54 Questions
What does 'well baby' refer to?
An infant or young child who is considered healthy
Which section of the report provides information about the infant's family medical history?
Family History
What does Gordon's Typology of Functional Health Pattern assess?
Different aspects of an individual's health and well-being
Where can information about the infant's sleep patterns be found?
Sleep-Rest Pattern
What is the purpose of the 'Nursing Care Plan' section in the report?
To list the prioritized problems and proposed nursing interventions
Where is the 'Anatomy and Physiology' of the infant discussed in the report?
Physical Assessment
What is the purpose of the 'Health Teaching Plan' section in the report?
To outline the health education strategies for the infant and family
What is the significance of the 'Discharge Plan' section in the report?
To prepare the infant and family for transition from hospital to home
What is the purpose of the soft spots on a baby's skull?
Allow for skull molding during birth
When do newborns typically react to loud sounds with startle reflexes?
At 90dB
What are milia, commonly found on a newborn's nose, forehead, and chin?
Small white papules
What is the typical breathing pattern of newborns?
Obligatory nose breathers
What are Epstein pearls, commonly found in newborns' mouths?
Small yellow-white retention cysts
When does drooling typically persist in newborns?
For a few months until they learn to swallow saliva
What is the typical saliva production at birth?
Minimal
When do tonsils and adenoids become more visible in relation to body size?
During the first year
What is the typical appearance of a newborn's neck?
Symmetric with skinfolds between the head and shoulder
What is the typical palpability of lymph nodes in infants?
Non-palpable with no swelling, enlargement, hardness, or tenderness
What should be the primary source of nutrition for the first six months of life?
Breast milk
How often should the newborn be breastfed?
Every 3 hours
What is the expected weight pattern for newborns initially?
Lose weight initially and regain it within 2 weeks
What does the intermittent stool pattern and clear-colored urine indicate?
Proper hydration and expected variability in newborn bowel movements
What is the significance of the presence of seedy yellow stool?
Aligns with the natural process of gastrointestinal system adaptation and maturation in newborns
How many times a day does the patient's mother change the diaper?
5-6 times a day
What is the patient's reported sleeping pattern?
Sleeps for about 4 hours, wakes up for breastfeeding, and does not have a regular sleep schedule
What is the family's water supply source?
Maynilad
How does the family dispose of waste?
Through plastic bags
What is the patient's reported weight loss from and to?
From 3.8 kg to 3.6 kg
What is the patient's reported residence type?
Modest bungalow
What is the family's electricity source?
Meralco grid
What was the reason for Patient B.G.C's delayed discharge?
Billing delays
What vaccinations did Patient B.G.C receive upon admission?
Erythromycin eye ointment, BCG, Hepa B, and Vitamin K
How was Patient B.G.C's condition determined?
Through physical assessments and chart information
Why did Patient B.G.C not have an APGAR score?
She was delivered outside the institution
What were the top three nursing diagnoses for Patient B.G.C?
Readiness for enhanced nutrition, readiness for enhanced comfort, and risk for child falls related to unsafe absence of bed rails and bassinets
When did Patient B.G.C have a Newborn Hearing Test (NBHT)?
Upon admission
What was Patient B.G.C's family history related to her maternal grandfather?
Death due to a heart attack
What was the focus of the health teaching plan for Patient B.G.C?
Newborn care discharge instructions
What were the results of Patient B.G.C's vital signs and physical examinations?
Normal results without complications or abnormalities
What was the reason for Patient B.G.C's admission to the hospital?
Further newborn care while her mother was treated for placental delivery
What was the expected timeframe for the release of the Newborn Hearing Test (NBHT) results?
At least a month
What were the developmental stages mentioned in Patient B.G.C's history?
Oral, trust vs. mistrust, sensorimotor, and unconscious moral
Why do newborns have irregular sleep patterns?
Due to small stomach capacity and rapid growth needs
What is the typical skin color of a normal newborn?
Light brown, evenly distributed, warm, and free from lesions
What is the typical appearance of a newborn's head?
Normocephalic, symmetric, with soft fontanels
What is the presence of lanugo on a newborn indicative of?
Normal feature in newborns
When does a newborn's skin color typically settle fully?
Around 20 months old
What is the typical texture of a newborn's hair?
Lustrous, silky, and fine
Why do newborns experience shorter sleep cycles?
Frequent awakenings for hunger, discomfort, or parental care
What is the typical appearance of a newborn's fingernails?
Soft, smooth, and extend over the fingertips
What is the typical sleep schedule of a newborn described as?
Sporadic with alternating short naps and longer sleep periods
What is the typical color of a normal newborn's skin?
Light brown
What is the typical color of a normal newborn's hair?
Dark with the presence of lanugo
What is the typical appearance of a newborn's vital signs?
Consistent temperature, fetal heart rate, and respiratory rate within normal range
Study Notes
Patient B.G.C Newborn Health Summary
- Patient B.G.C is a newborn admitted at Ospital ng Muntinlupa on September 26, 2023, an hour after her birth.
- She was a non-institutional delivery baby, delivered at home by her mother’s aunt, and admitted for further newborn care while her mother was treated for placental delivery.
- Despite being approved for discharge on September 29, 2023, she was discharged on October 4, 2023, due to billing delays.
- Patient B.G.C had a Newborn Hearing Test (NBHT) upon admission, but the results were not released and were expected to take at least a month.
- She did not have an APGAR score as she was delivered outside the institution.
- The basis for determining her condition was through physical assessments and chart information, which identified her as a well baby.
- Upon admission, she received Erythromycin eye ointment, BCG, Hepa B, and Vitamin K vaccinations.
- Her vital signs and physical examinations showed normal results without complications or abnormalities.
- The top three nursing diagnoses for her were readiness for enhanced nutrition, readiness for enhanced comfort, and risk for child falls related to unsafe absence of bed rails and bassinets.
- The health teaching plan focused on newborn care discharge instructions after her approval for discharge on October 4, 2023.
- Patient B.G.C's family history included her maternal grandfather's death due to a heart attack and her maternal grandmother's death due to leukemia, as well as unspecified heredo-familial illnesses on the paternal side.
- Her developmental history aligned with appropriate stages, including oral, trust vs. mistrust, sensorimotor, and unconscious moral developmental stages.
Newborn Infant Assessment
- Newborn infant's sleep schedule described as sporadic with alternating short naps and longer sleep periods
- Newborns have irregular sleep patterns due to small stomach capacity and rapid growth needs
- Erratic sleep cycle is typical for infants in early stages due to underdeveloped sleep-wake cycles
- Newborns experience shorter sleep cycles with frequent awakenings for hunger, discomfort, or parental care
- Physical assessment reveals normal body built, grooming, posture, and absence of illness or distress
- Vital signs show consistent temperature, fetal heart rate, and respiratory rate within normal range
- Skin color is light brown, evenly distributed, warm, and free from lesions, indicating normalcy
- Hair is lustrous, silky, and dark, with the presence of lanugo, which is a normal feature in newborns
- Fingernails are soft, smooth, and extend over the fingertips, with normal capillary refill
- Head is normocephalic, symmetric, with soft fontanels and proportionate, symmetric face
- Newborn's skin color may change over time and should settle fully at around 20 months old
- Infant's hair texture and color can vary widely, with soft, fine hair being typical, especially in premature babies
Newborn Health Assessment and Care Quiz: Test your knowledge on assessing and caring for newborns, including physical assessment, vital signs, vaccination protocols, sleep patterns, and developmental stages. Explore nursing diagnoses, family history considerations, and health teaching plans for newborn discharge. Perfect for healthcare professionals and students focusing on neonatal care.
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