Group 1
When using a temperature probe to monitor the infant's temperature, you should avoid placing the probe where?
Bony prominences.
Characteristics such as hypoxia, poor nutritional status, and polycythemia are risk factors infants of this gestational age?
Post-term
What are the 5 objective signs measured in the APGAR score?
HR
RR
Muscle tone
Reflexes
Color
What is the normal length range and normal weight range of a term infant?
Length: 19-21.5 inches
Weight: 6-9 lbs
When is an infant considered post-term?
42 Weeks.
The type of fat in infants that helps generate heat and thermal regulation?
Brown fat.
Infants born early are at risk for which electrolyte abnormality? Why?
Hypocalcemia.
Ca2+ mostly crosses the placenta in the third trimester.
What position should a patient be placed in when they have increased ICP such as a brain bleed?
Semi-fowlers with head midline to allow for venous drainage.
Describe a term infant's respiratory pattern.
RR 30-60, irregular, shallow, abdominal breathing.
Jaundice occurs when there is an excess of this in the blood?
Bilirubin.
The nurse should record the temperature of the incubator and infant every ___ hour(s).
2
A blood glucose level of ____ is considered hypoglycemia in a pre-term infant and ____ is considered hypoglycemia in a term infant.
30
40
What are the two fontanelles called and where are they located?
Anterior- top of head, diamond shaped. Closes at 12-18 months
Posterior- back of head, triangle shaped and closes at 2 months.
What are the signs of NEC?
Abdominal distention, bloody stools, diarrhea, and bilious vomiting.
Provide two interventions to reduce an infant's bilirubin level.
Phototherapy, frequent feedings.
Acrocyanosis is the bluish color hands and feet of the newborn that is caused by poor peripheral circulation. This is not a normal finding- True or False?
False- It is a normal finding in the newborn.
Why would a mother that is going into labor at 32 weeks receive Dexamethasone?
It is a corticosteroid that will increase surfactant production to help with lung compliance.
Pre-term infants are at higher risk for bleeding than full-term infants because of this substance being deficient in the blood.
Prothrombin
Apnea is defined as cessation of breathing for greater than ____________ in a newborn.
20 seconds.
How would you assess the hydration status of an infant with immature kidneys?
Assess fontanelles, tissue turgor, weight and urine output.
Cold stress results in the depletion of these two vital resources and must be replaced or supplemented for a positive outcome.
Glucose & oxygen
Name 2 pain assessment tools used for infants.
CRIES and FLACC
Leading causes of blindness in small for gestational age newborns is?
Retinopathy.
What are the nursing responsibilities when caring for an infant with NEC?
Measuring/monitoring for abdominal distention, listening for bowel sounds, monitoring hydration status (daily weight, I&O, sunken fontanels, tachycardia, lethergy), ensuring proper nutrition through peripheral nutrition, aspiration precautions d/t vomitting, skin care d/t diarrhea/bloody stools, monitoring H&H.
Post-term infants are at increased risk for this complication which involves peeling and cracking of the skin
Desquamation