High Risk Newborn Identification
Birth weight below 10th percentile
What is SGA (small for gestational age)?
Metabolic screening test done prior to discharge at 24 hours of age or greater that involves a heel stick.
What is the PKU test?
Alone, on the back, in a crib
What is safe sleep?
Jaundice that is a normal response 2-3 days after birth, caused by RBC destruction
What is physiologic jaundice?
Excessive heat loss that can result in respiratorydistress, hypoglycemia, metabolic acidosis and jaundice
What is Cold stress?
Birth weight above 90th percentile
What is LGA (large for gestational age)?
Newborn screening for critical cardiac defects prior to discharge at 24 hours of age or greater that involves measuring the pre and post ductal O2 saturation.
What is the CCHD test?
Poor feeding, weak cry, respiratory distress, hypoglycemia
What are signs of hypothermia?
Jaundice that occurs at less than 24 hours of age due to a blood incompatibility.
What is pathologic jaundice?
Environment in which infant can maintain a stable temperature with minimal oxygen need and without an increase in metabolic rate
What is a "Neutral Thermal Environment", a method to prevent cold stress?
Tremors, jitteriness, apnea, lethargy, high pitched cry, hypothermia
What are signs of Hypoglycemia?
The nurse monitors the heart rate, breathing and oxygen saturation for premature and SGA infants for 90-120 minutes in a car seat prior to discharge.
What is a car seat evaluation?
Skin is dry and leathery and is at risk for hypoglycemia, hypothermia and hyperbilirubinemia.
What is a post term infant?
Bruising, cephalohematoma, prematurity, poor feeding, SGA, IUGR, LGA, post term
What are risk factors for jaundice?
Premature newborns and newborns of diabetic mothers are at risk for respiratory distress due to an inadequate production of this amount of this lipoprotein,
What is surfactant?
Breastfeed or formula feed immediately
What is the first line of treatment for hypoglycemia in newborn?
This is administered within one hour of birth to prevent infection in eye r/t gonorrheal or chlamydia infection
What is Erythromycin ointment?
Excessive sucking, exaggerated Moro reflex, skin excoriations, fever, yawning, poor sleeping patterns, nasal suffiness, tachypnea
What are symptoms of NAS (Neonatal Abstinence Syndrome)?
This blood test done on the cord blood that indicates a high risk for hyperbilirubinemia.
What is a "Positive Direct Coombs test?
Provides increased immunity, is more easily digested and stimulates gastointestinal maturation in the premature newborn.
What is breast milk?
Temperature instability, respiratory distress, irritability, lethargy, poor feeing
What are signs of sepsis in the newborn?
Newborns do not produce until 7 days of life, injection used to prevent hemorrhagic disease
What is Vitamin K?
Active Tuberculosis, HIV positive
What are contraindications to breastfeeding?
Mom is Rh negative and newborn is Rh positive. The nurse must make sure mom receives this within 72 hours of delivery,
What is Rhogam?
Florescent lights, dress in diaper only, monitor temperature, I&O, protects eyes with shields, frequent feedings
What are interventions for newborn that require phototherapy?