Neonatal Abstinence Syndrome
CPS recommends avoiding sole reliance on this historically used scoring tool because it may overemphasize symptoms and treatment thresholds.
What is the Finnegan Neonatal Abstinence Scoring System?
A 39-week infant develops visible jaundice at 14 hours of age. The timing alone raises concern for this process.
What is pathologic jaundice?
This developmental condition occurs at higher rates in extremely preterm infants and often becomes more apparent in early childhood.
What is cerebral palsy?
Three commonly observed adverse effects of hypothermia include sinus bradycardia, hypotension, and this hematologic complication.
What is thrombocytopenia?
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Dr. Lisa Pinto
What are the components of the Finnegan Neonatal Abstinence Scoring System?
What is Eat, Sleep, Console?
A newborn with ABO incompatibility has rapidly increasing bilirubin levels despite phototherapy. This mechanism should be suspected.
What is ongoing hemolysis?
Name two long-term outcomes associated with extreme prematurity beyond infancy.
What are learning difficulties, chronic respiratory disease, behavioral disorders, executive dysfunction, or sensory impairments?
Infants at or above this gestational age routinely qualify for therapeutic hypothermia if other criteria are met.
What is ≥36 weeks gestational age?
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Dr. Hilary Price
A newborn initially appears stable after birth but develops escalating withdrawal symptoms nearly one week later. This synthetic opioid exposure should be considered.
What is fentanyl exposure?
This blood group incompatibility is generally more severe than ABO incompatibility.
What is Rh incompatibility?
A child born at 25 weeks presents at 16 months chronological age. Parents worry because the child is not walking independently. Before assessing developmental delay, the team should first use this calculation.
What is corrected age?
Presence of these events should prompt consideration of acute perinatal injury in infants meeting biochemical criteria.
What are acute perinatal events such as placental abruption, cord prolapse, or uterine rupture?
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Dr. George Robbins
This challenge complicates predicting NAS severity and timing despite known prenatal opioid exposure.
What is polysubstance exposure?
Escalation of care should be considered when bilirubin approaches this threshold relative to exchange transfusion.
What is within approximately 30 µmol/L of exchange threshold?
A former 25-week infant is now 4 months old chronologically but 1 month corrected. What vaccines are they due for?
What are 4-month vaccines?
This treatment should ideally be initiated within the first 6 hours of life for eligible newborns with moderate-to-severe HIE.
What is therapeutic hypothermia (cooling therapy)?
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Dr. Laura Vivian
These newborns may have less obvious withdrawal manifestations despite significant exposure.
Who are preterm infants?
Name two acute signs of bilirubin-induced neurologic dysfunction.
What are lethargy, hypotonia, poor feeding, high-pitched cry, hypertonia, retrocollis, or opisthotonos?
Extremely preterm infants require ongoing assessment for refractive errors, amblyopia, and this eye alignment disorder.
What is strabismus?
A cord pH at or below this value independently meets one biochemical criterion for cooling eligibility.
What is pH ≤7.0?
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Dr. Heather Power