56-1
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32 terms
Terms | Definitions |
|---|---|
 -12 inches to 13 inches in circumference-Nipples may secrete whitish fluid (witches' milk) -Heart murmurs may be normal -Diaphragmatic breathing pattern -Respirations are irregular with brief periods of apnea | Chest |
| -Lub-dub -Slurring on one sound (usually lub) may indicate murmur -Considered normal and disappears in few mo. | heart sounds |
| -Noisy for first few hours after birth -Periodic breathing irregular with 5-15 sec pauses | lung sounds |
| -Soft, rounded without palpable masses -Umbilical cord should have 3 vessels -Bowel sounds present in all 4 quadrants -Meconium stools for 2 - 3 days -Voids: 5-8 times a day Bladder holds 30-50 mL of urine | Abdomen |
| -Clitoris large, similar to penis, hormone influenced -Pseudomenstruation-hormones -Smegma- secretion in labial folds, don't remove -Anus- check for patency | Genitalia |
| -Symmetrical bilaterally -Each extremity ends with 5 digits -Strong muscle tone -Full range of motion -No hip displacement | Extremities |
| presence of more than 5 fingers per hand/toes per foot | polydactyly |
| the fusion of 2/more digits | syndactyly |
| skin between 2/more digits | webbing |
| stroke cheek | rooting reflex |
| lips touched | sucking reflex |
| hold tight-4 months | palmar grasp reflex |
| feet grab-8 months; must disappear before walking occurs | plantar grasp reflex |
| big toe dorsiflex & toes flare | Babinski reflex |
| newborn walk | stepping reflex |
| head turned to 1 side and newborn will extend the arm & leg on that side & the opposite arm & leg will flex | tonic neck reflex |
| occurs when newborns have a sence of falling "C" | moro reflex/startle reflex |
| Behavioral state | Sleep state-20-22 hours a day Quiet alert state-looking around Crying state-strong, lusty, medium pitch |
| Hygiene: Bathing | -No tub bath until cord falls off -Skin becomes dry and peels, little lotion -Slippery little things -Change diaper q2hrs -Don't pull back foreskin, takes 3-5 years |
| Hygiene: Eye care | -Ophthalmia neonatorum-inflammation of the eyes -Antibiotic ointment applied-contact with gonorrhea/chlamydia -MANDATORY |
| Hygiene: Umbilical cord care | -Assess for redness and drainage -Cord care- triple blue dye, antimicrobial ointment -Falls off in 7-14 days -Skin should be pink -Fold diaper below cord |
| Common Neonate Medications | -AquaMEPHYTON IM (to prevent hemorrhagic disorders).: Unable to produce Vit. K & Given within 1 hour of birth -Hepatitis B immunization may be administered in the newborn nursery with parental consent. |
| Neonate Nutrition | -A full-term infant needs 50 to 55 kcal/lb (110 to 120 kcal/kg) that equals 20 oz (600 mL) of breast milk or formula per day. -At birth, the newborn's stomach will hold 20 mL, or slightly less than an ounce: Weight loss 5%-7% End of first week-can hold 60-90 mL Feed q2-4 hours |
| Nutrition: | infant need to be fed q2-4hrs breast mild recommended for the 1st year give parents info. about the benefits of breastfeeding & bottle-feeding |
| -Colostrum contains protein, calories, immune globulins & Acts like a laxative -Breastfeeding: 10 to 30 minutes a side per feeding 8 to 12 times a day | Breastfeeding |
| -Feed 15 mL first few days, then increase gradually -Position head higher than stomach -Burp when half of feeding consumed | Bottlefeeding |
| -Breastfeeding mothers receive a greater quantity and variety of foods than mothers who fully formula feed their infants, with mothers fully breastfeeding their infants receiving the most substantial food package. -Breastfeeding mothers are eligible to participate in WIC longer than nonbreast feeding mothers. -Breastfeeding mothers may receive follow-up support through peer counselors. -Breastfeeding mothers may receive breast pumps and other aides to help support the initiation and continuation of breastfeeding. | WIC |
| Neonatal Screening Tests: | **Accomplished through heel sticks for blood draw to test for: Hypoglycemia( SGA/LGA assessed) Phenylketonuria (PKU) Bilirubin |
| -Required in all 50 states -Unable to break down phenylalanine -Results devastating mental function and health -Best results after milk received 48-72 hours | Phyenylketonuria (PKU) |
| check for liver function | Bilirubin |
| -is the surgical removal of the foreskin (prepuce) of the penis. -Before the procedure begins, an informed consent must be signed by the parents. -The penis should be washed with warm water with each diaper change. -NPO for several hours -EMLA cream -Tylenol drops | Circumcision |
| Discharge Teaching | Topics that require client teaching prior to discharge include the following: Nutrition Elimination Diapering Hygiene Placing infant on back to sleep Perineal care Circumcision care Umbilical cord care Safety |
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