Hyperbilirubinemia
Hypoglycemia
Prematurity
Medications
NAS/substance exposure
100

Decreases or blunts rise in serum
unconjugation of bilirubin and treatment of choice

What is Phototherapy?

100

A neonate born to a mother with this Comorbidity is at high risk of experiencing hypoglycemia

Diabetes mellitus

100

What does SGA stand for?

Small for gestation age <10% for gestational age 

100

What medication is recommended to give to infants the first few days of life to prevent rickets?

Vitamin D 

100

NAS is the abbreviation for

What is neonatal abstinence syndrome

200

Neurological syndrome due to deposition, of
unconjugated bilirubin into brain cells
Brain Damage -> death
Bili levels > 25 mg/dl. But can occur at levels~18

What is Kernicterus?

200

In what are are of the body is a baby checked for blood sugars 

The foot on the side of the heal 

200

An infant is considered premature prior to what gestational age?

<37 weeks gestation 

200

If hypoglycemia persists after feedings, what do you anticipate will be ordered by HCP?

IV therapy with Dextrose

200

This 31 item scale is designed to quantify the severity of NAS and to guide treatment

what is the Finnegan scale 

300

first appears in the head, sclera
then moves to thorax, abdomen & extremities Newborn – occurs after 24 hours breakdown of RBC's causes skin to turn yellow pigment

What is Jaundice?

300

How soon after birth should an at risk infant have their blood sugar checked 

Within one hour after birth

300

what causes apnea in a premature infant?

secondary to a premature nervous system, apnea can last 15-20 seconds 

300

Can a Hep B injection be given right after birth?

Yes, if mom is positive for Hep B or is a carrier 

300

Guidelines from making the infant more comfortable, mimicking exposure to light and sound, or skin to skin contact, swaddling and rocking, using medication to reduce moderate to sever withdrawal symptoms

what is treatment?

400

 Ensure newborn feedings (breast milk or formula) every 2 to 3 hours to promote prompt emptying of bilirubin from the bowel, Assess infant for skin abnormalities noting yellowing of skin or sclera. Assess for risk factors that may increase bilirubin levels Measure total serum bilirubin on jaundiced infants in the first 24 hours. Interpret all bilirubin levels according to the infant’s age in hours.

What is Nursing Management of a newborn with hyperbilirubinemia?

400

What are some of the symptoms to watch for in a neonate that may alert the nurse of hypoglycemia 

Poor feeding, diaphoretic, Jittery, weak shrill cry, hypothermic, lethargy, flaccid tone, seizures

400

respiratory distress syndrome in premature infants is often due to a lack of ____?

surfactant 

400

Which injection is given after birth to help with clotting?

Vitamin K

400

Test screening for amphetamine/methamphetamine, barbiturate, benzodiazepine, THC, cocaine, methadone, opiates, and PCP during pregnancy

What is universal drug screening

500

Usually seen within the first few days after birth, manifested by a yellow appearance of the sclera and skin Excessive red cell hemolysis necessary to break down increased RBCs in circulation due to polycythemia

What is Hyperbilirubinemia? 

500

At what intervals is a blood sugar check supposed to be performed 

With in 1 hour of birth , then every 4 hours after. If result is low <40mg/dl test should be repeated after feeding at least 1 hour. Temperature should be monitored. If reading is <30mg/dl MD should be notified. 

500

what are some causes of sepsis in premature infants?

prolonged rupture of membranes (amniotic fluid) and a positive group b strep. 

500

What is a prophylaxis medication to prevent Neisseria gonorrhoeae?

Erythromycin Opthalmic

500

This medication can help treat a pregnant patients addiction to opioids without withdrawal symptoms, but heightens the the risk of NAS condition

What is Methadone?