neonatal exam/assess/resuscitation/inavasive monitoring

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what intervention would you initiate for a Neonate with a APGAR score at 1 min of life (0 &3)

CPR
what intervention would you initiate for a Neonate with a APGAR score at 1 min of life (7&9)
- nothing--
- monitor vital signs
- maintain thermoregulation
after 5 min-- repeat apgar score
when do you do apgar score

1 min into life then 5min into life
3 classic signs of respiratory distress
- retractions
- nasal flaring
- grunting
list 3 to obtain a neonate hr
- umbilical stomp
- apical (heart)
- brachial
5 steps of 30 sec of life (in order)
- thermoregulation
- proper positioning
- clear the airway
- tactile stimulation
- vital signs
what type of vital signs
- hr
- rr
- quality of respirations
- color
neonatal resuscitation is based on assessment of a neonates:

hr
what are some ways we can maintain a neonates thermoregulation
- heated linens
- radiant warmer--isolate
- cap
- bundle them up after assessing w/ warm linens
2 method used to determine gestational age of a neonate
- ballard- age assesmment tool
- physical exam
whats the difference btwn primary apnea and secondary apnea

primary-- will respond to tactile stimulation/ can occur before birth

secondary-- will not respond/ must provide PPV positive pressure ventilation
the longer you take to get vital signs back, rule of thumb

harder its going to be
what is periodic breathing and how does it differ from true apnea
- variation and the rate of the breathing
- remain stable
- true apnea-- greater than 20 seconds of apnea
- associated with bradycardia, destaturation, change in color
is periodic breathing common

yes among premature
what is the initial response to hypothermia

peripheral vasoconstriction
why is it important to prevent cold stress or hypothermia
- leads to metabolic acidosis
- inc oxy consumption
- hard to reverse
- harder to resuscitate
what is narcan

narcotic reversible

only give to mothers that got a small amount of narcotics to give labor

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neonatal exam/assess/resuscitation/inavasive monitoring

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neonatal exam/assess/resuscitation/inavasive monitoring

Updated

2011-01-28T07:20:52Z