Families Review

Newborn
o Chap 18-19
o Baby needs to stay in ut 39-40 (term)
o Preme = <38 weeks
o Viability= Survivable
 22-23 weeks
o No gas exchange in lungs
 In placenta
 Breathes fluid
o When born
 # vessels need to close
 Needs to gasp in to start breathing
 APGAR at 1 &5 minutes
o Put baby on mother
o Assessing
 Color
 Abnormal
 Fontanelles
 Full or flat
 Rounded
 Molded
 Caput
o Swelling
 Cephlohematoma
o Doesn’t cross
 Ears in line with ees
 Ears have opening]
 Mouth and pallete intact
o 40 -60 resp.
o Periodic breathing, apnea, tachnpea
o No grunting or flaring
o Breath through noes
 Bulb syring
o 3 vessels in cord
 Clamped
 Falls off 10-14 days
o Abdomin
 Small, flat with normoactive
o Finger and toes
 10
 Open
o Arms should move normal
 Like to come back to midlin
o Reflexes
 MORO



o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o

Rooting
Sucking
Palmar grasp
Heat loss
 4 tyoes
 Evaporatio
Eat on demand
 Bottles 3-4 hours
First stool meconium
 1 every day
 6-8 wet diapers
HR=120-160
 Brady <80
 Tach >200
Bp are lower
Should be pink
 Pulse ox >90
Vitamin K for clotting
Emyacin
 Gonn and chlamidia
Mothers don’t stay in hospital
Nurse mainly teach about caring baby
Rear facing car seat
Sleep on back
She needs to go the dr week after
Baby should sleep after feeding]
Keep them isolated for a while
Bath
 In sink
 Tepid water
 Cleanest to dirty
 Before meals
o Billirubin
 Peaks at day 3
 Phototherapy
nd
o 2 vaccing Hep B
o PKU done for hepatic and hearing screen
o Needs id that matches the mother
o Mother is not bonding- ask if there is a problem and call social
o Sick=low temp, not earing
o Tint of yellow Is normal
 Call if gets worse
o Baby should not be in bed with parent
o Dress baby one layer up
Sick baby
o Sepsis
o
o
o
o
o
o
o
o
o
o
o
o
o
Preterm
Rep dis]
Anything abnormal
AGA SGA
 LGA
 Watch sugar
 Every 3 hours
 <40 glucose need extra
Surfactant through ET tube
4 ways to give OXY
NEC
 NPO 10-14 with Antibiotics
Diaphromaeic hernia
Eso Fistula
Neuro tubular defect
 Endocephalic
 Spinabifida
Baby should eat about an ounce
Circumcision
 Surgical consent
 Religious outside of hospital
 Need Vit K, Check diaper
 Void before DC
Read the book