ATI NEONATAL CARE EXAMINATION QUESTIONS
WITH ANSWERS
Dystocia pail update? - - line bucket with trash bag and fill with warm water
- toss in plastic cup
- bring dystocia caddy and bucket to person handling dystocia
- MAKE SURE iodine is in dystocia caddy
Post kidding step 1? - - CLEAR AIRWAYS
- kid will take a breath as soon as umbilical cord is broken
- clear mouth and nose of fluid with aspirator
- may hold kids upside down by back legs to clear airways
- if kid inhales fluid into lungs they could choke or have difficulty breathing
Post kidding step 2? - - DRY KID
- make sure to dry and flatten ears quickly
- leave some fluid fro mom for bonding
- make sure ears AND tail are dry to prevent frostbite
- can easily become hypothermic
Post kidding step 3? - - clip umbilicus if extremely long to prevent dragging on the ground
- submerge umbilicus in iodine using navel dip cup
- want to avoid any infections
Post kidding step 4? - - STRIP TEATS to prepare for nursing
- make sure there are no blockages or abnormalities in milk
- hand strip first few streams of milk from each teat to make sure there is steady supply
- brings colostrum into teat sphincter
- releases oxytocin, which stimulates milk let-down
, Nursing characteristics? - - kids should be eager to start moving and nursing on their own
after birth (known as vigor)
- mom should encourage nursing by licking and nudging kids hind end
- make sure kids belly is warm and full
Colostrum? - - first milk after kidding, produced for 24 hours, "liquid gold"
- kids should consume immediately or within 12 hours
- provides kids with passive immunity for first 3 weeks (rich in antibodies and nutrients)
- kids should receive 10% of their body weight in colostrum by 18 hours of age
Post kidding nursing? - - DON'T leave mom and babies side until kid stand and nurse on
its own
- want kids to stand and nurse within 1 hour
- once standing and nursing move into jugs
- NEVER let mom lose sight of her baby
Tube feeding? - - a kid should ONLY be tube fed if it cannot nurse on its own
- NEVER tube feed a cold kid, make sure temp is above 99ºF
Steps of tube feeding? - 1. Measure tube from last rib to tip of the nose
2. Insert tube into mouth, guide it down the left side of the neck and feel as it passes through
the esophagus
3. Attach a 60mL syringe to the end of the tube and administer warm colostrum (10% of kids
body weight)
What happens is a kid starts coughing while tube feeding? - You are in the trachea,
immediately stop, bend the tube and slowly pull out the mouth
What is recorded in kidding records? - - birth weight to track ADG
- specific times (time of kidding, placenta expulsion, umbilicus dipped, nursed)
- vigor (scale 1(low)-5(high))
- identifying features
What causes poor do-ers? - - genetics
WITH ANSWERS
Dystocia pail update? - - line bucket with trash bag and fill with warm water
- toss in plastic cup
- bring dystocia caddy and bucket to person handling dystocia
- MAKE SURE iodine is in dystocia caddy
Post kidding step 1? - - CLEAR AIRWAYS
- kid will take a breath as soon as umbilical cord is broken
- clear mouth and nose of fluid with aspirator
- may hold kids upside down by back legs to clear airways
- if kid inhales fluid into lungs they could choke or have difficulty breathing
Post kidding step 2? - - DRY KID
- make sure to dry and flatten ears quickly
- leave some fluid fro mom for bonding
- make sure ears AND tail are dry to prevent frostbite
- can easily become hypothermic
Post kidding step 3? - - clip umbilicus if extremely long to prevent dragging on the ground
- submerge umbilicus in iodine using navel dip cup
- want to avoid any infections
Post kidding step 4? - - STRIP TEATS to prepare for nursing
- make sure there are no blockages or abnormalities in milk
- hand strip first few streams of milk from each teat to make sure there is steady supply
- brings colostrum into teat sphincter
- releases oxytocin, which stimulates milk let-down
, Nursing characteristics? - - kids should be eager to start moving and nursing on their own
after birth (known as vigor)
- mom should encourage nursing by licking and nudging kids hind end
- make sure kids belly is warm and full
Colostrum? - - first milk after kidding, produced for 24 hours, "liquid gold"
- kids should consume immediately or within 12 hours
- provides kids with passive immunity for first 3 weeks (rich in antibodies and nutrients)
- kids should receive 10% of their body weight in colostrum by 18 hours of age
Post kidding nursing? - - DON'T leave mom and babies side until kid stand and nurse on
its own
- want kids to stand and nurse within 1 hour
- once standing and nursing move into jugs
- NEVER let mom lose sight of her baby
Tube feeding? - - a kid should ONLY be tube fed if it cannot nurse on its own
- NEVER tube feed a cold kid, make sure temp is above 99ºF
Steps of tube feeding? - 1. Measure tube from last rib to tip of the nose
2. Insert tube into mouth, guide it down the left side of the neck and feel as it passes through
the esophagus
3. Attach a 60mL syringe to the end of the tube and administer warm colostrum (10% of kids
body weight)
What happens is a kid starts coughing while tube feeding? - You are in the trachea,
immediately stop, bend the tube and slowly pull out the mouth
What is recorded in kidding records? - - birth weight to track ADG
- specific times (time of kidding, placenta expulsion, umbilicus dipped, nursed)
- vigor (scale 1(low)-5(high))
- identifying features
What causes poor do-ers? - - genetics
