NUR 123 test 1

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NUR 123 test 1
2011-06-02 00:06:04
Fundus episiotomy post partum mastitis

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  1. Normal Newborn heart rate
    120-160 BPM
  2. Normal blood pressure range for an infant
    80/40 to 80/50
  3. Caput Succedaneum:
    A simple “bun” of newborn’s head corresponding to concavity of vacuum cup or pressure against cervix which disappears within a few hours
  4. Milia
    • Little, fine point pimples that are obstructed sebaceous glands
    • No special tx. required, normal
  5. Two principle factors that cause Icterus Neonatorum (Jaundice) in infants:
    • 1) Increased
    • destruction of RBC no longer needed after birth

    • 2) Functional
    • immaturity of the newborn liver which is unable to excrete elevated biliruban
  6. Erythema Toxicum Neonatorum:
    • Blotchy, hive like rash that looks a lot like pimples
    • Occurs around 3-4 week after birth
    • No special treatment needed
  7. Meconium:
    • Normal first stool
    • *Black and Tarry
    • *Should occur within first 24 hrs after birth
  8. Why are preemies more susceptible to infection?
    Not enough IgG received in utero due to premature delivery & immature immune system
  9. Major Neonatal Reflexes
    • Perez, 3 months disappear
    • Stepping, 7-8 months
    • Fencer’s position, 3-6 months
    • Trunk incurvation, 2 months
  10. Second period of reactivity
    • Presence of increased mucous production
    • May need suctioning
  11. Brown fat
    • Present in full-term babies
    • *Source of heat in baby
  12. Radiation heat loss
    • 90% of heat loss is through the head
    • Put caps on baby to prevent heat loss
  13. Bathing considerations for infant with umbilical cord still attached
    • Sponge bath until cord falls off (usually 10 days)
    • Tub bath after cord falls off ok
  14. Precaution regarding iron and breast feeding
    • Milk not good source of iron
    • Iron from mom depleted by 3-4 months
  15. Cyanosis:
    Results from inadequate oxygen to the cell
  16. Why would Gavage (tube feeding) be performed in preemie?
    Because of poor suck/swallow reflexes
  17. Prolactin
    Needed to produce milk
  18. S/s of post-mature infant
    Desquamination (peeling of hands & soles of feet
  19. Retrolental Fibroplasias (Retinopathy):
    Caused by excessive levels of oxygen in preemies
  20. S/s of intracranial Hemorrhage
    High-pitched cry
  21. 3 conditions that must be met before giving RhoGam
    • Rh neg. mom
    • Rh pos. baby
    • Negative coombs test
  22. Why is drug addicted baby very irritable?
    Liver cannot excrete drug rapidly
  23. Biggest complication of diabetic baby
    RDS and hypoglycemia in first 24 hrs
  24. Treatment of diabetic baby
    Check blood sugar immediately after birth and continue to monitor closely
  25. Purpeirum period
    • Last the 6 weeks after delivery
    • Also known as Post partum
  26. Post partum, what should be done if mother reports feeling fatigued and drained?
    Need to inform MD
  27. Diaphoresis post partum:
    • Normal
    • Process of elimination of excess fluid
  28. Menses post partum
    • Bottle feed baby momma expect menses in 4-8 wks
    • Much longer for breast-feeding mothers
  29. s/s of mastitis
    • Cracked, sore, hot, feels like they have the flu
    • Tx: notify MD-need Rx
  30. After pain of fundus post-partum
    Caused by uterine contractions
  31. Before checking fundus, what should nurse ask pt. to do
    • Empty bladder- full bladder pushes uterus up and to the side and causes it to be boggy
    • Massaging contracts uterus
  32. What is one cause of hemorrhage post partum
    Large baby (10 lb +)
  33. Prevention of DVT post-partum
    • No blood thinners
    • *ambulate legs
    • *warm moist heat application
  34. What is foul, offensive smell of lochia indicative of?
    Sign of infection
  35. Treatment of episiotomy
    Ice packs
  36. Dietary considerations while breast feeding
    • Increase protein
    • Increase calories
  37. Statement that might be sign of postpartum blues
    States she does not think they are a good mother