NMNC 1210 - Postpartum, Newborn, & Sexuality Questions
With Complete Solutions
How does the infant's first breath occur?
- When the remaining fetal lung fluid must be forced out of
the alveoli and into the interstitial spaces to allow air to enter the
lungs.
What factors contribute to the infant's first breath?
- Forceful contraction of the diaphragm due to chemical changes
(O2, PO2)
- Compression and recoil of the chest when going through the
birth canal (pressure)
- Change in skin temperature (environment)
- Stimulation by sound, light, smell, and pain (environment)
What are the normal ranges for newborn vital signs?
- Temp: 36.5-37.5° C / 97.7-99.5° F
- HR: 100-160 BPM
- RR: 30-60 BPM
- BP: 65-95 mmHg (systolic) / 30-60 mmHg (diastolic)
What are heelstick punctures used for?
To obtain blood from the heel for various blood tests.
How should heelsticks be performed?
1. Wash hands, gather supplies
2. Bathe the infant or wash the area
, 3. Warm the heel to dilate the vessels
4. Provide comfort
5. Apply gloves
6. Hold the heel in one hand, locate the site
7. Clean the area with alcohol
8. Puncture the side of the heel
How should heelstick sites be located?
- Palpate the bone of the heel
- Place finger over walking surface to avoid nerves/arteries
- Choose site on lateral heel that has not been used
What are mongolian spots?
- Bluish gray marks that resemble bruises on the sacrum, arms,
buttocks, shoulders, etc.
- Most common in newborns with dark skin
- Usually disappear after a few years
What organs are not functioning during fetal life?
The lungs and liver
How should the newborn cord be cared for?
- Check for bleeding/oozing
- Drainage, redness, edema indicates infection
- Clean cord with water when necessary and keep it clean & dry
When is the cord clamp removed? When does the cord fall off?
- Cord clamp is removed about 24 hours after birth if the end is
dry.
With Complete Solutions
How does the infant's first breath occur?
- When the remaining fetal lung fluid must be forced out of
the alveoli and into the interstitial spaces to allow air to enter the
lungs.
What factors contribute to the infant's first breath?
- Forceful contraction of the diaphragm due to chemical changes
(O2, PO2)
- Compression and recoil of the chest when going through the
birth canal (pressure)
- Change in skin temperature (environment)
- Stimulation by sound, light, smell, and pain (environment)
What are the normal ranges for newborn vital signs?
- Temp: 36.5-37.5° C / 97.7-99.5° F
- HR: 100-160 BPM
- RR: 30-60 BPM
- BP: 65-95 mmHg (systolic) / 30-60 mmHg (diastolic)
What are heelstick punctures used for?
To obtain blood from the heel for various blood tests.
How should heelsticks be performed?
1. Wash hands, gather supplies
2. Bathe the infant or wash the area
, 3. Warm the heel to dilate the vessels
4. Provide comfort
5. Apply gloves
6. Hold the heel in one hand, locate the site
7. Clean the area with alcohol
8. Puncture the side of the heel
How should heelstick sites be located?
- Palpate the bone of the heel
- Place finger over walking surface to avoid nerves/arteries
- Choose site on lateral heel that has not been used
What are mongolian spots?
- Bluish gray marks that resemble bruises on the sacrum, arms,
buttocks, shoulders, etc.
- Most common in newborns with dark skin
- Usually disappear after a few years
What organs are not functioning during fetal life?
The lungs and liver
How should the newborn cord be cared for?
- Check for bleeding/oozing
- Drainage, redness, edema indicates infection
- Clean cord with water when necessary and keep it clean & dry
When is the cord clamp removed? When does the cord fall off?
- Cord clamp is removed about 24 hours after birth if the end is
dry.
