*NURSING > STUDY GUIDE > West Coast University, Los Angeles NURS 306 OB week 5 study guide-VERIFIED BY EXPERTS 2021 (All)

West Coast University, Los Angeles NURS 306 OB week 5 study guide-VERIFIED BY EXPERTS 2021

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Study Guide on Week 5 Content  Newborn Assessment o Observe the respiratory patterns  With breath sounds  Rate should be done when baby is calm o Observe posture  Muscle tone o Asse... ss skin  Color  Any trauma  Birthmarks o Alertness and Activity o Gestation age assessment (neuromuscular and maturity scoring)  Gestational age is based off mother’s menstrual hx, prenatal ultrasonography, neonatal maturational exam.  Done on neonates who are preterm (born <37 wks or >42 wks)  Weigh <2500 g or >4000g  Diabetic mothers  Admission to the NICU  Dubowitz Neurological exam  33 responses in 4 areas o Habituation: light and sound stimuli o Movement and muscle tone o Reflexes o Neurobehavioral items  Ballard Maturational Score (BMS)  Determines preterm, term, and post-term based off neuromuscular maturity Pain assessment o Premature Infant Pain Profile (PIPP) o Neonatal Infant Pain Scale (NIPS)  Substance abuse o Neonatal abstinence syndrome, s/s of withdrawal  Abstinence Syndrome: group of signs and neurological behaviors exhibited by neonates resulting from the abrupt discontinuation of intrauterine exposure to various substances  Occurs in 55-94% of newborns whose mothers were addicted  Alcohol exposure: signs show with 3-12 hours post birth  Narcotics exposure: 48-72hrs  Barbiturates exposure: withdrawal between 1-14 days.  S/S [Show More]

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