Birth Injuries
This common soft-tissue injury appears as a swelling that crosses suture lines.
What is caput succedaneum?
The MOST important intervention to prevent newborn infection.
What is hand hygiene?
This condition occurs in newborns exposed to opioids and includes high-pitched cry and tremors.
What is neonatal abstinence syndrome (NAS)?
This incompatibility occurs when a type O mother has a type A or B baby.
What is ABO incompatibility?
This event increases risk for Rh sensitization during pregnancy.
What is miscarriage or abortion?
Loss of pregnancy before 20 weeks gestation is called this.
What is miscarriage?
This injury does NOT cross suture lines and increases risk for jaundice.
What is cephalohematoma?
This viral infection can cause microcephaly and intracranial calcifications.
What is cytomegalovirus (CMV)?
This substance is associated with low birth weight and placental abruption.
What is cocaine?
This condition occurs when an Rh-negative mother carries an Rh-positive fetus.
What is Rh incompatibility?
This diagnostic procedure can expose fetal blood to maternal circulation.
What is amniocentesis?
Loss of pregnancy after 20 weeks gestation is called this.
What is stillbirth?
A newborn delivered with vacuum assistance develops a bulging fontanelle, high-pitched cry, and poor feeding. This condition should be suspected.
What is intracranial hemorrhage?
This infection presents with vesicular lesions and is transmitted during delivery.
What is herpes simplex virus (HSV)?
This disorder includes facial abnormalities, growth restriction, and CNS dysfunction.
What is fetal alcohol syndrome?
This medication prevents Rh sensitization.
What is Rho(D) immune globulin (RhoGAM)?
Trauma to the abdomen during pregnancy can cause this complication leading to sensitization.
What is placental abruption?
This is the MOST important nursing action when caring for grieving parents.
What is providing emotional support and presence?
A newborn’s arm is adducted, internally rotated, with the wrist flexed, and the Moro reflex is absent on the affected side.
What is Erb’s palsy?
This bacterial infection is screened for in pregnancy and treated with intrapartum antibiotics.
What is Group B Streptococcus (GBS)?
A newborn with neonatal abstinence syndrome is irritable and has tremors. The nurse should prioritize this nonpharmacologic intervention to reduce symptoms.
What is swaddling and minimizing environmental stimulation?
This treatment uses light to break down bilirubin.
What is phototherapy?
RhoGAM is typically given at this gestational age during pregnancy.
What is 28 weeks gestation?
This intervention allows parents to create lasting memories with their infant.
What is memory making (photos, footprints, holding the baby)?
A newborn has a suspected birth injury following a difficult delivery. The nurse recognizes the priority action is to perform this type of assessment.
What is a neurological assessment?
Early-onset neonatal sepsis commonly presents with this subtle sign.
What is temperature instability?
Breastfeeding is generally encouraged EXCEPT when the mother is using this substance.
What is illicit drug use (e.g., cocaine or uncontrolled substance abuse)?
A newborn with ABO incompatibility is receiving phototherapy. The nurse ensures adequate intake to promote bilirubin excretion by focusing on this priority intervention.
What is maintaining adequate hydration (frequent feedings)?
RhoGAM must be given within this time after delivery of an Rh-positive infant.
What is within 72 hours?
Nurses should respect these practices when caring for families experiencing loss.
What are cultural and spiritual beliefs?