Neonatal Hypoglycemia
A newborn baby is diagnosed with neonatal hypoglycemia. What signs and symptoms might they experience?
jitters
weak floppy muscles
blueish/ white skin and lips
low body temp
seizures
What is the cause of transient tachypnea?
aspiration of amniotic fluid at birth or delayed absorption of fluid in the lungs from delivery
When does pathologic jaundice occur for a newborn?
within 24 hrs of life or 7-10 days of age
What does the blood glucose levels of a baby have to be to be considered hypoglycemia?
<35 or plasma concentration <40
When assessing a a newborn, what might you see if the newborn develops TTN?
rapid respirations > 60/min
grunting
nasal flaring
chest retractions
(usually occur 1-6 hr after birth)
What is the major cause of pathologic jaundice?
hemolytic disease: Rh sensitization and ABO incompatibility
Which babies are at a higher risk of developing hypoglycemia?
infants with diabetic mothers, preterm, IUGR, asphyxia, hypothermia
What are the NNTKs for TTN?
monitor oxygen saturations
administer oxygen as needed maintain airway patency
usually resolves itself within 24-48 hrs
What are the other causes of pathologic jaundice?
birth injury, liver malfunction, infections, enzyme deficiency (G6PD)
What are the manifestations of hypoglycemia w/ babies?
apnea/ tachypnea
tachycardia
cyanosis
seizures
loose/ floppy muscles
poor feeding or vomiting
jitteriness
lethargy
What is meconium aspiration and its manifestations?
Meconium is the first stool passed early due to fetal distress. Newborn will have greenish or yellow amniotic fluid.
rapid or labored breathing
crackles
retractions
What is the most common Rh incompatibility?
mothers with group O, and having baby with group A or B
What are the NNTK for IDM?
identify high risk neonates and -- check glucose immediately
if hypoglycemic provide early feedings
if persistent hypoglycemia give -- IV solution of dextrose (D10W)
As the nurse what should you do to manage meconium aspiration?
provide oxygen, surfactant, and or ECMO
When is Rhogam given?
given to Rh - mom at 28 wks
given again 72 hrs after giving birth to Rh +baby