Management of newborn complications
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| show | One who is born 20-37 weeks.
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| What is respiratory distress syndrome (RDS)? | show 🗑
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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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| What is necrotizing enterocolitis (NEC)? | show 🗑
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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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| show | a phospholipid that helps in alveoli expansion.
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| What are factors that can accelerate lung maturation in fetus while in utero? | show 🗑
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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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| show | thin loose dry cracked skin, meconium stained fingernails, hypoglycemia, macrosomia, s/s of cold stress
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| What is large gestational age (LGA)? | show 🗑
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| show | postterm infants and maternal DM
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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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| show | mental retardation
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| show | poor feeding, jitterness, hypothermia, sweating, weak cry, lethargy
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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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| What is hyperbilirubinemia? | show 🗑
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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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| What is primary treatment of hyperbilirubinemia? | show 🗑
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| show | bilirubin levels >24 mg/dL that affects the brain
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| show | bronze discoloration, skin rash, pressure areas, dehydration, elevated temperature
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| show | early and frequent feeding, eye mask, keep newborn undressed, no lotion or ointments, reposition q 2 hr, remove newborn from phototherapy q 4 hr and unmasking and checking for inflammation or injury.
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| What is tracheoespophageal atresia? | show 🗑
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| show | excessive mucous secretions, drooling, periodic cyanotic episodes, immediate regurgitation after birth
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| What is phenylketonuria (PKU)? | show 🗑
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| show | inability to metabolize galactose into glucoseq
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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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| What is patent ductus arteriosus? | show 🗑
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| What are some s/s of birth injuries? | show 🗑
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| What three areas does neonatal abstinence scoring system assess? | show 🗑
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| show | - reducing external stimulation
- swaddling
- frequent small feedings
- have suction available
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| show | neonatal withdrawal syndrome
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| What is hydrocephalus? | show 🗑
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| What are nursing interventions for hydrocephalus? | show 🗑
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