MATERNAL REVIEW – EXAM 4
Baby that has not a had a bowel movement and is premature- alert the provider
S/S of prenatal sepsis- hypoglycemia, poor feeding, behavioral changes
Baby diagnosed with brachioplexis injury- shoulder dystocia and mulKpari risk factor
Gastroschesis- intesKnes are pushed out of body and the membrane is not intact and
priority is to watch for kinking
Omphamcele- same as gastroschesis but with membrane intact
Respiratory distress- give baby oxygen
How to tell if baby has herpes- lesions will appear on area that was in contact with
How to prevent SIDs- sleep on back with Qrm maRress
If your baby has apgar of one and then 4- oxygen
Maple syrup urine disease- buildup of amino acids that if not treated paKent can go
into coma and then death. Dietary consult and metabolic treatment if necessary
When do we give surfactant- give immediately if before 34 weeks
Baby is cold, not eaKng, bradycardic. What should you do?- assess temperature,
warm with skin to skin and warm blankets
34 weeks premi, how to promote growth- cluster care, low sKmuli
How to prevent anencephaly( brain malformaKon)- folic acid supplement
If bowel sounds are heard in chest- place NG tube to decompress
S/S of hypoglycemia in baby- irritable, high pitch cry, circumoral cyanoKc around
mouth, tachycardic, shaking
Bilirubin baby- feed at least every 2-3 hours to promote excreKon to feces
Baby with respiratory distress syndrome- put on monitoring, humidiQed oxygen
Baby with green Knged nails and skin- meconium aspiraKon, put on cpap
Baby with abdominal distenKon is a PRIORITY
Microcephaly- small head, risk factors are toxic sKmulus such as smoking
Neonatal absKnence syndrome- baby was born addicted to drugs, has tremors,
irritability, give diazepam, try soothing baby
Encephacele- priority is risk of infecKon
Baby with temp of 96.5- priority because it has been too cold for too long (Skin to
skin)
Cle` palate teaching- special nipples and feeding
Normal newborn vitals- 30-60 RR, 120-160 HR, no yellowing of forehead should be
present, toes should point outwards, 42 cm head is abnormal
Erythromycin- one dose in both eyes so a second dose would not be necessary
Wear gloves when handling a baby with fornix because of possible infecKons
Umbilical cord- takes around 5-7 days to fall oe a`er birth
42 weeks baby- cracked skin, no vernix, long Qnger nails
Kernicterus- staining of spinal cord by bilirubin, can cause cerebral palsy
Acrocyanosis- normal Qnding
Temperature of 97- do skin to skin, least invasive Qrst
Postnatal hypoglycemia- shaking, high pulse, tachypneic, tachycardia, cranky
Circumcision- no general anesthesia but local, topical, and Tylenol can be used
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Baby that has not a had a bowel movement and is premature- alert the provider
S/S of prenatal sepsis- hypoglycemia, poor feeding, behavioral changes
Baby diagnosed with brachioplexis injury- shoulder dystocia and mulKpari risk factor
Gastroschesis- intesKnes are pushed out of body and the membrane is not intact and
priority is to watch for kinking
Omphamcele- same as gastroschesis but with membrane intact
Respiratory distress- give baby oxygen
How to tell if baby has herpes- lesions will appear on area that was in contact with
How to prevent SIDs- sleep on back with Qrm maRress
If your baby has apgar of one and then 4- oxygen
Maple syrup urine disease- buildup of amino acids that if not treated paKent can go
into coma and then death. Dietary consult and metabolic treatment if necessary
When do we give surfactant- give immediately if before 34 weeks
Baby is cold, not eaKng, bradycardic. What should you do?- assess temperature,
warm with skin to skin and warm blankets
34 weeks premi, how to promote growth- cluster care, low sKmuli
How to prevent anencephaly( brain malformaKon)- folic acid supplement
If bowel sounds are heard in chest- place NG tube to decompress
S/S of hypoglycemia in baby- irritable, high pitch cry, circumoral cyanoKc around
mouth, tachycardic, shaking
Bilirubin baby- feed at least every 2-3 hours to promote excreKon to feces
Baby with respiratory distress syndrome- put on monitoring, humidiQed oxygen
Baby with green Knged nails and skin- meconium aspiraKon, put on cpap
Baby with abdominal distenKon is a PRIORITY
Microcephaly- small head, risk factors are toxic sKmulus such as smoking
Neonatal absKnence syndrome- baby was born addicted to drugs, has tremors,
irritability, give diazepam, try soothing baby
Encephacele- priority is risk of infecKon
Baby with temp of 96.5- priority because it has been too cold for too long (Skin to
skin)
Cle` palate teaching- special nipples and feeding
Normal newborn vitals- 30-60 RR, 120-160 HR, no yellowing of forehead should be
present, toes should point outwards, 42 cm head is abnormal
Erythromycin- one dose in both eyes so a second dose would not be necessary
Wear gloves when handling a baby with fornix because of possible infecKons
Umbilical cord- takes around 5-7 days to fall oe a`er birth
42 weeks baby- cracked skin, no vernix, long Qnger nails
Kernicterus- staining of spinal cord by bilirubin, can cause cerebral palsy
Acrocyanosis- normal Qnding
Temperature of 97- do skin to skin, least invasive Qrst
Postnatal hypoglycemia- shaking, high pulse, tachypneic, tachycardia, cranky
Circumcision- no general anesthesia but local, topical, and Tylenol can be used
This study source was downloaded by 100000863166975 from CourseHero.com on 06-06-2023 11:53:08 GMT -05:00
https://www.coursehero.com/file/196380852/MATERNAL-REVIEW-exam-4docx/