what is tonic neck reflex? - quickly and gently turn neonates head to one side
what is the babinski reflex? - stroke bottom of foot upward along the lateral aspect the along the ball of
the foot with a finger.
normal: toes will hyperextend while big toes dorsiflexes
when do a nurse administers erythromycin ophthalmic (ilotycin) to neonates?
- within 1 hour after delivery, for prophylactic treatment of opthalmia neonatorum
PID? - places pt at risk for ectopic pregnancy
jaundice in the first 24 hours of life? - get a stat bilirubin level
what is cephalohematoma? - is normal soft spot on the new borns is bluish, with edema that does not
cross the suture line
there is no need for treatment because it will disappear within 2-6 weeks
what is important in breast milk production? - fluid intake
a nurse checks a postpartum pt peripad and finds a large amount of lochia rubra with several clots?
- the first thing that must be done is to check the fundus
acrocyanosis? - normal finding in neonate, cool, slightly blue tinged distal extremities related to
immature circulatory system the nurse should swaddle the neonate in blankets
what is a s/s of congenital hip dysplasia? - is limited abduction of the hip, that means the head of the
femur may have slip out of the acetabulum
, what will help a pt with a cessarian and abdominal distention?
- to ambulate in hallway
normal glucose for newborns? - 40-95
normal RR for newborns? - 40-60
turn lbs to kg? - 4lbs 4 oz
there is 16 oz in one lb
divide 4oz/16=0.25
4.25 lbs
the expectant father feels resentful of added attention to wife and pregnancy?
- these feelings are common and normal
a postpartum pt is out of bed for first time, she passes a blood clot and notices an increase in her lochia?
- this finding is normal following a period of time in bed in the imediate postpartum period
whats is an inappropriate action for an infant who is receiving phototherapy for elevated bilirubin? - the
infant should never be swaddle, he should be left exposed to the light to make therapy successful
when does lanugo begins? - lanugo is a fine hair covering and is greatest between 28-30 weeks gestation
and then begins to disappear
how would the fundus look after a laceration? - when postpartum hemorrhage is caused by laceration
anywhere in the birth canal there would be continuous vaginal bleeding and a firm fundus
when doing an abd ultrasound, what is the most important info the nurse will obtain? - the time pt
voided, because abd ultrasound requires a full bladder