HIGH RISK NEWBORN

<p>Post term: macrosomia</p> Signup and view all the answers

<p>Mechanical obstruction and chemical pneumonitis</p> Signup and view all the answers

<p>Pulmonary hypertension and R-to-L shunting</p> Signup and view all the answers

<p>Macrosomia</p> Signup and view all the answers

<p>Intrauterine growth restriction (IUGR)</p> Signup and view all the answers

<p>Prompt recognition and aggressive intervention</p> Signup and view all the answers

<p>Encouraging frequent visits and involvement</p> Signup and view all the answers

<p>ECMO</p> Signup and view all the answers

<p>Acute abdominal pain</p> Signup and view all the answers

<p>Affecting newborns and premature infants</p> Signup and view all the answers

<p>Extended parental support</p> Signup and view all the answers

<p>Hindrances in the transition from fetal to neonatal blood flow</p> Signup and view all the answers

<p>Surfactant administration</p> Signup and view all the answers

<p>Heredity, placental insufficiency, and maternal disease</p> Signup and view all the answers

<p>Respiratory Distress Syndrome (RDS)</p> Signup and view all the answers

<p>Checking signs of hypovolemia or shock</p> Signup and view all the answers

<p>Temperature instability</p> Signup and view all the answers

<p>Preterm birth</p> Signup and view all the answers

<p>Assessing for injury and monitoring neurologic signs</p> Signup and view all the answers

<p>The immature renal system's inability to excrete waste effectively</p> Signup and view all the answers

<p>Imbalanced nutrition and the need for parenteral or gavage feedings</p> Signup and view all the answers

<p>Bleeding and anemia</p> Signup and view all the answers

<p>Incubators, ventilatory support, and electronic monitoring</p> Signup and view all the answers

<p>Lack of surfactant</p> Signup and view all the answers

<p>Renal insufficiency</p> Signup and view all the answers

<p>Continuous monitoring of oxygen saturation</p> Signup and view all the answers

<p>Heart failure</p> Signup and view all the answers

<p>Hand hygiene</p> Signup and view all the answers

<p>Retinopathy of prematurity</p> Signup and view all the answers

<p>Early screening and detection</p> Signup and view all the answers

<p>Bacterial transfer during delivery</p> Signup and view all the answers

<p>The use of NSAIDs to inhibit prostaglandins</p> Signup and view all the answers

<p>Born after 42 weeks of gestation</p> Signup and view all the answers

<p>Potential complications and high mortality rates</p> Signup and view all the answers

<p>Prompt attention to saturation alarms</p> Signup and view all the answers

<p>Apnea</p> Signup and view all the answers

<p>Elimination of environmental sources of infectious agents in the nursery</p> Signup and view all the answers

<p>Inadequate prenatal care</p> Signup and view all the answers

<p>Smoking more than 10 cigarettes a day</p> Signup and view all the answers

<p>Poor nutrition</p> Signup and view all the answers

<p>Uterine anomalies or fibroids</p> Signup and view all the answers

<p>Chronic hypertension</p> Signup and view all the answers

<p>Preeclampsia</p> Signup and view all the answers

<p>Age &lt; 15 years or &gt; 35 years</p> Signup and view all the answers

<p>Low socioeconomic status</p> Signup and view all the answers

<p>Less than high school education</p> Signup and view all the answers

<p>Gestational age</p> Signup and view all the answers

<p>Mechanical ventilation</p> Signup and view all the answers

<p>Initial tachycardia then bradycardia</p> Signup and view all the answers

<p>36.8-37.2°C</p> Signup and view all the answers

<p>Large surface area in relation to weight and minimal subcutaneous fat</p> Signup and view all the answers

<p>Monitoring for residuals during gavage feedings</p> Signup and view all the answers

<p>Immature and unable to excrete waste effectively</p> Signup and view all the answers

<p>Immature hematological system and decreased RBC production</p> Signup and view all the answers

<p>Diminished immunity</p> Signup and view all the answers

<p>Increased risk of apnea and acidosis</p> Signup and view all the answers

<p>Immature digestive capacity and weak or absent suck, swallow, and gag reflexes</p> Signup and view all the answers

<p>Tone, symmetry and quality of movements, reflexes, and cranial nerves</p> Signup and view all the answers

<p>Incubator or radiant warmer to control temperature</p> Signup and view all the answers

<p>Electronic monitoring of respiratory, cardiac, and oxygenation status</p> Signup and view all the answers

<p>Parenteral fluids, parenteral nutrition, parenteral meds</p> Signup and view all the answers

<p>Deficient surfactant levels leading to progressive atelectasis and loss of functional residual capacity</p> Signup and view all the answers

<p>Shock-like state from diminished cardiac inflow and low BP</p> Signup and view all the answers

<p>Decreased tracheal cartilage and immature and fragile pulmonary vasculature</p> Signup and view all the answers

<p>Nasal flaring, grunting, and tachypnea (&gt; 60 breaths/min)</p> Signup and view all the answers

<p>Respiratory Distress Syndrome (RDS)</p> Signup and view all the answers

<p>To help with lung development of the baby</p> Signup and view all the answers

<p>Apnea (abnormal)</p> Signup and view all the answers

<p>Compromised oxygenation</p> Signup and view all the answers

<p>Increased risk of infection</p> Signup and view all the answers

<p>Premature retinopathy</p> Signup and view all the answers

<p>Proper hand hygiene</p> Signup and view all the answers

<p>Surfactant replacement therapy</p> Signup and view all the answers

<p>Premature retinopathy</p> Signup and view all the answers

<p>Elevated O2 tension and subsequent vasoconstriction</p> Signup and view all the answers

<p>Using supplemental O2 judiciously and monitoring O2 levels carefully</p> Signup and view all the answers

<p>Circumferential cryotherapy and laser photocoagulation</p> Signup and view all the answers

<p>It provides oxygen and prostaglandins to facilitate closure</p> Signup and view all the answers

<p>Decreased oxygen supply or increased sensitivity to prostaglandins</p> Signup and view all the answers

<p>Inhibit prostaglandins to prevent PDA</p> Signup and view all the answers

<p>Decreases due to vasoconstriction</p> Signup and view all the answers

<p>Causes heart overload, failure, and worsens respiratory failure</p> Signup and view all the answers

<p>It measures pulmonary to systemic flow rate and indicates the level of shunting</p> Signup and view all the answers

<p>O2 increases and prostaglandins decrease to facilitate closure</p> Signup and view all the answers

<p>May contribute to the development of PDA</p> Signup and view all the answers

<p>Infants ≤ 32 weeks gestation or under and those weighing less than 1500g/1.5kg</p> Signup and view all the answers

<p>Venous congestion leading to periventricular hemorrhagic necrosis</p> Signup and view all the answers

<p>Communicating hydrocephalus</p> Signup and view all the answers

<p>Hypotonia, apnea, and altered level of consciousness</p> Signup and view all the answers

<p>Seizures</p> Signup and view all the answers

<p>Preserve brain cells</p> Signup and view all the answers

<p>Impaired coagulation process</p> Signup and view all the answers

<p>Noise reduction</p> Signup and view all the answers

<p>Increased intracranial pressure</p> Signup and view all the answers

<p>Tone and symmetry</p> Signup and view all the answers

<p>Avoid rapid infusion of fluids</p> Signup and view all the answers

<p>Impaired pulmonary gas exchange</p> Signup and view all the answers

<p>Absent bowel sounds and distension</p> Signup and view all the answers

<p>Blood cultures and CT scan</p> Signup and view all the answers

<p>Stop all feeds immediately, start on IV fluid</p> Signup and view all the answers

<p>Bacterial colonization leading to ischemic necrosis of intestinal mucosa</p> Signup and view all the answers

<p>Short gut syndrome</p> Signup and view all the answers

<p>Imbalanced nutrition due to gastrointestinal immaturity</p> Signup and view all the answers

<p>Identifying the cause through CT and laboratory tests</p> Signup and view all the answers

<p>Unstable temperatures and altered vitals</p> Signup and view all the answers

<p>Hand hygiene and appropriate use of PPE</p> Signup and view all the answers

<p>During delivery</p> Signup and view all the answers

<p>Performing labs, cultures, and administering antibiotics</p> Signup and view all the answers

<p>Environmental sources of infectious agents</p> Signup and view all the answers

<p>Meconium staining of fingernails</p> Signup and view all the answers

<p>Oxygen demands are not met in post-term infants</p> Signup and view all the answers

<p>Placental insufficiency</p> Signup and view all the answers

<p>Intrauterine stress leading to passage of meconium into amniotic fluid, followed by aspiration into the tracheobronchial tree and mechanical obstruction</p> Signup and view all the answers

<p>Surfactant administration to minimize risks</p> Signup and view all the answers

<p>Digital intubation followed by suctioning out meconium and oxygenation using an ambu-bag</p> Signup and view all the answers

<p>Aspiration of meconium causing chemical pneumonitis and alveolar over-distention</p> Signup and view all the answers

<p>Meconium staining of the amniotic fluid</p> Signup and view all the answers

<p>Mechanical obstruction leading to MAS</p> Signup and view all the answers

<p>Chemical pneumonitis and/or persistent pulmonary hypertension</p> Signup and view all the answers

<p>Surfactant administration</p> Signup and view all the answers

<p>Infant may need ECMO (oxygenate blood outside body) if other interventions are failing</p> Signup and view all the answers

<p>Persistent Pulmonary Hypertension of Newborn (PPHN)</p> Signup and view all the answers

<p>Placenta → IVC → RA → foramen ovale → LA → LV</p> Signup and view all the answers

<p>Extracorporeal Membrane Oxygenation (ECMO)</p> Signup and view all the answers

<p>Increased hypoxia and pulmonary vasoconstriction</p> Signup and view all the answers

<p>Limited development of high airway pressure</p> Signup and view all the answers

<p>Improving survival in some infants for impaired ventilation</p> Signup and view all the answers

<p>Maturation of pulmonary circulation</p> Signup and view all the answers

<p>Risk of meconium aspiration</p> Signup and view all the answers

<p>Polycythemia</p> Signup and view all the answers

<p>Transient tachypnea of newborns</p> Signup and view all the answers

<p>Hypoglycemia</p> Signup and view all the answers

<p>Explain what the neonate will look like and the function of NICU equipment</p> Signup and view all the answers

<p>Visiting the NICU often, naming the infant, and bringing personal items</p> Signup and view all the answers

<p>Consistent and frequent information and assessment of their understanding</p> Signup and view all the answers

<p>Visit the NICU often, name the infant, touch, hold, or caress the infant</p> Signup and view all the answers

<p>Explain what the neonate will look like and what the NICU equipment will look like and its function</p> Signup and view all the answers

<p>Encourage parents to bring other siblings to visit the preterm infant</p> Signup and view all the answers

<p>Consistent and frequent information regarding the infant's condition</p> Signup and view all the answers

<p>Reinforce parent involvement and praise care endeavors</p> Signup and view all the answers