Newborn
After you take the neonatal measurements at delivery you notice the measurements seem a little off. Where can you check in EPIC to validate your measurements
What is the growth chart?
This is the minimum acceptable blood glucose level for a stable neonate according to the S.T.A.B.L.E. guidelines.
What is greater than or equal to 40 mg/dL?
This is the normal range for neonatal body temperature in degrees Celsius.
What is 36.5°C to 37.5°C?
This is a common respiratory symptom seen in septic neonates
What is tachypnea?
The patient wants her placenta that was sent to the lab, where can we check if this was completed
What is the placenta log book?
Green bilious vomit that requires an immediate work up of an upper GI, abdominal x-ray or ultrasound
What is malrotation?
In the event the mom's condition does not allow her to feed the baby in the first hour what are your next steps
What is asking patients on admission feeding preference?
Rewarming a hypothermic infant too quickly may cause this dangerous condition.
What is hypotension or apnea?
This is the most common cause of early onset neonatal sepsis
What is GBS
What are the cut off for transfer times
What is 6:30?
Feeding difficulty, hypoglycemia, respiratory problems, increased rate of sepsis, hyperbilirubinemia, higher hospital admission rates
What are clinical indications related to the LPI?
These infants are at increased risk for hypoglycemia: SGA, LGA, IDM, and preterm. What does IDM stand for?
What is Infant of a Diabetic Mother?
Liquid on the skins turns to vapor, removing body heat. Drying the baby well prevents this
What is evaporation?
This is the gold standard for diagnosis neonatal sepsis
What is a blood culture?
This assessment tool checks skin color, heart rate, reflexes, tone, and respiratory effort at 1 and 5 minutes of life.
What is the Apgar score?
How often do you check the newborn glucose who meets hypoglycemia protocol
What is the first hour of life, 3rd hour of life and 5 hours of life?
A hypothermic baby may exhibit this cardiovascular sign due to peripheral vasoconstriction.
What is bradycardia?
Neonates with sepsis often present with this temperature abnormality instead of a fever.
What is hypothermia?
The first supportive treatment for a fractured clavicle is to do this to the affected arm.
What is immobilize or pin the sleeve to the chest?
Hypoglycemia in neonates can cause long-term damage to this vital organ.
What is the brain?
This type of fat, used by newborns for non-shivering thermogenesis, is metabolized during cold stress.
What is brown fat?
If a newborn direct coombs test is positive which lab needs to be released along with total bilirubin
What is reticulocyte count?