Newborn Clinical Deterioration
Respiratory Disorders, Congenital Heart Defects, and Sepsis in the Newborn
What are three types of Newborn Clinical Deterioration?
Growth and maturational issues, newborn hypoglycemia, hyperbilirubinemia, and newborns with substance exposure
What are four categories of newborn complications?
Newborn with a birth weight below the 10th percentile for gestational age
What is SGA (small for gestational age)?
Preterm infant, SGA, FGR (fetal growth restriction)
What are high risk factors for infant developing hypoglycemia?
This is a set of steps to take if a newborn has a risk for low blood sugar
What is the Glucose Screening Algorithm for Infants?
One of the last systems to mature
What is the respiratory system?
Many common newborn complications are related to this
What are growth and maturational issues?
Two categories of fetal growth restriction
What are symmetrical and asymmetrical growth restriction?
Changes in LOC, abnormal cry, irritability, tremors, jitteriness, hypotonia, lethargy, hypothermia, poor feeding, pallor, tachypnea, apnea, cyanosis, and seizures
What are clinical signs and symptoms of hypoglycemia?
A collection of air within the pleural space
What is a pneumothorax?
Apnea, respiratory distress syndrome (RDS), transient tachypnea of the newborn (TTN), and meconium aspiration syndrome (MAS)
What are common diagnoses of respiratory distress disorders of the newborn?
Commonly defined as the glucose level at which the newborn develops symptoms that resolve when glucose is administered
What is hypoglycemia?
Newborn with a weight above the 90th percentile for a given gestational age
What is LGA (large for gestational age)?
Normal, physiologic process that is usually transient and benign
What is newborn jaundice?
What is conjugated bilirubin?
Cyanosis, heart sounds, murmurs, peripheral pulses, and blood pressure
What are components of the physical examination of the newborn with congenital heart defect?
Pathologic overproduction of bilirubin
What is hyperbilirubinemia?
A newborn born between 34 0/7 gestation and 36 6/7 weeks gestation
What is a late preterm infant?
Hemolysis
What is the most common cause of hyperbilirubinemia?
A complex compound of phospholipids and proteins that are essential to normal lung function of the baby. It is produced in the alveoli and secreted onto the surface of the alveloli
What is surfactant?
One of the most significant causes of neonatal morbidity and mortality
What is sepsis in the newborn?
Regulatory dysfunction of the central and autonomic nervous system that occurs in newborns exposed to substances in utero
What is neonatal abstinence syndrome?
Seizures, meconium aspiration syndrome, oligohydramnios, macrosomia, 5-minute Apgar score less than 4, and increased rates of NICU admission
What are risks for the post-term newborn?
Binds to albumin and travels by way of blood to the liver
What is unconjugated bilirubin?
Collection of blood between the scalp and the periosteum?
What is a cephalohematoma?