Management of newborn complications
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| show | One who is born 20-37 weeks.
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| show | decreased surfactant in alveoli regardless of birth weight.
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| show | stiff and noncompliant lungs leading to mechanical ventilation & O2.
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| show | abnormal growth of retinal blood vessels, usually linked with O2 administration in neonate.
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| show | occurs when ductus arteriosus reopens after birth due to neonatal hypoxia.
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| show | inflammatory dz of GI mucosa d/t ischemia.
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| What are some s/s of preterm infant? | show 🗑
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| The main priority in treating preterm newborns is supporting what systems? | show 🗑
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| What is surfactant? | show 🗑
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| show | increased GA, intrauterine stress, exogenous steroid use, ROM
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| What is a postterm infant? | show 🗑
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| show | postmature infant can be SGA or LGA.
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| What are some s/s of postterm infant? | show 🗑
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| What is large gestational age (LGA)? | show 🗑
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| What are two leading factors of LGA? | show 🗑
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| show | - early and frequent heel sticks
- early feedings to maintain glucose levels
- thermoregulation
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| show | - <40 mg/dL in term
- <25 mg/dL in preterm
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| Hypoglycemia can lead to what if left untreated? | show 🗑
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| What are s/s of neonate hypoglycemia? | show 🗑
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| show | neonate at or below 10th % of weight.
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| show | drawn abdomen, sparse scalp hair, wide skull sutures, wide-eyed and alert
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| show | elevated serum bilirubin levels --> jaundice
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| What is physiologic jaundice? | show 🗑
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| What is pathologic jaundice? | show 🗑
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| What are two common factors for pathologic jaundice? | show 🗑
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| What does the Direct Coombs' test reveal? | show 🗑
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| show | phototherapy
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| What is kernicterus? | show 🗑
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| show | bronze discoloration, skin rash, pressure areas, dehydration, elevated temperature
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| What are nursing interventions for hyperbilirubinemia? | show 🗑
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| show | failure of espophagus to connect to stomach.
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| show | excessive mucous secretions, drooling, periodic cyanotic episodes, immediate regurgitation after birth
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| show | inability to metabolize amino acid phenylalanine
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| What is galactosemia? | show 🗑
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| show | slow metabolism caused by maternal iodine deficiency during pregnancy.
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| show | neural tube defect and may have protrusion of meninges and/or spinal cord.
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| show | - protect membrane with sterile covering
- observe for CSF
- position in prone or side lying
- assess for ICP
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| What is tetralogy of Fallot? | show 🗑
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| show | - conserve infant's energy
- give feedings with special nipple
- elevate head and shoulders
- place in knee-chest position during resp distress
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| show | noncyanotic heart defect in which ductus arteriosus fails to close after birth.
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| show | subarachnoid hemorrhage, facial paralysis, joint dislocations, soft tissue injuries
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| show | 1. CNS
2. metabolic, vasomotor, and respiratory
3. GI
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| What are some nursing interventions for neonatal substance withdrawal? | show 🗑
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| show | neonatal withdrawal syndrome
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| What is hydrocephalus? | show 🗑
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| show | - frequently reposition head to prevent sores
- measure head circumference daily
- assess for signs of ICP
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