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NUR 254 Exam 2 Child Bearing and Child Caring Families| questions and answers 2024
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NUR 254 Exam 2 Child Bearing and Child Caring Families| questions and answers 2024
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NUR 254 Exam 2 Child Bearing and ChildCaring Families| questions and answers
2024
Cardiovascular changes newborn - Foramen ovals closes
Ductus arteriosis constricts
Rate 110-170
BP 60-85/40-55
APGAR - 1 minute & 5 minute, anything <7 check APGAR again
Immediate Intervention- first 2 hours of life - Airway Maintenance-Respiratory function
Maintain body temperature
Eye prophylaxis
Vitamin K
Build Syringe - Remove air away from baby's face
Clear mouth first
First period of reactivity - 15-30 min after birth, HR may be 160-180, infant is alert
Period of decreased responsiveness 60-100 minutes
Respirations rapid & shallow to 60 breaths/minute
Second period of reactivity - 2 to 8 hours
tachycardia & tachypnea can occur
Newborn awakens and shows an interest in stimuli
Meconium passes
Increased muscle tone, changes in skin color, & mucus production
Vitamin K prophlaxis - Clotting factor-prevents hemorrhagic complications
Sleep-wake cycles - Sleep 16-18 hours per day
Vision - See up to 2 1/2 feet away
Clearest vision 6-7 inches away
See color about 2 months of age
Can track parents eyes
Newborn complications - Birth injuries
, Lacerations
Jaundice
Hypoglycemia
Hypocalcemia
Discharge Teaching Newborn - Car seat safety
Nonnutritive sucking
Bathing
Umbilical cord care
SIDs risks factors - Preterm
Mail infant
Age 2-3 months, reported to 1 year
Parents <20
Overheat/excessive bedding
Prone sleeping
Family hx
palmar grasp - An infant reflex that occurs when something is placed in the infant's
palm; the infant grasps the object.
Plantar grasp - Touch sole of foot, toes curl downwards
Moro - startle reflex
Rooting & sucking - Infant will turn toward anything that strokes his cheek or mouth.
Assists in breastfeeding.
Babinski - fanning and curling toes when foot is stroked
Newborn Weight - 2500-4000 g
Postpartum period - a period of adjustment for parents and their newborn during the six
weeks after birth
Early Maternal Assessment - Vital Signs
Fundal, Lochia, Perineum Assessment
Rubra - Bright Red
1-3 days
Serosa - Pinkish-brown
4-10 days
Alba - Whitish-yellow
10-14 days, can last 3-6 weeks
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