newborn assessment & care notes
*caput succedanum* Correct Answers edema *crosses suture
line*, resolves quickly
*cephalohematoma* Correct Answers edema does *NOT*
cross suture line, gets larger on day 2, resolves in several weeks
*subgaleal hemorrhage* Correct Answers risk with *vacuum
extractors use*; boggy head, increasing head size, covers large
area
1st stage of reactivity Correct Answers (FIRST 30 minutes
after birth), HR increases 160-180 bpm and *returns* to
baseline; alert, startles, cries and moves head (APGAR score)
2nd stage of reactivity Correct Answers (2-8 hours after birth),
tachycardia and tachypnea, improved muscle tone and *passes
meconium*
3 stages of life of a newborn transitioning to extrauterine world
Correct Answers 1st stage of reactivity, decrease response
stage, and 2nd stage of reactivity
ABO incompatibility Correct Answers most common when
mom is type O and baby is type A or B; can cause jaundice
within first 24 hours of life
after baseline is established Correct Answers thermoregulation
is critical since babies have lower SQ fat and larger body surface
to body weight ratio
, BF benefits Correct Answers - both mother and baby
- infants will need *vitamin D daily*
- infants will need *iron supplements* starting at 4 months of
age until eating iron rich foods
BF contraindications Correct Answers HIV+, maternal drug
abuse, maternal chemotherapy, active TB
BF feeding frequency Correct Answers - 8-12 times a day
- 15 minutes/breast
- wake baby every 3 hours until positive pattern of weight gain
- on *demand* feeds (8 per day minimum)
- *seedy, yellow stools; more frequent*
bottle feeding frequency Correct Answers - feed q3-4 hours,
then on demand
- 2-3 ounces by end of second week
- stop and burp often
- follow mixing instructions exactly
- never prop the bottle
- *soft, brown stools every 1-2 days*
central blueness in baby? Correct Answers not good; blue
hands/feet are WNL for a short amount of time
circumcision Correct Answers not reimbursed by medicaid
and some insurers; offered to parents (payment upfront), some
evidence that it decreases risk of UTI, penile cancer and HIV
transmission
*caput succedanum* Correct Answers edema *crosses suture
line*, resolves quickly
*cephalohematoma* Correct Answers edema does *NOT*
cross suture line, gets larger on day 2, resolves in several weeks
*subgaleal hemorrhage* Correct Answers risk with *vacuum
extractors use*; boggy head, increasing head size, covers large
area
1st stage of reactivity Correct Answers (FIRST 30 minutes
after birth), HR increases 160-180 bpm and *returns* to
baseline; alert, startles, cries and moves head (APGAR score)
2nd stage of reactivity Correct Answers (2-8 hours after birth),
tachycardia and tachypnea, improved muscle tone and *passes
meconium*
3 stages of life of a newborn transitioning to extrauterine world
Correct Answers 1st stage of reactivity, decrease response
stage, and 2nd stage of reactivity
ABO incompatibility Correct Answers most common when
mom is type O and baby is type A or B; can cause jaundice
within first 24 hours of life
after baseline is established Correct Answers thermoregulation
is critical since babies have lower SQ fat and larger body surface
to body weight ratio
, BF benefits Correct Answers - both mother and baby
- infants will need *vitamin D daily*
- infants will need *iron supplements* starting at 4 months of
age until eating iron rich foods
BF contraindications Correct Answers HIV+, maternal drug
abuse, maternal chemotherapy, active TB
BF feeding frequency Correct Answers - 8-12 times a day
- 15 minutes/breast
- wake baby every 3 hours until positive pattern of weight gain
- on *demand* feeds (8 per day minimum)
- *seedy, yellow stools; more frequent*
bottle feeding frequency Correct Answers - feed q3-4 hours,
then on demand
- 2-3 ounces by end of second week
- stop and burp often
- follow mixing instructions exactly
- never prop the bottle
- *soft, brown stools every 1-2 days*
central blueness in baby? Correct Answers not good; blue
hands/feet are WNL for a short amount of time
circumcision Correct Answers not reimbursed by medicaid
and some insurers; offered to parents (payment upfront), some
evidence that it decreases risk of UTI, penile cancer and HIV
transmission
