Maternity Case Studies – Statement of Facts – Healthy Newborn. – Flashcards
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Infant just born is placed under a radiant warmer to dry them quickly
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This prevents heat loss due to evaporation and radiation.
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Always inspect the infants back for birth defects
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Look for things like spinal bifida. Prevents causing the infant harm.
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spinal bifida
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congenital defect characterized by incomplete closure of the spinal canal through which the spinal cord and meninges may or may not protrude
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Perfect Apgar test is 10 , but most infants earn only a 9
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1 point is minused for acrocyanosis.
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Acrocyonosis
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Acrocyanosis is persistent blue or cyanotic discoloration of the extremities,
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Umbilical cord
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one vein and twoarteries should be present . , Connecting lifeline between the fetus and the placenta. It contains two umbilical arteries, which carry deoxygenated fetal blood, and one umbilical vein, which carries oxygenated fetal blood encased in Wharton's jelly.
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Wharton's Jelly
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mucoid connective tissue that surrounds the vessels within the umbilical cord
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If ID number is incorrect
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Redo the bands with another nurse witnessing the process.
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Molding
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Elongation of the fetal head as it adapts to the birth canal. Will go back into shape over time.
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Normal Baby temperature
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97.5-99.0 axillary
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Fontanel
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Gaps between a baby's skull that slowly close up during the first 18 months of life.
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Mongolian Spots
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areas of deep bluish-gray pigmentation most commonly on the sacral aspect of a newborn
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Loose natal teeth
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Loose natal teeth that are not covered by the gums. Natal teeth present at birth is an unusual occurrence that should be reported to the healthcare provider. Loose natal teeth are frequently removed to prevent aspiration
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Limited hip abduction in the supine position
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This is a common sign of motion dysfunction in hip disease, what is often the only evident clinical sign in the infant > 1 month of age with Developmental Dysplasia of the hip (DDH).
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Babies born at 39 weeks gestation
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Plantar creases covering the entire sole of foot. This is normal.
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Vitamin K and Newborns
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Newborns are vit K deficient - phytonadione given after birth., IM injection of 1mg of water soluble vitamin K1--prevents hemorrhagic disease of the newborn., prophylactic K1 is given to preemies because intestinal flora is not colonized and so they do not get vit K., newborns do not have enough bacteria to produce vitamin K in adequate amounts to protect against injury. injections are given shortly after birth.
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Bath time
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auxillary temperature must be atleast 98 degrees. Core temp is close to 99 degrees.
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Baby is crying, the skin is mottled
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Monitor Blood Glucose level infant may be experiencing hypoglycemia.
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Baby falls asleep in the bed with mother.
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Remind the mother about infant safety and assist her to place the infant in the crib. This protects the baby while reinforcing teaching with the mother.
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Baby's cap falls off and blanket is not on
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Show the mother how to swaddle the baby and put the cap on their head. Protects baby and teaches the mother simultaneously.
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Mother has difficulty changing the diaper
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Observe the mother as she performs the task.
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Mother has used powder on the babies bottom when changing the diaper.
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Until baby is 4 days old, only plain water should be used. Instruct the mother to use only plain water. Bath products can disrupt the acid mantle on the skin and cause bacterial growth
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Acid Mantle
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Protective lipids and secretions on top of the skin., Skin's natural Protection Barrier made of Sebum, Sweat, Water and Lipids; protects from Pathogens and regulating enzymatic functions
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Baby has blood tinged mucous on her vulva
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Withdrawal from maternal hormones is usually the cause for this occurance.
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psuedomenstruation
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Slight blood-tinged mucoid vaginal discharge associated with an estrogen decrease after birth.
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Baby loses a pound 2 days after delivery.
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Babies typically lose up to ten percent of their birth weight.
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PKU screening
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Done at birth (after breast feeding or formula to allow body to fail at processing)., genetic disorder- baby doesn't have proteins to break down phenylalenine. build up of toxins leads to cns damage., Tests the infant's ability to metabolize phenylalanine. Increased phenylalanine in the blood can result in brain damage and mental retardation.
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How to collect blood for a PKU screening
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The heel of the baby should be warmed, cleaned with alcohol, dried with gauze. After using a microlancet blood is collected on a special screening form.
