Hyperbilirubinemia
physiological jaundice
- onset:
- peak bili level
- duration
onset: after first 24hrs of life
peak bili level: 12-15
duration: resolve w/in 1-2weeks
occurs when mother has O blood and baby has A, B, AB
ABO incompatibility
what tests total and direct bilirubin measurements
serum bilirubin levels
what are risk factors for hyperbilirubinemia
prematurity
maternal diabetes
maternal infections
blood type incompatibility
bruising or cephalhematoma at birth
What is Toris Favorite Color
pink
Pathological jaundice
- onset
- bili level
- duration
onset: appears within first 24hrs
bili level: over 15
duration: longer than 2 weeks
occurs when rh- mom is carrying rh+ baby
RH incompatibility
blood type and Rh factor testing is used for only the mother
TRUE OR FALSE
FALSE
it is used for both the mother and the newborns
what is kernicterus and what causes it
a serious neurological condition caused by excess bilirubin
what is Emmalee's favorite animal
manatee
physiological jaundice assessment findings
what type of incompatibility of blood can lead to mild jaundice in NB
ABO incompatibility
what test is used to detect antibodies against RBCs
Coombs Test
what results from hemolysis in cases of Rh incompatibility
anemia
What is Megan's favorite holiday
Christmas
pathological jaundice
more pronounced jaundice, often extending beyond the face and trunk, signs of illness (poor feeding, lethargy, irritability), possible accompanying symptoms (dark urine, pale stools)
What med would you give to a Rh - mother with an Rh + baby
administer Rho(D)immune globulin (RhoGAM)
when getting diagnostics testing done what should you do for the patient and with the results (newborns and parents)
prepare newborn for blood draws
educate parents about the purpose of the tests
monitor and document the results
what can occur from poor feeding
dehydration
What is the name of Tori's floppy eared dog
Charlie
which type of jaundice is more concerning
pathological
what type of maternal blood incompatibility leads to severe hemolytic disease (erythroblastosis fetalis)
Rh incompatibility
If a newborn HAS hyperbilirubinemia what are your interventions?
initiate phototherapy to reduce bilirubin levels
maintain hydration and monitor intake/output
educate parents on signs of worsening jaundice
what are some nursing diagnoses for hyperbilirubinemia
Risk of Ineffective Thermoregulation
Impaired Skin Integrity (related to phototherapy)
Risk for Delayed Growth and Development
What are the date of our exams
December 2nd and 10th