Live(r) It up
Key way to prevent jaundice
What is initiate early feedings?
*encourages meconium passage
*may need to supplement if breast milk is insufficient in supply or quality
Heart Rate
120- 160
The infant loses heat through insensible losses from the airway and skin through THIS type of heat loss.
What is evaporation?
DRY THAT BEBE OFF!
Timing for passage of first stool
What is within 12 hours of birth?
*jaundice risk!!! meconium contains bilirubin that could be reabsorbed
Administer this to help protect against bleeding
What is vitamin K?
What is JAUNDICE?
Respiratory Rate
30-60, irregular
The infant loses heat to your cold stethoscope touching its skin through THIS method of heat loss.
What is CONDUCTION?
Warm that stethoscope up!!!!
conDuction = needs Direct contact
Timing for first urination
When using bulb suction, suction HERE first.
What is the mouth?
*Don't cause aspiration by suctioning nares first!!!
Benign Jaundice AFTER 24hrs
What is physiologic jaundice?
Temperature, axillary
36.5C - 37.5C / 97.7F - 99.85F
The infant uses brown fat AT A BIG PRICE to warm up. This is the acid/base imbalance use of nonshivering thermogenesis may create:
What is METABOLIC ACIDOSIS?
*Breakdown (metabolism) of brown fat yields fatty acids . This increases JAUNDICE risk! (double whammy!)
What are assess anterior fontanel for depression and count wet diapers (goal is minimum of 6/day)?
Critical for oxygen transport, energy, muscle development, and immune function - all commercial formulas are fortified with *THIS* mineral.
What is iron?
*breast-fed babies do not need iron fortification until 4-6 months
Pathologic jaundice that may appear within firs 24 hours
What is nonphysiologic jaundice?
Blood glucose before 24hrs old and after 24 hours old.
40-60mg/dL and 50-90mG/dL
Hyperthermia increases need for oxygen and energy, possibly resulting in THESE abnormalities.
What are hypoxia and hypoglycemia?
Frequency of newborn vital sign assessment
Every 30 minutes until stable for at least 2 hours
Provide uninterrupted time for bonding between mom and baby, if both are stable, during this - the time after birth when infants are wide awake, alert, and interested in their surroundings.
What is the first period of reactivity?
Treatment for breast milk jaundice
What is phototherapy, frequent breast feeding, and possible supplementation with formula?
Count respirations for this duration
What is 1 full minute?
Position the measuring tape *HERE* to determine the circumference of the head.
What is around the occiput, and above the eyebrows?
Increases risk of jaundice (BLOOD = RBC breakdown), but reabsorbs quicky. Does not cross suture line and often caused by trauma to the head during delivery.
What is cephalohematoma?
Tested at 1 minute, the neonate has acrocyanosis, flexed extremities with symmetric movement, grimace with suction, heart rate of 125, and a strong cry.
What is 9?
Each of 5 areas scored 0 - 2.
Heart Rate: > 100 = 2pts
Respiratory Effort: Spontaneous respirations with strong, lusty cry = 2 pts
Muscle Tone: Flexed body with spontaneous movement = 2 pts
Reflex response: Responds promptly to suction/slap on sole with cry and movement = 2pts
Color: bluish hands/feet = 1pt