Neonatal Adaptation Part #1
The normal amount of time a newborn can have acrocyanosis without it being a problem is?
What is: less than 24hours
To maintain thermoregulation what is the number one first priority nursing action to perform with a newborn.
Dry immediately after birth with a warm blanket.
What two nursing care actions would the nurse teach to prevent hemorrhoids?
Encourage the mother to:
1) High fiber diet
2) Increase PO fluids
What stool is characterized by yellow, soft, & formed.
What is Formula-feed Newborn
Define Advanced Maternal Age and Describe Greater Risk Factors
What is: 35 years and older. At risk for chromosomal anomalies in the fetus, spontaneous abortions, hypertension, preterm labor & placenta abruption.
Most newborns will pass meconium within how many hours?
What is: 24 hours
Define the major concern of a newborn with extremely too high bilirubin?
What is Kerniterus
What postpartum psychiatric disoreder is defined as "Mixed or rapid cycling, agitation, delusions, halluations, disorganized behavior, cognitive impairment & low insight ?
What is Postpartum Psychosis
What stool is characterized as thin brown/green occuring 1-3 day.
What is Transitional Stool
What maternal adaptive disorder is characterized by the mother stating "I feel so worthless, guilty & have no pleasure
What is Postpartum Depression
What reflex Is when the head is turned to one side in responses, the exremities on the same side straighten, whereas on the oppositie side they flex?
What is: Tonic Neck Reflex "Fencing"
Define the skin variation that are tiny, white papules resembling pimples located on/around the nose.
What is Milia
Where is the fundus located 12 hours post-delivery?
What is @ the umbilicus
American Academy of Pediatric recommends this supplement be received daily especially to breastfed infants?
What is Vitamin D
State 4 signs and symptoms of NAS.
What is:
1) Excessive high-pitch shrill cry
2) Hyperactive Moro reflex
3)Tremors & seizures
4)Sneezing & excessive yawning
5)Projectile vomiting & diarrhea
State the four normal characteristics of a newborn normal respiratory system.
What is:
1) 30-60 respiration per minute
2) Irregular, shallow
3) Periodic breathers
4) Nose breathers/ abdomen breathers
What is the best way to prevent jaundice?
What is: Initiate early feedings
What lochia stage is defined "pinkish brown and occurs on day 4 to day day 10"?
What is Serosa lochia
For a premature baby in NICU, when should this mother start using her breast pump, to ensure production of milk?
What is "within 4 hours of delivery"
During the first hour of birth state three nursing activities to promote parent-infant bonding.
What is:
1) Encourage skin-to-skin
2) Delay instilling the ophthalmic eye antibiotics
3) Dim the lights
List the 6 variables assessed for signs of newborn respiratory distress.
1) Grunting
2) Tachypnea (greater than 60 breaths/minute)
3) Nasal flaring 4) Central cyanosis
5) Intercostal or xiphoid retractions
6) Unequal movements of the chest & abdomen during breathing (seesaw like respiration)
What is the skin variation that is defined as small papules that are scattered with no pattern.
What is Erythema toxicum
Define the assessment (specifically cm./inches) for "light" and "moderate" lochia flow.?
Light lochia flow is defined as 2.5 to 10 cm. (1 to 4 inch) stain.
Moderate lochia flow is defined as 10-15 cm. (4 to 6 inch) stain.
State 4 nursing instructions to a bottle-fed mother in caring for her breast
1) Do not express the milk
2) Wear a tight-fitting supportive bra
3) Apply ice to the breast
4) Take a mild analgesic as needed
State and define Rubin's Phases
TakingIn (first 24-48 hours)
Taking Hold (starts second day to third day & may last for several weeks)
Leting Go ( Occurs when the mother returned home. The woman reestablishes relationships with other people).