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Maternity Nursing care of Newborn questions answered correctly.
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Maternity Nursing care of Newbornquestions answered correctly.
what is the first great triggered by? ANS --pressure changes, noise, light, chilling, compression of the
chest, and low o2.
transient tachypnea ANS -slow or incomplete fluid removal (C/S or depressed)
when is tachypnea more common? ANS --in c section babies b/c they have a harder time transitioning to
extrauterine life.
-b/c in vag births as they come out, the pressure of the chest pushes the fluid out of the baby and they
are able to clear their resp more quickly
when will you need another apgar schore ANS -if 5 mins is less than 7 then get another at 10 mins.
how to stimulate the baby if they are not crying ANS --hit the bottom of the foot
-hitting the back for relax irritability.
evaporation heat loss ANS -liquid converted into vapor
-taking a bath
convection heat loss ANS -air flow to cooler areas
-air moving towards you like an opened window
radiation heat loss ANS -close, cool solid surfaces
-when standing next to a window, you will lose heat just by standing near it
conduction heat loss ANS -2 objects touching
, -your hands touching the baby, the stethoscope)
what is the primary reason for keeping babies warm ANS --so they will eat.
-cold babies just go to sleep, they do not eat and their blood glucose goes down
at what temp should you put a newborn in a radiant warmer ANS -97.7
36.5
why should u use a prob for the radiant warmer ANS -if no probe they can have hyperthermia which can
lead to brain damage
-do not let them overheat
hypothermia ANS --leads to depletion of glucose and the use of brown fat
-may lead to ketoacidosis and shock
-prevent by keeping them warm
-esp for preterkers and during resuscitation at birth
what might hypothermia result in ANS --ketoacidosis
-possible shock
who should you esp keep warm ANS --preterms
-during resuscitation at birth
why is maintaining body temperature a big challenge for preterm or small babies ANS --lack of muscle
tone/flexion:
-we increase our own tone when we are cold to keep the heat in. pretermers do not have tone so they
will be cold
-minimal SC fat, brown fat
-onlty newborns have brown fat. made in 3rd trim. burned to generate heat so the baby is warm. self
limiting
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