Hyperbilirubinemia
Decreases or blunts rise in serum
unconjugation of bilirubin and treatment of choice
What is Phototherapy?
A neonate born to a mother with this Comorbidity is at high risk of experiencing hypoglycemia
Diabetes mellitus
What does SGA stand for?
Small for gestation age <10% for gestational age
What medication is recommended to give to infants the first few days of life to prevent rickets?
Vitamin D
NAS is the abbreviation for
What is neonatal abstinence syndrome
Neurological syndrome due to deposition, of
unconjugated bilirubin into brain cells
Brain Damage -> death
Bili levels > 25 mg/dl. But can occur at levels~18
What is Kernicterus?
In what are are of the body is a baby checked for blood sugars
The foot on the side of the heal
An infant is considered premature prior to what gestational age?
<37 weeks gestation
If hypoglycemia persists after feedings, what do you anticipate will be ordered by HCP?
IV therapy with Dextrose
This 31 item scale is designed to quantify the severity of NAS and to guide treatment
what is the Finnegan scale
first appears in the head, sclera
then moves to thorax, abdomen & extremities Newborn – occurs after 24 hours breakdown of RBC's causes skin to turn yellow pigment
What is Jaundice?
How soon after birth should an at risk infant have their blood sugar checked
Within one hour after birth
what causes apnea in a premature infant?
secondary to a premature nervous system, apnea can last 15-20 seconds
Can a Hep B injection be given right after birth?
Yes, if mom is positive for Hep B or is a carrier
Guidelines from making the infant more comfortable, mimicking exposure to light and sound, or skin to skin contact, swaddling and rocking, using medication to reduce moderate to sever withdrawal symptoms
what is treatment?
Ensure newborn feedings (breast milk or formula) every 2 to 3 hours to promote prompt emptying of bilirubin from the bowel, Assess infant for skin abnormalities noting yellowing of skin or sclera. Assess for risk factors that may increase bilirubin levels Measure total serum bilirubin on jaundiced infants in the first 24 hours. Interpret all bilirubin levels according to the infant’s age in hours.
What is Nursing Management of a newborn with hyperbilirubinemia?
What are some of the symptoms to watch for in a neonate that may alert the nurse of hypoglycemia
Poor feeding, diaphoretic, Jittery, weak shrill cry, hypothermic, lethargy, flaccid tone, seizures
respiratory distress syndrome in premature infants is often due to a lack of ____?
surfactant
Which injection is given after birth to help with clotting?
Vitamin K
Test screening for amphetamine/methamphetamine, barbiturate, benzodiazepine, THC, cocaine, methadone, opiates, and PCP during pregnancy
What is universal drug screening
Usually seen within the first few days after birth, manifested by a yellow appearance of the sclera and skin Excessive red cell hemolysis necessary to break down increased RBCs in circulation due to polycythemia
What is Hyperbilirubinemia?
At what intervals is a blood sugar check supposed to be performed
With in 1 hour of birth , then every 4 hours after. If result is low <40mg/dl test should be repeated after feeding at least 1 hour. Temperature should be monitored. If reading is <30mg/dl MD should be notified.
what are some causes of sepsis in premature infants?
prolonged rupture of membranes (amniotic fluid) and a positive group b strep.
What is a prophylaxis medication to prevent Neisseria gonorrhoeae?
Erythromycin Opthalmic
This medication can help treat a pregnant patients addiction to opioids without withdrawal symptoms, but heightens the the risk of NAS condition
What is Methadone?