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21 Cards in this Set
- Front
- Back
Apgar Score
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.........0pts 1pt 2pts
HR....absent....<100......>100 RR.....absent...slow,reg...good cry muscle.flaccid..min flex...gd flex tone.....limp.....of extr..act.motion reflex...no resp..min resp..resp. irritab..............to suction..promp skin......pallor....skin norm.skin n color.....cyanosis..extrem blue..&extr. |
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apgar score intervention
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8-10 no intervention support the infants spontaneous efforts
4-7 gently stimulate, rub infants back, admn o2 0-3 infant requires resuscitation |
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newborn VS norms
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HR- 100 to 160
Resp- 30-60 breaths Temp(axillary) 96.8- 99 BP- systolic 60-80 .....diastolic 40-50 |
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newborn body measurements norm
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length: 45-55cm(18-22 inches
weight: 2500-4300g (5.5-9.5 lbs) head circumference: 32-36.8(12.6 to 14.4 inches) chest circumferenced: 30 to 33 cm(12 to 13 inches) |
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fotanels
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anterior- soft flat, diamond shaped (closes 12-18 months)
posterior- triangular (closes 2-3 months) |
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Harlequin sign
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deep pink or red color develops over one side of the body while the other side remains pale or of normal color,
May indicate sepsis or shunting of the blood caused by cardiac problem. |
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Vit.__ is administered to the neonate, where? why?
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K.
lateral aspect of the middle third vastus lateralis muscle, to prevent hemorrhagic disorders |
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hepatitis B vaccination neonate
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usually within 12 hours
parental consent should be obtained before administration administer w a 25 gauge syringe, 5/8 inch needle. |
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Metabolic system/ GI system
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newborn stomach capacity is 90 ml
breastfeeding can begin immediately after birth. give sterile water or 5% dextrose b4 formula. |
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moro reflex
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hold the newborn on a semi sitting position and then allow the head and trunk to fall backwards to at least 30 degree.
Newbprn should abduct, extend arms, form C with forefinger and thumbs. present at birth-8 weeks body jerk 8-18 weeks no response by 6 months persistent response more than 6 months indicate brain damage during birth |
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preterm newborn
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newborn born before 37 weeks gestation.
primary concern is immaturity of all body systems |
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postterm newborn
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neonate born after 42 weeks
mon for meconium aspiration mon for hypoglycemia |
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meconium aspiration syndrome
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fetal distress increases intestinal peristalsis relaxing the anal sphincter and releasing meconium into the amniotic fluid.
Aspiration can occur in the utero or with the first breath. |
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meconium aspiration syndrome
intervention & data collection |
resp distress is present at birth. the infants nails, skin, and umbilical may be a stained yellow-green color.
Suctioning must be done stat after the head is delivered b4 the first breath is taken. vocal cords should be viewed and airway clear b4 stimulation and crying. infants w severe meconium aspiration may benefit from extracorporeal membrane oxygenation |
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bronchopulmonary dysplasia
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chronic pulmonary condition that affects infants who have experienced Resp. failure who have been oxygen dependent more than 28 days
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bronchopulmonary dysplasia s/s
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tachypnea, TACHYCARDIA
retractions, nasal flaring, labored breathing. crackles, decreased air movement. occasional expiratory wheezing |
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transient tachypnea of the newborn
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resp. condition that results from incomplete evaluation of fetal lung fluid in full term infants.
Usually disappers within 24-48 hours. |
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transient tachypnea- s/s
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tachypnea, nasal flaring, expiratory grunting, retraction.
wet lung sounds heard during auscultation cyanosis that responds to minimal oxygen. |
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retinopathy of prematurity
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vascular disorder invilves gradual replacement of the retine by fibrous tissue and blood vessels
Primarily caused by prematurity and use of supplemental oxygen more than 30 days. |
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necrotizing enterocolitis
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inflammatory disease of the GI tract.
occurs 4-10 days after birth in full term baby. S/S ^abd. girth, decreased or absent bowel sounds, loops of bowel seen through abd.wall, vomiting, bilestained emesis, abd. tenderness, occult blood in stool |
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hyperbilirubinemia
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appearance of jaundice during the 1st day of life indicates a pathological process.
Immediate attention for bilirubin levels >than 12 mg/dl therapy is aimed to prevent kernicterus which results in premanent neurological damage |