Neonatal Substance Withdrawal
This standardized tool is used to assess severity of withdrawal symptoms
What is neonatal abstinence scoring system?
A newborn delivered before this gestational age is considered premature.
What is before 37 weeks gestation?
This substance is the newborn's first stool and can cause respiratory problems if inhaled before or during birth
What is Meconium?
This abdominal finding is an early sign of NEC.
What is abdominal distention?
This physical finding is commonly seen in newborns with hydrocephalus.
What is an enlarged head?
The three most common substances of newborns with substance abusing mothers
What is tobacco, alcohol, and marijuana?
This muscle tone finding is typical in premature infants.
What is hypotonia (decreased muscle tone)?
This fetal condition often causes the baby to pass meconium before birth, increasing the risk for MAS.
What is fetal distress (hypoxia)?
This population is at highest risk for NEC.
Who is premature infants?
This finding on a newborn's head suggests a late sign of increased intracranial pressure.
What are bulging fontanelles?
This medication maybe used to help manage withdrawal symptoms in newborns.
Morphine
A common liver issue among preterm infants.
Hyperbilirubin
A newborn with MAS may present with these respiratory findings (name atleast 3)
What are tachypnea, grunting, nasal flaring, retractions, cyanosis, coarse crackles?
This lab abnormality may occur due to bleeding or infection.
What is thrombocytopenia?
This assessment finding occurs when the whites of the eyes are visible above the iris.
What is the sun-setting sign?
Holding and comforting the infant frequently supports this physiologic benefit.
What is self-regulation (or decreased stress response)?
This IV solution is used to initiate feedings.
10% dextrose
What is the priority nursing action immediately after delivery if the newborn is not vigorous and meconium is present?
What is prepare for airway support (suctioning/intubation)?
This feeding-related symptom may indicate NEC.
What is feeding intolerance (vomiting or residuals)?
This nursing intervention helps prevent skin breakdown in infants with hydrocephalus.
What is frequently repositioning the newborn’s head?
The nurse monitors weight closely due to risk for this condition.
What is failure to thrive?
Limited reserves, immature metabolism, and cold stress can lead to this.
Hypoglycemia
This serious complication of MAS occurs due to air trapping and increased pressure in the lungs, leading to pulmonary hypertension and decreased oxygenation.
What is Persistent Pulmonary Hypertension of the Newborn (PPHN)?
This is the priority nursing action when a preterm infant with suspected NEC develops abdominal distention and bloody stools.
What is immediately stop feedings and notify provider?
A newborn with hydrocephalus has vomiting and a high-pitched cry. What complication is the nurse concerned about?
What is increased intracranial pressure?