IT WASN'T ME!!!
Increased risk if mother had prolonger ROM during labor
What is neonatal sepsis?
Characterized by a flat nasal bridge, low set ears, single palmar crease, neck fold, short stature, hypotonia, and protruding tongue.
What is Trisomy 21, or Down Syndrome?
Newborns should not receive until 1 year of life.
What is cow's milk?
Symptoms include bounding peripheral pulses, systolic murmur with signs of respiratory distress
What is patent ductus arteriosus (PDA)?
Used to assess the severity of hyperbilirubinemia, simply by scanning the skin.
What is Transcutaneous Bilirubin (Tcb)?
measuring chest circumference
around chest at the nipple line
High risk complication, can be caused by chronic/gestational hypertension, or from PreEclampsia.
What is small for gestational age (SGA), or intrauterine growth restriction (IUGR)?
Grasping, Palmar, Rooting, Sucking, Gag, Babinski
what are primitive reflexes?
Early and frequent feeding help decrease the chance of this
What is hypoglycemia?
Prevention includes swaddling, firm mattress, pacifiers, spine, alone, own sleep space, no loose items.
What is Sudden Infant Death Syndrome (SIDS)?
Plantar creases, chest/nipple development, ear flexibility, posture, scarf sign, skin, lanugo are all part of this
What is New Ballard Score, or Ballard Gestational Age assessment?
Treats hyperbilirubinemia, protect eyes, nothing on skin, should be 12 inches from infant.
What is Phototherapy?
sunken fontanels, dry mucus membranes, inadequate wet diapers
What is dehydration?
What is listen/watch for 60 seconds or 1 minute?
This is used to determine how breastfeeding is going and can evaluate quality and feeding effectiveness
What is the LATCH scoring system?
Post-procedure management for circumcision using Plastibell.
do not remove, allow to fall off on its own
It is important to check this before bathing an infant
What is temperature?
Newborns born to Hepatitis B positive mothers, must receive these two things soon after birth.
What is Hep B vaccine and HBIG?
Preterm newborns, C-section birth, mothers with newborns of different blood type and/or Rh factor are at risk for this type of jaundice
What is Pathological Jaundice?
Symptoms include tachypnea, expiratory grunting, nasal flaring, cyanosis, contractions, hypoxia.
What is respiratory distress syndrome (RDS)?
Contraindications include HIV+, chemo/radiation therapy, active illicit drug use, untreated TB, newborns with PKU and galactosemia.
What is breastfeeding?
Prevent by keeping newborns dry, place hat on, skin-to-skin contact, and turn of fans.
Should be performed once baby has been fed for 24 hours, does not test for all genetic disorders, done via a heal stick and samples sent off for testing
What is the newborn metabolic screening?
Maternal GBS positive result or unknown status can lead to what
What is infection?
Can be caused by uncontrolled maternal diabetes and large for gestational age baby (LGA).
What is Hypoglycemia?
Risk factors include meconium aspiration, sepsis, asphyxia, extreme hypoxia.
What is persistent pulmonary hypertension (PPHN/PPHTN)?
Newborns with galactosemia must be fed this
What is soy-based formula?
Interventions include lumbar puncture, decrease stimulation, maintain neutral position, IV fluids, monitor head circumference.
What is intraventricular hemorrhage (IVH)?
This helps to determine how well the newborn is adjusting to extrauterine life (appearance, HR, tone, irritability, RR)
What is the APGAR score?
What is Surfactant?
failure for a newborn to move both arms equally, unilateral moro reflex can indicate this
What is clavicular break and/or brachial plexus injury?
Preterm infant, distended abdomen, vomiting, bowel loops visible, large gastric residual, bloody stools, lethargy, and becoming more unstable. The likely cause is...
What is necrotizing enterocolitis?
This should not be given to babies until they are at least 6 months old and eating solids.
What is water?
Keep this clean, dry, and exposed to air; no tub bathes until this is gone
What is the umbilical stump?
Must be completed on preterm neonates, those with poor musle tone, those with low birth weights (<2500g), is respiratory support was needed, any NICU admission, and assesses HR and SpO2 over several hours.
What is a carseat challenge test (CCT)?
Vitamin K is given to help with what newborn complication, and how/where is it given
What is clotting and IM in the vastus lateralis?
skin-to-skin, breast feeding, responding to baby's needs all support what
What is bonding/attachment?
sudden lethargy, full/bulging fontanels, hypotonia, bradycardia, drop in Hct indicate this
What is intraventricular hemorrhage (IVH)?
The best indicator of newborn's nutritional status
What is weight or diaper counts?
Circumcisions done with a Gomco or Mogan should receive this care
What is Vaseline and gauze?
excessive sneezing, yawning, irritability, high pitched cry, difficulties eating, inconsolable, exaggerated rooting reflex indicate this
What is neonatal abstinence syndrome (NAS)?
Priority when any infant is in distress
What is respiratory status?