chapter 15
When the umilical cord is cut and the neonate takes a first breast what do you do?
Perform assessment and take VS
Purplish mottling, baby is cold!
Idenity 3 benefits of BF for the mother?
decreased pp bleeding and risk of osteoporosis, rapid uterine involution, reduce risk of ovarian and breast cancer, earlier return to prepregnany weight, lower risk of hypertension and cardio disease
What gestations are extremely premature?
less than 28 weeks
Identify one assessment finding of meconium aspiration syndrome
green/yellow staining on baby, low apgar score, resp depression, barrel chest
What keeps alveoli open so baby can breathe?
Surfactant
name 3 s/s of hypoglycemia
Jittery, tachypnea, grunting, seizure, hypothermia, poor feeds.
Name 2 contraindications for breastfeeding
Tb, HIV, active herpes simplex on breast and galactosemia, PCP, cannabis, cocaine, Amphetamines
What gestations are very premature?
28-31 weeks gestation
What is a fatal medical finding in newborns?
Necrotizing endocolitis
1. Foramen Ovale closes at?
2. Ductus Arteriosus closes at?
1. 1-2 hours after birth
2. closes at 15 minutes
When is the best time to BF?
Initial period of reactivity: 15-30 mins of life
Identify the 3 stages of milk development
1. Colostrum- laxative to help pass meconium
2. transitional milk
3. mature milk- day 12, thinner, whiter with a bluish cast and does not contain vitamin d or K
BPD(bronchopulmonary dysplasia) affects
Neonates treated with prolonged mechanical ventilation and oxygen
What is another word for jaundice?
Icterus
Why is metabolism of BAT needed for?
Helps with heat production and transfer
How long does it take for a cappit and cephalohematoma to resolve?
cappit resolves in a week vs a unilateral hematoma resolves in 3 months.
when preparing formula you always want to..
Follow manufactures directions; right ratio and do not water down!
What is the medical management for PDA?
you will want to confirm the PDA with a echocardiogram
Difference between Physiologic and pathologic Jaundince is?
physio- >than 24 hours after birth, mostly seen in premature infants due to increase inconjugated bilirubin levels in cord blood
patho- Within 24 hours of life, due to bilirubin left untreated results in kernicterus and can lead to hemolytic disease, sequestered blood (cephalohematoma, bruising, hypoxia)
Name and describe methods of themp loss
1. Evaporation- water on skin to vapor
2. conduction- trans of heat to cooler surface
3. convection- heat from body to air currents
4. radiation- heat to cooler objects not in direct contact but nearby
What is the name of medication a newborn will receive if they have clymedia or gonorrhea infection?
Erythomycin opthalmic ointment
L- how well newborn latches on breast
A- Audible swallowing
T- Type of mother's nipple
C- Mother's degree of comfort
H- Amount of assistance needed to hold or position newborn to maintain effective latch
Identify the 4 nursing actions of RDS
administer surfactant, respiratory support, suction and VS
What is the most common infection in neonates and identify the 5 s/s we will see
GBS is the most common that can lead to sepsis, sepyicemia or septic shock.
Decreased BP, gray, mottled, temp, instability, hypothermia.