week 4

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School

West Coast University, Los Angeles *

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Course

306

Subject

Chemistry

Date

Apr 29, 2024

Type

pdf

Pages

20

Uploaded by BarristerLeopard181 on coursehero.com

Chapter 15 Nursing Care of the Neonate and Family BY: DR. CAMILLE CHUA
SYLLABUS OBJECTIVES Identify the changes that occur during the transition from intrauterine to extrauterine life and the related nursing actions. (Ch 15 482-488) Describe the critical elements of neonatal assessment. (Ch 15 491-499, table 15-2) Describe the critical elements of neonatal gestational age assessments. (Ch 15 506-507) Discuss methods used in neonatal pain management. (Ch 15 490, 505) Describe the nursing care and common laboratory and diagnostic tests for neonates during the first week of life. (Ch 15 511, 513; 643) Discuss the nursing actions that support parents in the care of their newborn. (Ch 15 516-523) Describe the most common therapeutic and surgical procedures for neonates and related nursing care. (Ch 15 514-516) Incorporate principles of teaching and learning when providing newborn care information to parents. (Ch 15 516- 523) Develop a teaching plan for breastfeeding. (Ch 16 532- 541) Develop a teaching plan for formula feeding. (Ch 16 541- 543) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
temperature 36.5-37.2C 97.7-99F respirations 30-60 pulse 110-160 blood pressure done in NICU pain NIPS scale in PP N-PASS scale in NICU Vital Signs
prepare for assessment general survey, APGAR score GA assessment pain assessment physical assessment posture: flexed head circ: 13-14 in (33- 33.5 cm) chest circ: done in NICU length: 18-21 in (45.7-53 cm) weight: 2500-4000g (5 lbs 8 oz to 8 lbs 13 oz) Neonatal Assessment
integumentary/skin acrocyanosis, milia, lanugo, mongolian spots (congenital dermal melanocytosis), newborn rash (erythema toxicum), vernix caseosa head molding, overriding sutures, fontanels (anterior-diamond, posterior-triangle) caput vs cephalohematoma neck: short with skin folds, + tonic neck reflex eyes: equal and symmetrical in size and placement, iris is blue-gray/brown, sclera is white/bluish white, no tear production until 2 months ears: pinna is aligned with external canthus of eye nose: patent, nose breathers mouth: lips, gums, tongue, palate, and mucous membranes are intact, pink, and moist, + suck and swallow reflexes, epstein's pearls may be present chest/lungs: barrel-shaped and symmetrical, breast engorgement, may have clear/milky fluid, lungs are clear and equal, scattered crackles due to retained amniotic fluid cardiac: PMI by nipple line, murmurs may be heard but disappear in 2 days, peripheral pulses are present abdomen: soft, round, protuberant, and symmetrical, bowel sounds present but may be hypoactive in the first few days, passage of stool in 24-48 hours, cord dries and detaches in 2 weeks rectum: patent, passage of stool in 24-48 hours GU (female): labia major and minora may be edematous, pseudomenstration, leukorrhea, urinate within 24 hours GU (male): urinary meatus at the tip of the penis, scrotum may be edematous, testicles are both palpated in the scrotum, urinate within 24 hours musculoskeletal: arms and legs are symmetrical and equal in strength, 10 fingers, 10 toes, full range of motion, no hip clicks, equal gluteal folds, C curve of spine with no dimpling neurological: flexed position, rapid recoil of extremities to flexed position, + newborn reflexes Neonatal Assessment
establish extrauterine respirations mechanical vs chemical stimuli vaginal deliveries experience mechanical stimuli due to thoracic pressure signs of respiratory distress cyanosis abnormal respiratory pattern apnea tachypnea retractions nasal flaring hypotonia Respiratory System
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