Newborn Clinical Deterioration
Respiratory Disorders, Congenital Heart Defects, and Sepsis in the Newborn
What are three types of Newborn Clinical Deterioration?
Growth and maturational issues, newborn hypoglycemia, hyperbilirubinemia, and newborns with substance exposure
What are four categories of newborn complications?
Newborn with a birth weight below the 10th percentile for gestational age
Preterm infant, SGA, FGR (fetal growth restriction)
What are high risk factors for infant developing hypoglycemia?
Infertility, preterm birth, unintended pregnancy, unexpected outcome, unplanned cesarean section, and unsuccessful breastfeeding
What are types of perinatal loss?
One of the last systems to mature
What is the respiratory system?
Many common newborn complications are related to this
What are growth and maturational issues?
Two categories of fetal growth restriction
What are symmetrical and asymmetrical growth restriction?
Changes in LOC, abnormal cry, irritability, tremors, jitteriness, hypotonia, lethargy, hypothermia, poor feeding, pallor, tachypnea, apnea, cyanosis, and seizures
What are clinical signs and symptoms of hypoglycemia?
What is fetal death?
Apnea, respiratory distress syndrome (RDS), transient tachypnea of the newborn (TTN), and meconium aspiration syndrome (MAS)
What are common diagnoses of respiratory disorders of the newborn?
Commonly defined as the glucose level at which the newborn develops symptoms that resolve when glucose is administered
What is hypoglycemia?
Newborn with a weight above the 90th percentile for a given gestational age
What is LGA (large for gestational age)?
Normal, physiologic process that is usually transient and benign
What is bereavement?
Cyanosis, heart sounds, murmurs, peripheral pulses, and blood pressure
What are components of the physical examination of the newborn with congenital heart defect?
Pathologic overproduction of bilirubin
What is hyperbilirubinemia?
A newborn born between 34 0/7 gestation and 36 6/7 weeks gestation
What is a late preterm infant?
Hemolysis
What is the most common cause of hyperbilirubinemia?
Shock and numbness, searching and yearning, bargaining, recognition and acceptance
What are the phases of grief and mourning?
What is sepsis in the newborn?
Regulatory dysfunction of the central and autonomic nervous system that occurs in newborns exposed to substances in utero
What is neonatal abstinence syndrome?
Seizures, meconium aspiration syndrome, oligohydramnios, macrosomia, 5-minute Apgar score less than 4, and increased rates of NICU admission
What are risks for the post term newborn?
A critical, invasive procedure that can lower bilirubin levels rapidly in a matter of hours and removed bilirubin-laden blood from circulation and replaces it with packed red blood cells in plasma
What is exchange transfusion?
Call baby by name, follow the parents lead, use the same words the parents use, offer as many choices as possible, don't pressure for an answer and allow them time, allow silence, validate emotions, and reserve judgement
What are strategies to allow effective communication with patients experiencing perinatal loss?