Introductory Maternity & Pediatric Nursing Already Passed

Not all blood coagulation factors are present {Ans: Gut is sterile so Vitamin K given IM}Cardiovascular Adaptation {Ans: Fetal shunts (foramen ovale, ductus arteriosus, and ductus venosus) close and travels to the lungs for gas exchange}Abdomen {Ans: Protuberant Bowel sound present Should pass meconium within first 24-48 hours of life}Five parameters (max of 2 points each) {Ans: Appearance (color) Pulse (heart rate) Grimace (reflex irritability) Activity (muscle tone) Respiratory effort}Genitourinary {Ans: Should void within first 24 hours of life Genitalia may be swollen Pseudomenstruation in females}Each infant is unique but all have similar sleep and activity patterns {Ans: Deep sleep Light sleep Drowsiness Quiet alert Active alert Crying}Physical Measurements {Ans: Expected with range is 5lb 8oz to 8lb 13oz (2500 to 4000 grams) Expected length is 19 to 21in (48 to 53cm) Head circumference is 13 to 14in (33 to 33.5cm) Chest circumference is 12 to 13in (30.5 to 33cm)}Data Collection {Ans: Vital signs Physical Measurements Head-to-toe Neurologic Exam}Extremities {Ans: Flexion Equal and full range of motion}Skin, hair, nails {Ans: Skin supple with adequate turgor Acrocyanosis may be present Many common skin manifestations (Box 13-3)}Nose {Ans: Obligate nose breather}Physiologic