| Term | Definition |
|---|
| Rooting | Touch infants lip cheek or corner of mouth with nipple -turns head toward stimul,opens mouth, takes hold and sucks |
| Grasp | Place finger in palm or at base of toes- curls fingers around examiners finger and curls toes downward |
| Extrusion | Touch or depress tip of tongue - forces tongue outward |
| Glaellar | Tap on foreheadbridge of nose or maxilla when infants eyes are open -blinks for first 4 or 5 taps |
| Tonic neck | Place infant in a supine position turn head quickly to one side as infant is falling asleep or is asleep-extends arm and leg on side that head is turned and flexes opposite arm and leg |
| Moro | Hold infant in semisitting position and allow head and trunk to fall back at least 30 degrees- symmetrically abducts and extends arms flares fingers and foms a "C" with thumb and forefinger |
| Stepping (walking) | Hold infant vertically alowing on foot to touch table surface- alternates flexion and extension of feet |
| Startle | Place on flat surface -abducts arms flexes elbows (embrace) position and keeps hands clenched |
| Babinski | Use finger to stroke sole of foot beginning at heal ,upward alongl lateral aspect of sole then across ball of foot- hyperextends all toes and doriflexes big toe |
| Trunk incurvation | Place infant prone on flat surface and run finger down back about 4 - 5 cm lateral to spine- flexes body and swings pelvis toward stimulated side |
| Nursing care of Newborn immed. after birth includes: | 1. Miaintaining a patent airway, 2. preventing heat loss 3. Stabilizing infantc 4. Promoting parent infant interaction |
| Drying baby prevents | Heat loss through evopaoration |
| Placing baby under heat warmer and warming stethoscope promote | Thermoregulation |
| Normal newborn temp. | 97.9-99.5 |
| When apgar is performed | At 1 & 5 minutes |
| Why is cap place on head | To maintain warmth |
| When should mother recieve baby | When newborn is stable |
| How many blankets should newborn be wrapped in | 2 |
| Apgar Score measures for | Heart rate, Respiratory Rate, Muscle tone, Reflex irritability, Generalized color |
| Applied to NB eyes to prevent Gonorrheal or Chlamydia infection | Erthromycin drops |
| Injection to thigh of newborn to prevent bleeding problems | Vitamin K |
| When NB start producing own Vitamin K | Day 8 |
| Bilirubin is secreted through | Stool |
| How hyperbilirubinemia is prevented | Through early feeding and the passage of meconium |
| Bilirubin of 12-13 | Jaundice |
| Bilirubin > 15 or 16 | Phototherapy per MD |
| Under photo therapy lights what should be covered | Eyes and Genitals |
| When should phototherapy eye pads be removed | Once per shift when lights are off. INspect eyes & check for pressure areas |
| When Intake Output should be monitored in phototherapy | q 8hrs |
| Dehydration indicator | SG (specific gravity < 1.015 |
| Instrument used for circumcison | Yellen Clamp or Plasti Bell Device |
| What should be done for excessive bleeding related to circumcision | Apply pressure, notify physican |
| Why is first void after circumcison important | bleeding can cause obstruction Mom should notify hospital if no void in 6-8 hrs after discharge from hospital |
| Yellow crust that forms at circumcison sit should | not be removed and is normal |
| Mother of circumsized NB should report | No voiding, fever, signs of drainage w/bad odor or pus |
Combine with other sets
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