Newborn High-Risk Disorders Flashcards
List the major CNS danger signals that occur in the neonate.
Lethargy, high-pitched cry, jitteriness, seizures, and bulging fontanels
A baby is delivered blue, limp, and with a heart rate
Begin oxygenation by bag and mask at 30 to 50 breaths per minute. If heart rate is
What does the Silverman-Anderson index measure?
Respiratory difficulty
What are two major complications of O2 toxicity?
RLF and BPD
NEC results from ___ and is manifested by ___. Ischemia/hypoxia results in ___.
Ischemia hypoxia, abdominal distention, sepsis, and a lack of absorption from intestines; injury to the intestinal mucosa
IVH is more common in ___ and results in symptoms of ___.
Premature neonates and VLB babies; increased ICP
What conditions make oxygenation of the newborn more difficult?
RDS: alveolar prematurity and lack of surfactant; anemia; and polycythemia
In order to prevent problems with oxygenating the newborn, what parameters can the nurse observe?
PO2 50 to 90; SV)2 60 to 80 mm Hg
What are the cardinal symptoms of sepsis in a newborn?
Lethargy, temperature instability, difficulty feeding, subtle color changes, subtle behavioral changes, and hyperbilirubinemia.
A premature baby is born and develops hypothermia. State the major nursing interventions to treat hypothermia.
Place under radiant warmer or incubator with temperature skin probe over liver. Warm all items touching newborn. Place plastic wrap over neonate.
Nurses often weigh diapers in order to determine exact urine output in the high-risk neonate. Explain this procedure.
Diaper is weighed in grams before being applied to infant. Diaper is weighed after infant has wet it. Each gram of added weight is calculated and recorded as 1 mL of urine.
What factors does a nurse look for in determining a newborn’s ability to take in nourishment by nipple and mouth?
Infant has good suck, has coordinated suck-swallow, takes less than 20 minutes to feed, gains 20 to 30 g/day.
What complications are associated with TPN?
Hyperglycemia, electrolyte imbalance, dehydration, and infection.
In order to prevent rickets in the preterm newborn, what supplements are given?
Calcium and vitamin D
List four nursing interventions to enhance family and parent adjustment to a high-risk newborn.
Initiate early visitation at ICU. Provide daily information to family. Encourage participation in support group for parents. Encourage all attempts at caregiving (enhances bonding).
