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ATI Maternal Newborn Proctored Exam: Study Set 2 (focused reviews)- Q’s and A’s
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ATI Maternal Newborn Proctored Exam:Study Set 2 (focused reviews)- Q’s and
A’s
A baby with neonatal abstinence syndrome may have a wide range of
symtoms including CNS, metabolic, vasomotor, respiratory, and GI. These
include:
(list 3 or more for each) - -CNS:
-increased wakefulness
-high-pitched cry, incessant crying
-irritability
-tremors
-hyperactive w/increased Moro reflex
-increased DTRs
-increased muscle tone
-abrasions and/or excoriations on the face & knees
-convulsions
Metabolic, Vasomotor, Respiratory:
-nasal congestion w/flaring
-frequent yawning
-skin mottling
-tachypnea >60/min
-sweating
-temp >than 37.2 C (99 F)
GI:
-poor feeding
-regurgitation (projectile vomiting)
-diarrhea
-excessive uncoordinated constant sucking
-Hypoglycemia in the newborn findings: - --poor feeding
-jitteriness/tremors
-hypothermia
-diaphoresis
-weak shrill cry
-lethargy
-flaccid muscle tone
-seizures/coma
-irregular respirations
-cyanosis
-apnea
, -normal newborn blood glucose=
normal infant (up to 2 yrs) blood glucose= - -40-80 mg/dl
50-80 mg/dl
-newborn dehydration s/s: - --urine output less than 1 mL/kg/hr
-urine specific gravity more than 1.015
-weight loss
-dry mucous membranes
-absent skin turgor
-depressed/sunken fontanels
-postterm infant s/s: - --wasted appearance, thin w/loose skin
-peeling, cracked, dry skin, also leathery
-long, thin body
-meconium staining of fingernails and umbilical cord
-long hair and nails
-may be more alert
-hypoglycemic
-macrosomic
-cold stress
-Birth injuries: subarachnoid hemorrhage s/s - --seizures within the 1st 72
hours
-decreased levels of consciousness
-irritability
-Birth injuries: facial paralysis s/s - --facial flattening
-unresponsiveness to grimace that accompanies crying or stimulation
-eyes remaining open
-Sun-setting sign is common with this newborn complication, in which the
whites of the eyes are visible above the iris and the head is enlarged and
fontanels are bulging: - -Hydrocephalus
-Manifestations include murmurs, abnormal heart rate or rhythm,
breathlessness, and fatigue when feeding: - -patent ductus arteriosus
-Manifestations include respiratory difficulties, cyanosis, tachycardia,
tachypnea, and diaphoresis: - -Tetralogy of Fallot
-How to suction with a bulb syringe for a newborn: - -1. compress bulb
before insertion into 1 side of the mouth
2. Avoid center of the mouth to prevent stimulating gag reflex
3. Aspirate mouth 1st, one nostril, then 2nd nostril
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