Newborns Gone Wild
Name some risk factors for a SGA newborn.
Maternal smoking, hypertension, substance abuse, poor nutrition, low SES
This condition is caused by lack of surfactant.
What is Respiratory Distress Syndrome?
This infection presents with a “slapped cheek” rash.
What is Parvovirus?
This condition causes fatigue and weakness due to low hemoglobin.
What is anemia?
This is the FIRST step when a newborn is jittery.
What is check blood glucose?
Why do preterm infants have difficulty maintaining body temperature?
What is Low brown fat + thin skin.
This condition is caused by delayed lung fluid clearance.
What is Transient Tachypnea of the Newborn - TTN?
This infection causes jaundice, hepatosplenomegaly, and anemia in newborns.
What is toxoplasmosis?
This condition increases risk of LGA newborns.
What is diabetes in pregnancy?
A newborn presents with a ruddy complexion, lethargy, and tachypnea. What lab value confirms your suspicion?
What is hematocrit >65% (polycythemia)?
What gestational age defines a preterm newborn?
What is less than 37 weeks
Why does sepsis often present with respiratory distress in newborns?
What is systemic infection → poor oxygenation + metabolic acidosis → ↑ respiratory effort?
A newborn develops hearing loss and developmental delays. The mother was asymptomatic. What infection is most likely?
What is CMV?
This condition presents with leg pain, warmth, and swelling.
What is DVT?
A pregnant client with diabetes delivers a newborn who becomes jittery shortly after birth. Why?
What is sudden glucose withdrawal → neonatal hypoglycemia?
What are two complications SGA newborns are at risk for?
Hypoglycemia, polycythemia, asphyxia, hypothermia
A newborn develops respiratory distress immediately after birth and has coarse breath sounds and patchy infiltrates on X-ray. Which condition does this indicate?
What is Meconium Aspiration Syndrome?
This infection causes cataracts and congenital heart defects.
What is rubella?
A client with anemia reports fatigue and craving ice. What physiologic problem is occurring?
What is decreased oxygen-carrying capacity?
A client has painless bright red vaginal bleeding in late pregnancy. What condition is suspected?
What is placenta previa?
What birth complication is strongly associated with LGA infants during delivery?
Shoulder dystocia (also birth trauma like clavicle fracture)
A newborn has worsening distress, decreased breath sounds, and hypoxia. What is occurring in the lungs?
What is alveolar collapse (atelectasis in RDS)?
This infection increases neonatal risk if the mother has an active outbreak during delivery.
What is HSV?
A pregnant client has syncope, abdominal pain, and hypotension.
What is ruptured ectopic pregnancy?
A newborn has tachypnea, nasal flaring, and grunting. What is the PRIORITY intervention?
What is support oxygenation (apply O2/respiratory support)?