CLASS 6 4/14 (THE NORMAL AND NOT NORMAL NEWBORN)
| GUARANTEED SUCCESS STARTS HERE! LEARN,
PRACTICE & EXCEL!
Good APGAR score Answer: - greater than 7 by five minutes
- continue APGARS if its not there
Immediate post-partum nursing actions Answer: - DABC (dry, airway, breathing, circulation)
- APGAR at 1 and 5 minutrs
Stimuli for first breath Answer: - mechanical (chest squeeze, increase in intra-thoracic pressure,
fluid expelled or re-absorbed)
- chemical (chemoreceptors trigger respiratory center)
- thermal (drop in temperature stimulates skin sensors --> rhythmic respirations)
- sensory (auditory, visual, touch/pain)
Foramen ovale closure causes Answer: - from increased pressure on the left side of the heart
Ductus arteriosis closure causes Answer: - increased Pa02
- prostaglandins E2 dropC
Ductus venosus closure Answer: - Mechanical closure with umbilical cord vessel constriction
and physical clamping
newborn oxygen saturation Answer: - Normal oxygen saturation inutero-60%
- Takes up to 10 minutes to be >90%
Right wrist oxygen saturation Answer: same as vital organs
What are the benefits of delaying clamping until pulsating stops Answer: - maintain blood
supply (1/3 of term baby's blood is in placental system)
- oxygenation
- prevents anemia for 3 months
- 30 to 60 seconds at least, takes 3-5 minutes to stop pulsating
What are the disadvanages of delaying clamping until pulsating stops Answer: - increased risk of
physiologic hyperbilirubinemia
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, - benefit outweights risk
Are there any situations where delayed cordclamping is contraindicated? Answer: - newborn-
placental circulation not intact (placenta previa, abruption)
- cautiously for infants with growth restriction or other risk factors for polycythemia and
increased viscosity
vernix Answer: - cheesy substance that protects the fetus's skin during development
- normal
acrocyanosis Answer: - blue hands and feet
- from poor circulation
- normal, can last for several days
- eduction: keep baby warm
When should breast-feeding start Answer: - during first period of reactivity (1st hour)
- will move to sleep after about an hour
Newborn heat production Answer: - primarily through non- shivering thermogenesis (relies on
brown fat)
Cold stress in a newborn Answer: - biggest concern is respiratory distress.
- can also cause hypoglycemia and reversion back to fetal circulation (reopening of ducts)
cold stress prevention Answer: -dry thoroughly
-warm blanket
-cap on head
-skin to skin contact
-radiant warmers
caput succedaneum Answer: - diffuse edema of the fetal scalp that crosses the suture lines
- reabsorbes within 1 to 3 days
eye lid edema Answer: - normal eyelid swelling
- from ointment or birth pressure
milia Answer: - Benign, keratin-filled cysts that can appear just under the epidermis and have no
visible opening
- normal
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
| GUARANTEED SUCCESS STARTS HERE! LEARN,
PRACTICE & EXCEL!
Good APGAR score Answer: - greater than 7 by five minutes
- continue APGARS if its not there
Immediate post-partum nursing actions Answer: - DABC (dry, airway, breathing, circulation)
- APGAR at 1 and 5 minutrs
Stimuli for first breath Answer: - mechanical (chest squeeze, increase in intra-thoracic pressure,
fluid expelled or re-absorbed)
- chemical (chemoreceptors trigger respiratory center)
- thermal (drop in temperature stimulates skin sensors --> rhythmic respirations)
- sensory (auditory, visual, touch/pain)
Foramen ovale closure causes Answer: - from increased pressure on the left side of the heart
Ductus arteriosis closure causes Answer: - increased Pa02
- prostaglandins E2 dropC
Ductus venosus closure Answer: - Mechanical closure with umbilical cord vessel constriction
and physical clamping
newborn oxygen saturation Answer: - Normal oxygen saturation inutero-60%
- Takes up to 10 minutes to be >90%
Right wrist oxygen saturation Answer: same as vital organs
What are the benefits of delaying clamping until pulsating stops Answer: - maintain blood
supply (1/3 of term baby's blood is in placental system)
- oxygenation
- prevents anemia for 3 months
- 30 to 60 seconds at least, takes 3-5 minutes to stop pulsating
What are the disadvanages of delaying clamping until pulsating stops Answer: - increased risk of
physiologic hyperbilirubinemia
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, - benefit outweights risk
Are there any situations where delayed cordclamping is contraindicated? Answer: - newborn-
placental circulation not intact (placenta previa, abruption)
- cautiously for infants with growth restriction or other risk factors for polycythemia and
increased viscosity
vernix Answer: - cheesy substance that protects the fetus's skin during development
- normal
acrocyanosis Answer: - blue hands and feet
- from poor circulation
- normal, can last for several days
- eduction: keep baby warm
When should breast-feeding start Answer: - during first period of reactivity (1st hour)
- will move to sleep after about an hour
Newborn heat production Answer: - primarily through non- shivering thermogenesis (relies on
brown fat)
Cold stress in a newborn Answer: - biggest concern is respiratory distress.
- can also cause hypoglycemia and reversion back to fetal circulation (reopening of ducts)
cold stress prevention Answer: -dry thoroughly
-warm blanket
-cap on head
-skin to skin contact
-radiant warmers
caput succedaneum Answer: - diffuse edema of the fetal scalp that crosses the suture lines
- reabsorbes within 1 to 3 days
eye lid edema Answer: - normal eyelid swelling
- from ointment or birth pressure
milia Answer: - Benign, keratin-filled cysts that can appear just under the epidermis and have no
visible opening
- normal
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
