Pathophysiology/
Manifestations
Manifestations
For babies with NEC there is often presence of ____ in their stool.
What is occult blood?
A nurse is unlikely to find ______ when auscultating the abdomen of a patient with NEC.
What are bowel sounds?
This reflex in a newborn lets doctors know that the brain is sending signals to the spinal cord, and is tested by a swift stroke of the newborns foot from heel to toe.
What is Babinski reflex?
How do premature infants with necrotizing enterocolitis receive nutrition and fluid replacement?
What is intravenous fluids?
NEC affects 27% of preterm infants.
What is false? (NEC affects 5% of preterm infants)
An abdominal assessment will reveal these 3 things in an infant with NEC.
What is abdominal distention, absent bowel sounds, and high gastric residual?
The nurse can educate parents of a neonate that _____ has been proven to cut down the risks of developing NEC.
What is breastfeeding?
The nurse swaddling the baby during procedures to protect the infant when the arms and legs fan out in response to bright lights and loud noises helps with ____ reflex.
What is Moro?
The progress of necrotizing enterocolitis monitored by
What is frequent x-rays?
NEC is caused by an immature digestive system of a premature infant.
What is true?
The two main risks factors of NEC are.
What is young gestational age? What is past ischemia of the intestines?
To take pressure away from the diaphragm, the nurse will put a NEC pt in this position.
What is side-lying position?
The nurse can provide the newborn with a pacifier when the child is on NG or IV feeding until recovery, this helps with the _____ reflex.
What is sucking reflex?
This treatment is done to decompress the stomach.
What is suctioning via NG or OG tube?
NEC can happen in full term infants.
What is true?
In the disease process of NEC, bacteria causes intestinal inflammation leading to these three things in the intestines.
What is hypoxia? What is ischemia? What is necrosis?
The nurse will monitor and measure this feature in an infant with NEC.
What is abdominal girth?
The nurse includes the mother/caregiver in the care of the newborn when able and encourages the caregiver to hold the baby and console them when crying to help with Erickson's _____ stage.
What is trust vs. mistrust?
This treatment is given to fight and prevent infection.
What is antibiotics and isolation procedures?
NEC is spread from one baby to another.
What is false?
Name at least three additional manifestations of NEC.
What is respiratory difficulty, apnea, bradycardia, temperature instability, lethargy, hypotension, shock, metabolic acidosis, and thrombocytopenia?
The nurse should ______ if one or more signs of NEC are noted.
What is withhold the next feeding and notify the physician?
The nurse can speak in a soft, high pitched voice to. the baby, while also encouraging the mother/caregiver to provide high-contrast colored pictures and new sights for the newborn to see helps Piaget's _____ stage.
What is sensorimotor?
Premature infants with severe necrotizing enterocolitis may need this treatment.
What is surgical removal of necrotic intestine and ostomy placement?
Most babies who develop NEC are unable to recover or develop long lasting complications
What is false?