Neonatal Adaptation Part #1
What specific type of birth are the newborn's considered "juicy baby's"
Cesarean Birth
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 hemorroids?
Encourage the mother to:
1) High fiber diet
2) Increase PO fluids
What stool is characterized by yellow, soft, & formed.
Formula-feed Newborn
Define Advanced Maternal Age and Describe Greater Risk Factors
35 years and older. At risk for chromosomal anomalies in the fetus, spontaneous abortions, hypertention, preterm labor & placenta abruption.
Most newborns will void within how many hours.
24 hours
Define the major concern of a newborn with extremely too high bilirubin?
Kerniterus
What postpartum psychiatric disoreder is defined as "Mixed or rapid cycling, agitation, delusions, halluations, disorganized behavior, cognitive impairment & low insight ?
Postpartum Psychosis
What stool is characterized as thin brown/green occuring 1-3 day.
Transitional Stool
What maternal adaptive disorder is characterized by the mother stating "I feel so worthless, guilty & have no pleasure
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?
Tonic Neck Reflex "Fencing"
Define the skin variation that are tiny, white papules resembling pimples located on/around the nose.
Milia
Where is the funus located 9 days postpartum?
9 finger breath below the umbilicus
American Academy of Pediatric recomends should receive what daily supplement?
Vitamin D
State 4 signs and symptoms of NAS.
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.
1) 30-60 respiration per minute
2) Irregular, shallow
3) Periodic breathers
4) Nose breathers/ abdomen breathers
Specifically define the second period of a newborn behavioral pattern "Sleep Phase"
Begins 30-60 minutes after birth. Lasting from 4-6 hours.
What lochia stage is defined "pinkish brown and occurs on day 4 to day day 10"?
Serosa lochia
For a premature baby in NICU. How often should the mother utilize the breast pump?
Mother should breast pump 8 times in a 24 hour period
During the first hour of birth state three nursing activities to promote parent-infant bonding.
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.
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 three nursing instructions to a bottle fed mother in caring for her breast
1) Do not express the milk
2) Wear a tight fitting breasr support bra
3) Apply ice to the breast
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).