing or poor respiratory effort, or central cyanosis?
Hunger cues include
Feeding education includes...
What is initiating early feedings after delivery and continuing to feed infant on demand/with hunger cues, report tachypnea to the nurse or provider for a consult regarding the infant feeding plan, and report any feeding difficulties to the health care provider after discharge?
If an infant is exposed to _________________, a nurse should remove blood and secretions from skin after delivery.
What is, "maternal HIV, Hepatitis B virus, and/or Herpes simplex virus."
Infant’s automatically qualify for blood sugars if they are __________. (5 possible answers, 100 pts each)
What is <37 weeks, SGA or <10th %tile weight, LGA or >90th %tile weight, Infant of diabetic mother, or Symptomatic – jittery, lethargic, etc.
Clinical Signs of Respiratory Distress (5 possible answers, 100 pts per sign)
What is tachypnea (respiratory rate greater than 60 breaths/minute), grunting, retracting, nasal flaring, cyanosis at birth or any time in the early neonatal period.
Signs that baby is getting enough milk include
What is breastfeeding 8-12 times per 24 hours, hearing baby suck and swallow, 4 or more loose yellow stools or 6 or more clear or pale-yellow wet diapers by day 5 of life, appears calm and full, has awake and alert periods, regains birth weight within 10-14 days and gains 5-7 ounces over the next couple of months, your breast feels full before feedings and softer afterwards?
Ways that a parent can help control environmental factors and prevent heat loss. (5 possible answers, 100 pts each)
What is...
A Car Seat Tolerance Challenge (CSTC) is conducted by a registered nurse if any of the following applies to the patient: (4 possible answers, 100 pts per answer)
-Born at less than 37 weeks gestation
-Birth weight less than 2500 grams
-Patient is at risk for apnea, bradycardia, or oxygen desaturation
-A provider order