OB Exam #2
The infants sleep states are what? ANS: periods of reactivity
deep or quiet sleep
active rapid eye movement (REM)
what are some signs infants are in deep or quiet sleep? ANS: regular or even breathing
delayed responses to external stimuli
heart rate of 100-120 ( if it is under 100 it is ok as long as infant is still pink and are breathing ok)
what are some signs infants are in REM sleep? ANS: eyes closed with rapid movement
irregular breathing
irregular sucking motions
external stimuli elicits startle reaction
For safety of the infant, how many hospital bands do they wear? ANS: 2, one on wrist and one on the
foot
If a baby is abducted from the hospital what is the code? ANS: Code Pink
When are the ID bands placed on mother, support person and baby? ANS: immediately after birth
before they are separated
HUGS tags is what? ANS: placed on baby's ankle and will alarm when close to any exit
What does the nurse do if the parents do not have a car seat? ANS: they are to contact social services
to help get them one
,When should the baby be placed in the car seat after discharge? ANS: before the baby leaves the
hospital room
List some ways to prevent accidents ANS: car seat
fall risk (never place baby in car seat on counter)
SIDS- always place babies on their back
when does discharge teaching begin? ANS: at admission, so you don't find out they don't have a car
seat at discharge.
Is the nurse allowed to carry the baby down the hallways? ANS: No, place the baby in the bassinet and
wheel it around. This is a risk for falls
Can mom and dad sleep with baby in their arms ANS: No this is a risk for the baby falling out of their
arms
Name some feeding reflexes ANS: rooting
sucking
gagging
swallowing
Name some hunger cues ANS: smacking
fisting
crying
mouthing
name some ways to decrease risk for sids ANS: rooming in
,breastfeeding for up to a year or more
back to sleep
do not over heat
firm mattress
nothing fluffy in bed
why will some feeding reflexes be disorganized after birth? ANS: prolonged labor
traumatic process
meds
Is crying for food a late or early sign of hunger? ANS: Late sign; more difficult to latch the baby for
breastfeeding if the baby is upset
what will help a disorganized baby? ANS: skin to skin
what is documented when a baby is breastfeeding? ANS: time started breastfeeding
audible swallows
which breast was used
length of feeding
latch score (quality of feeding, discomfort for mother)
output from baby
Stomach capacity of a newborn ANS: 5-15 ml in first days
can take 1-2 oz by 2 weeks of age
when should baby return to birth weight? ANS: by 2 weeks
, documentation of bottle feed baby ANS: time
volume
if baby spits up afterwards
document input and output for ________________________ hours ANS: 24
newborns have ____________________ void and ________________ stools in the first 24 hours ANS: 1
and 1
what is documented with newborns stools and voids? ANS: type
amount. of urine and stools from every diaper
color
During the first days of life ____________________ wet diapers per day and __________________
stools per day every 24 hours ANS: 6-8 wet diapers
2-4 stools
Stools transition in babies ANS: meconium to transitional to yellow
breastmilk stools are ANS: loose and seedy, no odor
bottle feed stools are ANS: soft, yellow with odor
watery stools with odor may be what? ANS: diarrhea, parents need to report this
The infants sleep states are what? ANS: periods of reactivity
deep or quiet sleep
active rapid eye movement (REM)
what are some signs infants are in deep or quiet sleep? ANS: regular or even breathing
delayed responses to external stimuli
heart rate of 100-120 ( if it is under 100 it is ok as long as infant is still pink and are breathing ok)
what are some signs infants are in REM sleep? ANS: eyes closed with rapid movement
irregular breathing
irregular sucking motions
external stimuli elicits startle reaction
For safety of the infant, how many hospital bands do they wear? ANS: 2, one on wrist and one on the
foot
If a baby is abducted from the hospital what is the code? ANS: Code Pink
When are the ID bands placed on mother, support person and baby? ANS: immediately after birth
before they are separated
HUGS tags is what? ANS: placed on baby's ankle and will alarm when close to any exit
What does the nurse do if the parents do not have a car seat? ANS: they are to contact social services
to help get them one
,When should the baby be placed in the car seat after discharge? ANS: before the baby leaves the
hospital room
List some ways to prevent accidents ANS: car seat
fall risk (never place baby in car seat on counter)
SIDS- always place babies on their back
when does discharge teaching begin? ANS: at admission, so you don't find out they don't have a car
seat at discharge.
Is the nurse allowed to carry the baby down the hallways? ANS: No, place the baby in the bassinet and
wheel it around. This is a risk for falls
Can mom and dad sleep with baby in their arms ANS: No this is a risk for the baby falling out of their
arms
Name some feeding reflexes ANS: rooting
sucking
gagging
swallowing
Name some hunger cues ANS: smacking
fisting
crying
mouthing
name some ways to decrease risk for sids ANS: rooming in
,breastfeeding for up to a year or more
back to sleep
do not over heat
firm mattress
nothing fluffy in bed
why will some feeding reflexes be disorganized after birth? ANS: prolonged labor
traumatic process
meds
Is crying for food a late or early sign of hunger? ANS: Late sign; more difficult to latch the baby for
breastfeeding if the baby is upset
what will help a disorganized baby? ANS: skin to skin
what is documented when a baby is breastfeeding? ANS: time started breastfeeding
audible swallows
which breast was used
length of feeding
latch score (quality of feeding, discomfort for mother)
output from baby
Stomach capacity of a newborn ANS: 5-15 ml in first days
can take 1-2 oz by 2 weeks of age
when should baby return to birth weight? ANS: by 2 weeks
, documentation of bottle feed baby ANS: time
volume
if baby spits up afterwards
document input and output for ________________________ hours ANS: 24
newborns have ____________________ void and ________________ stools in the first 24 hours ANS: 1
and 1
what is documented with newborns stools and voids? ANS: type
amount. of urine and stools from every diaper
color
During the first days of life ____________________ wet diapers per day and __________________
stools per day every 24 hours ANS: 6-8 wet diapers
2-4 stools
Stools transition in babies ANS: meconium to transitional to yellow
breastmilk stools are ANS: loose and seedy, no odor
bottle feed stools are ANS: soft, yellow with odor
watery stools with odor may be what? ANS: diarrhea, parents need to report this
