CPNRE chapter 7 - maternal nursing (newborn) Exam 2024

CPNRE chapter 7 - maternal nursing (newborn) Exam 2024 immediate care after delivery -Answer-1. maintain patent airway 2. apply cord clamp & check bleeding 3. maintain warmth 4. preventive care 5. identification (bands, finger/footprints) 6. APGAR 7. initial observation 8. encourage bonding APGAR -Answer-quickly assesses newborn health in first/fifth min of birth Appearance Pulse Grimace Activity Respiration APGAR - score 8+ -Answer-no action required, continue to monitor APGAR - score 4-7 -Answer-rub infants back while administering O2 -> give nalaxone if mom receive narcotics APGAR - score 0-3 -Answer-active resuscitation 3 functions a newborn must take on after birth to survive -Answer-1. breathing 2. temp regulation 3. feeding immediate care after delivery - preventive care -Answer--prophylactic eyedrops -prophylactic drugs (erythromycin, penicillin ointments) -IM vit K to reduce risk of hemorrhagic disease -hepB vaccine regardless on surface antigen (within 12 hours) immediate care after delivery - initial observation -Answer--wear gloves when handling newborn -check for cleft lip/palate, extra digits, anomalies of spinal column/limbs/skin/head -moro/sucking/rooting/blinking/grasping reflexes newborn temperature -Answer-1. axilla/rectal 36.5-37 2. tympanic not accurate newborn pulse -Answer-1. 120-160 2. irregular rate is normal 3. take apical newborn BP -Answer-65/40 newborn measurements -Answer-1. weight 2. length -> 18-22 inches 3. head circumference -> 13-14 inches 4. chest circumference -> 12-13 inches newborn weight -Answer--approx 7.5lbs -range of 5-9 normal -lose 10% of weight in first 2-3 days of life r/t loss of maternal hormones, fluid shift, feces -regain birth weight in one week approx milia -Answer-small white sebaceous glands on nose, forehead, chin stork bites -Answer-telangiectasis or capillary hemangiomas red nevi -Answer-discolouration, blanch on touch -prominent on crying -disappear in 6-12 months mongolian spots -Answer-bluish/purple spots on shoulders, back, butt -found in african, hispanic, asian, slavic -disappear at toddler age erythema toxicum neonatorum -Answer-red papular rash on babys torso which is benign and disappears after a few days nevus vasculosus (strawberry mark) -Answer-bright red capillary hemangiomas with raised/rough surfaces that disappear on their own nevus flammeus (port wine stain) -Answer-reddish/purple capillary hemangiomas that do not blanch on pressure and may not disappear lanugo -Answer-fine soft hair on skin/ears/forehead/