Implementing Basic Newborn Nursing Care Exam Review 100% Guaranteed Pass
What is normal in terms of breathing? - ANS-Normal → Irregular breathing:
- Normal → gasp for a few breaths or appear to pant
- Shallow rapid breathing
- Slow deep breathing
- Apnea < 10 seconds
- May sound like ...
What is normal in terms of breathing? - ANS-✔✔Normal → Irregular breathing:
- Normal → gasp for a few breaths or appear to pant
- Shallow rapid breathing
- Slow deep breathing
- Apnea < 10 seconds
- May sound like they are coughing up a hairball like a cat (b/c they are trying to bring up mucous)
When should I seek care for breathing? - ANS-✔✔TEACH: S&S of respiratory distress
- Apnea > 10 seconds
- Intercostal retractions (pictured)
- Sternal retraction
- Tracheal tug
- Prolonged grunting (longer than a few mins)
- Nasal flaring
What is normal in terms of colour? - ANS-✔✔Acrocyanosis of hands and feet (~24 hours)
Mild jaundice (~24 hours) → immaturity of liver
Red rash with crying → patches on skin that are red b/c of the volume of vasculature that is now present
on their surface
- More than 24 hours
Chest and face is pink in colour → well-oxygenated
, TEACH: central cyanosis
- Becoming blue in face and chest → seek care
What is normal in terms of temperature? (esp. important for a client who is GBS+ and have a hx of GBS
disease in another newborn) - ANS-✔✔Newborn should be dressed one layer more than you are
Skin-to-skin and cover with a blanket across their back → best way to regulate their temperature
Central temperature is a better indicator than peripheral (cold feet and hands = normal)
Assess auxiliary temperature (normal = 36.5 - 37.5)
What is abnormal in terms of temperature? - ANS-✔✔Temperature > 38.0 → b/c babies are heat
intolerant
> 37.5 (37.5-38.0) → remove clothes, hold them skin-to-skin, reassess 30 mins → seek support if not
getting better
< 36.5 → skin-to-skin with blanket, reassess in 30 mins → seek support if not getting better
A Baby's Safe Sleep Environment - ANS-✔✔1. Always place baby on back for naps and at night
2. No smoking around baby
3. Baby sleeps alone in crib
4. Crib empty of toys and loose bedding
5. Crib next to adult's bed for first 6 mo
6. Firm crib mattress, tight-fitting sheet
7. Crib meets Canadian safety regulation
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