Fluid and Electrolyte Homeostasis
Obtaining these daily can help to estimate fluid losses or gains
What is daily weights
Infants around this age usually begin showing signs of feeding readiness
What is 34 weeks
Preterm newborns may require increased fluid intake to compensate for this.
What is insensible water loss
This pregnancy complication should alert the care team to the potential for a neonatal GI abnormality
What is polyhydramnios
This is a blind pouch that fails to connect to the stomach
What is esophageal atresia
An infant weighing 2680 grams has a diaper weighing 32. Their diaper was last changed 3 hours ago. What is their urine output in mls/kg/hr
What is 3.98 mls/kg/hr
This type of feeding is often used for infants who are not able to safely feed orally
what is gavage feeding
The primary form of carbohydrates for the newborn used for energy production
What is GLucose
When completing a GI assessment, the nurse should begin at ____________ here the GI tract begins
What is the face
This nursing intervention is frequently ordered with GI disorders to help decompress the stomach and intestines.
What is a ventrol to continuous or intermittent suction
This electrolyte imbalance, usually seen in the first few days of life, is primarily caused by asphyxia at birth or hyperinsulinemia in infants of diabetic mothers
This feeding intervention includes holding the infant left side-lying, filling the nipple half full and tipping the bottle so the milk moves away from the infant to encourage swallowing and breathing.
What is paced feeding
A mixture of carbohydrates and protein that can be premade and stored for future use.
What is starter TPN
The occurs when the abdominal muscles don't fully close around the umbilicus. It usually resolves without intervention and only requires surgical intervention if it is large and persists after 4 years of age.
What is an umbilical hernia
Use of this can cause distention of the GI tract and further complicate many GI disorders.
What is CPAP/PPV
A sodium level of 148 most often indicates
What is dehydration or a fluid intake that does not account for high levels of insensible water loss
This type of feeding is given via feeding tube in the first few days of life to "prime the gut"
What is trophic feeds
60–100 mL/kg/day
What is the range for fluid intake over the first 3 days
This is the first stool, and is a mixture of vernix caseosa, skin cells, lanugo, bile salts, amniotic fluid, and intestinal secretions. While most term infants will pass meconium within 48 hours of age, it can take preterm infants up to how many days?
What is 5 days
What is the name of the diaphragm defect that allows the abdominal contents to herniate into the thoracic cavity.
What is congenital diaphramatic hernia
Hyponatremia may be caused by fluid overload or ______
What is renal loss of sodium
This is one process for determining proper NG insertion depth. It includes measuring the distance from the infants nose, to the earlobe and to the spot midway between their umbilicus and the xyphoid process.
What is NEMU
150–175 mL/kg/day
What is the maximum range for fluid intake for a newborn.
What influences the microorganisms that will colonize the infants GI system
What is the type of feeding (human milk or formula)
This appears as a “double bubble” on x-ray and is a partial or complete obstruction of the duodenum. It can be associated with trisomy 21
What is duodenal atresia