Neonatal Abstinence Syndrome
This newborn condition causes tremors, irritability, and a high pitched cry
What is NAS?
This is the most immediate complication the nurse should assess for in a newborn whose mother had poorly controlled gestational diabetes
What is hypoglycemia?
What is the evaluation of appearance, pulse, grimace, activity, and respiration done at 1 and 5 minutes after birth?
What is APGAR?
In this reflex, a newborn throws its arms out and then pulls them back in when startled
What is the moro reflex?
This serious respiratory complication occurs when a fetus inhales stool before or during birth, leading to airway obstruction and inflammation
What is meconium syndrome?
This newborn condition can mimic NAS and must be ruled out first when a jittery infant shows low glucose levels
What is hypoglycemia?
Due to maternal hyperglycemia, these infants are often born with this body size
What is macrosomia, large for gestational age?
This reflex causes a newborn to fling arms out when startled
What is moro reflex?
What reflex occurs when the sole of the newborns foot is stroked and the toes fan out and the big toe dorsiflexes
What is the babinski reflex
The normal respiratory rate for a newborn
What is 30-60 breaths per minute?
These three symptoms would be a primary concern for a nurse assessing a newborn with NAS
What is sweating, high pitched crying, and tremors?
This single hormone, elevated in fetuses of diabetic mothers, explains their increased risk of macrosomia, hypoglycemia, polycythemia, and respiratory distress
What is insulin
Soft spot on the newborns head that should be flat and soft
What is the fontanel?
What is the reflex that causes newborns to turn their head towards cheek stimuli and open their mouth for feeding
What is rooting reflex?
This common newborn respiratory condition presents with grunting, nasal flaring, retractions and is more common in cesarean deliveries
What is transient tachypnea?
Because of autonomic instability, these two skin findings are common during withdrawal
What are mottling and sweating?
Because infants of diabetic mothers are often macrosomic, this birth injury is a major concern for the nurse to assess for
What is a brachial plexus injury?
A newborn with a bulging fontanel, lethargy, and projectile vomiting may be experiencing this acute condition
What is increased intracranial pressure?
Newborn stood up right on with feet flat surface, reflex causes infant to make walking like movement
What is stepping reflex?
This breathing pattern involves short pauses and is normal in newborns
What is periodic breathing?
This GI symptom often leads to poor weight gain and frequent loose stools in NAS infants
What is diarrhea?
This breathing problem can occur because high insulin levels delay lung maturity
What is respiratory distress syndrome?
Tiny white papules on the nose that are normal and caused by clogged sebaceous glands
What is milia?
This reflex helps protect the airway by triggering swallowing when fluid reaches the back of the throat
What is the swallow reflex?
Blue coloring of the lips and tongue is called this
What is central cyanosis?