By Michele R. Davidson PhD CNM CFN RN
This handy and easy-to-use orientation reference and care consultant presents new neonatal nurses and their preceptors with the center info they should supply all facets of secure, powerful, holistic care to baby babies and their households. Addressing the wishes of either low-risk and high-risk babies, the advisor provides particular, evidence-based interventions in always formatted chapters. a distinct “orientation consultant” is featured in each one bankruptcy to acquaint the hot neonatal nurse with crucial info on tactics, regulations, gear, medicinal drugs, and evidence-based protocols.
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Additional resources for Fast Facts for the Neonatal Nurse: A Nursing Orientation and Care Guide in a Nutshell
Example text
Cryptorchidism is the failure of a testicle to descend and warrants follow-up to prevent long-term complications. • Hydrocele, which is a collection of fluid in the scrotum, may occur after birth and typically resolves without intervention. 3. COMPREHENSIVE NEWBORN EXAM 46 • Positional clubfeet are sometimes present and are most commonly associated with breech position. • Positional clubfoot is treated with range-of-motion exercises, whereas a true clubfoot will require surgical intervention. FAST FACTS in a NUTSHELL To assess for hip dysplasia, the nurse grasps both thighs simultaneously and adducts the thighs, applying gentle pressure in a downward motion.
1 Apgar Scoring System (continued) Characteristics Score of 0 Score of 1 Score of 2 Activity None Some flexion Flexed arms and legs that resist extension Respiratory Absent Weak, irregular gasping Strong lusty cry As indicated previously, the Apgar score is assigned at 1 and 5 minutes after birth. Over 98% of infants have a 5-minute Apgar score of greater than 7. Scores less than 7 indicate that ongoing medical intervention is warranted. Low 5-minute Apgar scores are not necessarily indicative of long-term adverse health outcomes.
Encourage early breastfeeding. • Educate parents on normal newborn characteristics and behaviors. • Advise parents what to expect in terms of infant behavior and interaction with others. • • • • Encourage parents to touch newborn. Encourage rooming-in and constant contact. Assist parents in providing care for the newborn. Include siblings and extended family in early interactions with newborn. Encourage eye contact. Demonstrate swaddling procedure. Encourage parents to rock their infants, hold them upright, and talk to their infants.