NURS 2050 Exam 1 (OB)
encouraging family care and bonding
Create warm environment
Keep family together, "rooming in"
Teach infant care
Provide positive feedback
Remain open minded
Support caregiver(s)
Provide culturally sensitive care
NURSING CARE OF THE NEWBORN AND FAMILY: BIRTH TO TWO HOURS OF
LIFE
transitioning from intrauterine to extra-uterine living
there are certain processes critical to extra-uterine survival
,-VERY ATTENTIVE TO ABC'S AND T'S
-AIRWAY (suctioned immediately)
-BREATHING
-CIRCULATION
-TEMPERATURE REGULATION
-baby has 3 holes inside heart when intrauterine:
-have to close when baby is born!
-foramen ovale
-ductus arteriosus
-ductus venous
Promoting skin to skin (put immediately on mothers bare chest after birth)
-help promote warmth
-regulate RR
-promoting breast feeding
-blood glucose regulation
Maintaining airway, circulation and temperature
-stimulate baby "patting" on back (strong)
-want baby to cry and take nice deep breath
-causes 3 holes in heart to shut with change in vascular system pressure
,-baby's blood will then start circulating on its own, delivering oxygenated blood
through body
Encouraging breast feeding
Eye prophylaxis
-erythromycin : to prevent STD/other infection from delivery (gonorrhea/chlamydia)
-parent always has right to decline meds for baby, needs to be documented
Vitamin K prophylaxis
- thigh (vastus lateralis)
-needle size 27 gauge (5/8 inch)
-essential to cascade that leads to appropriate/adequate CLOTTING
-does not transfer well through placenta in enough quantities
-baby has been receiving nutrients through umbilical vein, so gut is STERILE
-prevent intracranial bleeds
Hep B vaccine
-different site than Vitamin K
-immunization
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APGAR scoring
-done at 1 min and at 5 min
-total maximum score is 10
-if baby scores 7 or less at 5 min, do another at 10 min
-tells how well baby is adjusting to extrauterine life
-score of 7 or less :
- intervention = resuscitate the baby with stimulation
encouraging family care and bonding
Create warm environment
Keep family together, "rooming in"
Teach infant care
Provide positive feedback
Remain open minded
Support caregiver(s)
Provide culturally sensitive care
NURSING CARE OF THE NEWBORN AND FAMILY: BIRTH TO TWO HOURS OF
LIFE
transitioning from intrauterine to extra-uterine living
there are certain processes critical to extra-uterine survival
,-VERY ATTENTIVE TO ABC'S AND T'S
-AIRWAY (suctioned immediately)
-BREATHING
-CIRCULATION
-TEMPERATURE REGULATION
-baby has 3 holes inside heart when intrauterine:
-have to close when baby is born!
-foramen ovale
-ductus arteriosus
-ductus venous
Promoting skin to skin (put immediately on mothers bare chest after birth)
-help promote warmth
-regulate RR
-promoting breast feeding
-blood glucose regulation
Maintaining airway, circulation and temperature
-stimulate baby "patting" on back (strong)
-want baby to cry and take nice deep breath
-causes 3 holes in heart to shut with change in vascular system pressure
,-baby's blood will then start circulating on its own, delivering oxygenated blood
through body
Encouraging breast feeding
Eye prophylaxis
-erythromycin : to prevent STD/other infection from delivery (gonorrhea/chlamydia)
-parent always has right to decline meds for baby, needs to be documented
Vitamin K prophylaxis
- thigh (vastus lateralis)
-needle size 27 gauge (5/8 inch)
-essential to cascade that leads to appropriate/adequate CLOTTING
-does not transfer well through placenta in enough quantities
-baby has been receiving nutrients through umbilical vein, so gut is STERILE
-prevent intracranial bleeds
Hep B vaccine
-different site than Vitamin K
-immunization
, Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
APGAR scoring
-done at 1 min and at 5 min
-total maximum score is 10
-if baby scores 7 or less at 5 min, do another at 10 min
-tells how well baby is adjusting to extrauterine life
-score of 7 or less :
- intervention = resuscitate the baby with stimulation
