At Risk Newborns
What gestational age defines a preterm infant?
less than 37wks
What causes jaundice in newborns?
Elevated bilirubin levels
What is the leading cause of pregnancy-related death in many states including Minnesota?
Mental health conditions, including suicide and overdose
which hormone is dominant in the follicular phase
estrogen
What STI can cause blindness in a newborn if untreated?
Gonorrhea
What assessment finding is common in a late preterm infant?
Poor feeding, temperature instability, hypoglycemia, or respiratory distress
What blood incompatibility occurs when an Rh-negative parent carries an Rh-positive fetus?
Rh incompatibility
Which SSRI is commonly prescribed during pregnancy and postpartum?
Sertraline (zoloft)
which hormone surges to trigger ovulation
Luteinizing Hormone (LH)
What is a contraindication to estrogen-containing contraceptives?
Smoking over age 35, clotting disorders, migraines with aura, or hypertension
What does SGA stand for and what is a major risk?
Small for gestational age; risk includes hypoglycemia
What medication prevents Rh sensitization?
Rh immune globulin (RhoGAM)
What is NAS
Neonatal Abstinence Syndrome
what is considered a normal cycle length range?
21-35 days
Which STI is commonly known for causing painful genital blisters?
Herpes simplex virus (HSV)
A newborn weighs 4,500 g at birth. How would the nurse classify this infant?
large for gestational age
What are common treatments for neonatal hyperbilirubinemia?
Phototherapy and exchange transfusion in severe cases
Name two symptoms of NAS
High-pitched cry, tremors, poor feeding, irritability, sneezing, diarrhea, or seizures
explain the difference between follicular and luteal phases
follicular: estrogen dominant, ovulation occurs
Luteal: progesterone dominant, prepares endometrium
What medication is commonly used to treat gonorrhea?
Ceftriaxone
A newborn exposed to meconium-stained amniotic fluid develops grunting and retractions. What complication is suspected?
Meconium aspiration syndrome (MAS)
Why is severe hyperbilirubinemia dangerous?
It can cause kernicterus and permanent neurologic damage
What are first-line nursing interventions for infants with NAS?
Decrease stimulation, swaddle, skin-to-skin care, small frequent feedings, and support caregiver bonding
A sharp drop in these two hormones triggers menstruation when pregnancy does not occur
estrogen and progesterone
What STI can be transmitted during vaginal birth and cause neonatal conjunctivitis or pneumonia?
Chlamydia