Newborn Care 1
Normal newborn respiratory rate
What is 30-60 breaths per minute?
Normal newborn heart rate
What is 110-160 bpm?
Normal newborn temperature
What is 36.5-37.5C ?
Normal blood glucose level of a newborn
What is above 45 mg/dL (after 4 hrs of birth)
Rooting instinct, licking lips, sticking out tongue
What are newborn feeding cues?
Elongation of the fetal head to allow passage through the birth canal; normal finding
What is molding?
The most common type of complications in newborns
What is respiratory?
Localized edema caused by pressure of the birth process; crosses suture lines
What is caput succedaneum?
The treatment administered if a newborn experiences hyperbilirubinemia
What is phototherapy?
Reflexes that disappear by the first year and show neurological health
What are Moro, step, Babinski, plantar, palmar, rooting, and fencing?
Ways to prevent cold stress.
What are: Dry quickly, place skin to skin, apply a hat, use warm blankets, swaddle, or sleep sacks, radiant warmer, delay bathing
If the newborn cannot maintain their temperature, what other assessment should be performed?
Heel stick for a glucose level for potential hypoglycemia
A term infant weighing over 4,000 grams
What is large for gestational age (LGA)?
Treatments for hypoglycemia
What are Rapid-acting glucose gel, breastfeeding, bottle feeding, or IV glucose administration (D10W)?
A term infant weighing less that 2,500 grams
What is small for gestational age (SGA)?
The cessation of breathing that lasts 5-10 seconds but does not decrease HR or lead to cyanosis
What is periodic/irregular breathing?
Reduces surface-tension; prevents collapse of alveoli and limits loss of lung volume
What is surfactant?
Clinical Manifestations of hypoglycemia
What are Jitteriness, sweating, hypothermia, irritability, lethargy, cyanosis, apnea, seizures, high-pitched or weak cry, hypothermia, poor feedings are signs of this condition.
Signs of respiratory distress syndrome
What is Grunting, retractions, nasal flaring, shallow breathing, tachycardia, tachypnea, and crackles; most often due to lung immaturity and surfactant deficiency.
Nursing considerations for phototherapy
What is Monitor body temp, hydration, keep eyes covered, provide non-nutritive suck, encourage parental compliance and participation in care, reposition hourly are some nursing interventions for this type of treatment?
Collection of blood that does not cross suture lines; pressure on the head during birth that causes trauma
What is a cephalohematoma?
A dark, bruise like change in pigment noted on the backside of a newborn.
What is a Mongolian spot.
Yellowing of the skin and sclera, lethargy, poor feeding
What is jaundice?
A newborn with meconium stained fluid is at risk for what?
What is meconium-aspiration?
Signs of neonatal withdrawal
What are apnea, irritability, restlessness, fever, excessive crying, tremors, hypertonia?
Finnegan Neonatal abstinence scoring system