Newborn Transitioning
Placing a warm blanket on an infant scale prevents this type of heat loss.
What is conductive?
Pinkish discharge seen in a newborn female.
What is pseudomenstruation?
This infant weight-for-gestational-age category is at increased risk for birth trauma.
What is large for gestational age?
This condition causes a musty or mousy smelling urine
What is PKU (phenylketonuria)?
Two assessment tools for the neonate withdrawing from opioids.
What is Eat-Sleep-Console & Finnegan?
Hypothermia, jitteriness, and poor feeds are a sign of this condition.
What is hypoglycemia?
What is less than 45 mg/dl?
These are the two types of assessments most infant pain scales are based on.
What is physiologic and behavioral factors?
Name the two maneuvers that assess for developmental dysplasia of the hip and describe the sound.
What are Ortolani & Barlow maneuvers?
"Clunk"
This is the priority assessment for an infant undergoing phototherapy.
What is hydration status (peeing/pooping)?
The process of burning of brown fat to prevent cold stress.
What is nonshivering thermogenesis?
These are the three medications/immunizations all infants receive shortly after birth.
What are rythromycin ointment, vitamin K, hepatitis B vaccine?
This is the priority intervention for the infant born with polycythemia.
What is hydration/feeding?
The priority for a patient with gastroschisis or omphalocele
What is prevent intestine from drying out?
The nurses suspects a brachial plexus injury. Name two abnormalities that would be found.
What is absent reflexes and asymmetric movement/weakness on affected side?
A common cause of increased bilirubin seen in labs.
What is polcythemia?
This anthropometric measurement is generally 2 cm smaller than another. Name them.
What is chest 2 cm smaller than head?
Equal by 1 year.
This complication puts newborns at highest risk for life-long problems
What is perinatal asphyxia?
The three hallmark signs of tracheoesophageal fistula/esophageal atresia
What is coughing, choking, cyanosis?
SSRI use in the last trimester of pregnancy is linked to this condition. Name and describe the condition and its management
What is persistent pulmonary hypertension of the newborn?
Elevelated right heart pressures that cause right-to-left shunting, resulting in hypoxemia
This intracardiac shunt closes due to changes in right and left heart pressures.
What is the foramen ovale?
Name three components of the neuromuscular maturity section of the Ballard scale.
What are Scarf sign, popliteal angle, square window, arm recoil, posture?
p. 568
Three assessment findings with necrotizing enterocolitis.
What are increasing abdominal girth, abdominal distension, poor feed (increased residual), shiny swollen abdomen, dusky bowel visible, vomiting, bloody stools, apnea, signs of sepsis?
Describe the reportable cogenital heart screen discrepancies
What is:
Any O2 sat < 90%
Preductal O2 sat <95% spaced 1 hour apart x 3
3% pre/postductal sat discrepancy
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Describe 3 differences between respiratory distress syndrome and transient tachpynea of the newborn
What is: RDS usually requires surfactant, noninvasive or mechanical ventilation, usually doesn't improve without intervention. TTN usually requires monitoring or supplemental oxygen.
RDS is caused by lung immaturity, perinatal asphyxia, maternal diabetes (high levels of insulin inhibit surfactant production) TTN is only caused by inadequate thoracic squeeze resulting in wet lungs pulmonary edema.
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