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NURS 567 WK 2 Newborn 0-28 Test With Complete Solution
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NURS 567 WK 2 Newborn 0-28 TestWith Complete Solution
Dysmorphic Features - ANSWER Variants of physical features that are present
in less than 2-3% of the general population: most common with
chromosomal abnormalities
Aspects of prenatal information - ANSWER Know the parents
Know hx (genetic testing)
Family culture (circumcision, vaccines)
Nutrition habits (veg, vegan, breastfeeding, religion)
Maternal risks (depression, substance abuse)
Birth plans
ACEs
ACOG recommendations - ANSWER Prenatal visit Q4 weeks through 28 wks
GA, Q2 wks through 36 wks GA, then weekly until delivery
prenatal testing/screening - ANSWER Ultrasound and blood tests. substance
use, vaccine hx, labs (GBS, HIV/RPR, blood typing)
Group B Streptococcus - ANSWER Test for at 35-37 wks. Treat culture
positive woman and her infant with penicillin G 5mil units IV then 2.5-3mil
units IV Q4 hrs during labor
Did mom get influenza? What age can you immunize a baby for flu? -
ANSWER 6 months old baby can now get this vaccination
,For general knowledge: CDC recommends temp separation and no
mom-baby breastfeeding/direct contact until < 24hrs afebrile if mom has
active flu at time of birth
Pre-term - ANSWER 37 weeks/0 days to 38w/6d
Early term - ANSWER 37w/0d -38 weeks/6d
Full term - ANSWER 39w/0d - 40w/6d
Late term - ANSWER 41w/0d - 41w-6d
Post-term - ANSWER 42wks and beyond
APGAR scoring - ANSWER A= appearance (color all pink, pink and blue, blue
[pale])
P= pulse (>100, < 100, absent)
G= grimace (cough, grimace, no response)
A= activity (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)
Retake 5 minutes after delivery
Ballard exam - ANSWER Assess neuromuscular (w-in 24hrs) and physical
maturity to determine gestational age (accurate w/in 2 hrs) done on all kids
Appearance, skin texture, motor function, reflexes
Newborn birth stats - ANSWER Weight, recumbent length, head
circumference:
Plot at EVERY visit
, Newborn Screening - ANSWER RUSP - recommended uniform screening
panel
Hearing
CCHD-critical congenital heart disease
Metabolic screen
Bilirubin
TORCH infections - ANSWER Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes: body fluids
Torch infection causing craniofacial anomalies - ANSWER CMV infection
What is most common birth defect? - ANSWER hearing loss
What is CMV? How transmitted? Can you breastfeed with it? - ANSWER
Cytomegalovirus: body fluids; mom can breastfeed with this infection, leads
to hearing loss, craniofacial abnormalities possible
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