Podcast
Questions and Answers
Which of the following is the priority for newborns in the first days of life?
Which of the following is the priority for newborns in the first days of life?
- Institution of developmental care
- Establishment of a newborn-parent/caregiver relationship
- Establishment of waste elimination
- Initiation and maintenance of respirations (correct)
An infant is born with respiratory depression so severe that the heart begins to fail. Besides establishing an airway, expanding the lungs and initiating effective ventilation; what should also be included?
An infant is born with respiratory depression so severe that the heart begins to fail. Besides establishing an airway, expanding the lungs and initiating effective ventilation; what should also be included?
- Warming the newborn to prevent cold stress
- Administration of surfactant
- Chest compression (correct)
- Administration of intravenous fluids
An infant is diagnosed with hypoglycemia. What is the initial treatment for hypoglycemia?
An infant is diagnosed with hypoglycemia. What is the initial treatment for hypoglycemia?
- Subcutaneous insulin
- Oral feeding with breast milk
- Intravenous 10% dextrose in water (correct)
- Intramuscular glucagon
Which of the following conditions is defined as being born after the end of week 41?
Which of the following conditions is defined as being born after the end of week 41?
The nurse is assessing a preterm infant and observes that the pinna of the ear easily folds forward and has minimal cartilage. What does this finding indicate?
The nurse is assessing a preterm infant and observes that the pinna of the ear easily folds forward and has minimal cartilage. What does this finding indicate?
A preterm infant is at risk for developing anemia of prematurity. Which factor contributes to this condition?
A preterm infant is at risk for developing anemia of prematurity. Which factor contributes to this condition?
Which intervention is essential when caring for a preterm infant to prevent acute bilirubin encephalopathy?
Which intervention is essential when caring for a preterm infant to prevent acute bilirubin encephalopathy?
For a premature newborn who may lack surfactant, resulting in difficulty moving blood away from the pulmonary artery into the lungs, which leads to pulmonary hypertension, what is the potential complication?
For a premature newborn who may lack surfactant, resulting in difficulty moving blood away from the pulmonary artery into the lungs, which leads to pulmonary hypertension, what is the potential complication?
A very low birth weight (VLBW) infant is at risk for intraventricular hemorrhage. What statement defines Grade 1 intraventricular hemorrhage?
A very low birth weight (VLBW) infant is at risk for intraventricular hemorrhage. What statement defines Grade 1 intraventricular hemorrhage?
An infant is born small for gestational age (SGA). What assessment finding is commonly associated with SGA infants?
An infant is born small for gestational age (SGA). What assessment finding is commonly associated with SGA infants?
An infant is identified as LGA. Which assessment finding is most concerning and requires immediate intervention?
An infant is identified as LGA. Which assessment finding is most concerning and requires immediate intervention?
An infant is diagnosed with respiratory distress syndrome (RDS). Which assessment finding is a classic sign of RDS in a newborn?
An infant is diagnosed with respiratory distress syndrome (RDS). Which assessment finding is a classic sign of RDS in a newborn?
A preterm infant is diagnosed with RDS. Besides oxygen administration and ventilation, what other therapeutic management could the medical team implement?
A preterm infant is diagnosed with RDS. Besides oxygen administration and ventilation, what other therapeutic management could the medical team implement?
A birthing parent asks how to prevent respiratory distress in her newborn. What medication can be administered to help with this?
A birthing parent asks how to prevent respiratory distress in her newborn. What medication can be administered to help with this?
An infant is diagnosed with meconium aspiration syndrome. Which assessment finding is characteristic of this condition?
An infant is diagnosed with meconium aspiration syndrome. Which assessment finding is characteristic of this condition?
Which therapeutic measure helps remove meconium and maintain a neutral thermal environment?
Which therapeutic measure helps remove meconium and maintain a neutral thermal environment?
A parent asks what the term Sudden Infant Death Syndrome (SIDS) means. What is the correct definition?
A parent asks what the term Sudden Infant Death Syndrome (SIDS) means. What is the correct definition?
Which factor should the nurse educate the parents on to prevent Sudden Infant Death Syndrome (SIDS)?
Which factor should the nurse educate the parents on to prevent Sudden Infant Death Syndrome (SIDS)?
How does ABO incompatibility lead to hemolytic disease of the newborn?
How does ABO incompatibility lead to hemolytic disease of the newborn?
In hemolytic disease of the newborn, what finding may be revealed by an indirect Coombs test performed on the birthing parent during pregnancy?
In hemolytic disease of the newborn, what finding may be revealed by an indirect Coombs test performed on the birthing parent during pregnancy?
Which medication may a newborn with hemolytic disease receive?
Which medication may a newborn with hemolytic disease receive?
What are the signs and symptoms of ophthalmia neonatorum?
What are the signs and symptoms of ophthalmia neonatorum?
Ophthalmia neonatorum is caused by which organisms?
Ophthalmia neonatorum is caused by which organisms?
Erythromycin can be used to prevent what condition?
Erythromycin can be used to prevent what condition?
Which of the following interventions is most important immediately after birth for a newborn whose birthing parent is HBsAg+?
Which of the following interventions is most important immediately after birth for a newborn whose birthing parent is HBsAg+?
A nurse is caring for a newborn whose birthing parent tested positive for hepatitis B. Which action should the nurse prioritize to prevent transmission of the virus to the newborn?
A nurse is caring for a newborn whose birthing parent tested positive for hepatitis B. Which action should the nurse prioritize to prevent transmission of the virus to the newborn?
For a newborn with ineffective respirations, what is a primary concern regarding the failure of fetal circulatory shunts?
For a newborn with ineffective respirations, what is a primary concern regarding the failure of fetal circulatory shunts?
A newborn has a urine output less than 2mL/kg/hr or a specific gravity greater than 1.020. What does this suggest?
A newborn has a urine output less than 2mL/kg/hr or a specific gravity greater than 1.020. What does this suggest?
A newborn is born before the end of week 37. What is this called?
A newborn is born before the end of week 37. What is this called?
An infant is born with a weight less than 2,500g at birth. What is this called?
An infant is born with a weight less than 2,500g at birth. What is this called?
The nurse is assessing a preterm infant. Which assessment indicates the infant is a preterm?
The nurse is assessing a preterm infant. Which assessment indicates the infant is a preterm?
Lanugo is usually scant and fontanelles are small in what type of infant?
Lanugo is usually scant and fontanelles are small in what type of infant?
What is the reason for the administration of Indomethacin or ibuprofen to premature newborns?
What is the reason for the administration of Indomethacin or ibuprofen to premature newborns?
For a large for gestational age (LGA) infant, the doctor may advise for C/S is because of?
For a large for gestational age (LGA) infant, the doctor may advise for C/S is because of?
After delivery, the nurse assessed the LGA infant. She detects clavicle fracture or Erb palsy by edema of the cervical nerve plexus. What assessment she did?
After delivery, the nurse assessed the LGA infant. She detects clavicle fracture or Erb palsy by edema of the cervical nerve plexus. What assessment she did?
Transient Tachypnea of the Newborn (TTN) assessment does NOT included which body part.
Transient Tachypnea of the Newborn (TTN) assessment does NOT included which body part.
Hypersensitivity, Hypermagnesemia & Hypercalcemia, Myocardial damage, Diabetic coma, and Heart block patients does NOT considered which medication?
Hypersensitivity, Hypermagnesemia & Hypercalcemia, Myocardial damage, Diabetic coma, and Heart block patients does NOT considered which medication?
What assessments are important for early identification of hemolytic disease in newborns?
What assessments are important for early identification of hemolytic disease in newborns?
Flashcards
Newborn Resuscitation
Newborn Resuscitation
A condition where a newborn's heart begins to fail due to respiratory depression. Requires chest compressions.
Term neonates
Term neonates
Born after the beginning of week 38 and before week 42 of pregnancy.
Preterm
Preterm
Born before the beginning of 38 weeks or before the end of week 37.
Post term / Postmature
Post term / Postmature
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Low birth weight (LBW)
Low birth weight (LBW)
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Very low birth weight (VLBW)
Very low birth weight (VLBW)
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Extremely low birth weight (ELBW)
Extremely low birth weight (ELBW)
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Small for Gestational Age (SGA)
Small for Gestational Age (SGA)
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Large for Gestational Age (LGA)
Large for Gestational Age (LGA)
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Ophthalmia Neonatorum
Ophthalmia Neonatorum
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Sudden Infant Death Syndrome
Sudden Infant Death Syndrome
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Hemolytic Disease of the Newborn
Hemolytic Disease of the Newborn
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Rh Incompatibility
Rh Incompatibility
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ABO incompatibility
ABO incompatibility
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Amnioinfusion
Amnioinfusion
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Study Notes
Objectives
- Nurses can help achieve Healthy People 2030 goals related to high-risk newborns.
- Nursing diagnoses related to high-risk newborns and their families can be formulated.
- Parents can be helped to manage transitions across healthcare settings using expected outcomes for high-risk newborns and families.
- The effectiveness of care can be evaluated.
- Common classifications of high-risk infants and common illnesses can be defined.
- The high-risk newborn is assessed to determine whether safe transition to extrauterine life has occurred
Key Terms
- Acute bilirubin encephalopathy (ABE) is a key term
- Apnea is a key term
- Apparent life-threatening event (ALTE) is a key term
- Appropriate for gestational age (AGA) is a key term
- Brown fat is a key term
- Developmental care is a key term
- Dysmature is a key term
- Extracorporeal membrane oxygenation (ECMO) is a key term
- Extremely low birth weight (ELBW) infant is a key term
- Fetal alcohol spectrum disorder is a key term
- Gestational age is a key term
- Hemorrhagic disease of the newborn is a key term
- Hydrops fetalis is a key term
- Hyperbilirubinemia is a key term
- Intrauterine growth restriction (IUGR) is a key term
- Large for gestational age (LGA) is a key term
- Low birth weight (LBW) infant is a key term
- Macrosomia is a key term
- Ophthalmia neonatorum is a key term
- Periventricular leukomalacia (PVL) is a key term
- Postterm is a key term
- Preterm is a key term
- Retinopathy of prematurity (ROP) is a key term
- Shoulder dystocia is a key term
- Small for gestational age (SGA) is a key term
- Very low birth weight (VLBW) is a key term
Newborn Priorities in the First Days of Life
- Initiation and maintenance of respirations is crucial.
- Establishment of extrauterine circulation is a priority.
- Maintaining fluid and electrolyte balance is essential.
- Controlling body temperature is important for newborns.
- Adequate nutrition intake is necessary.
- Establishment of waste elimination is important.
- Prevention of infection should be considered.
- Establishing a newborn-parent/caregiver relationship is a priority.
- Institution of developmental care or care that balances physiologic needs and stimulation for optimal development should be adopted.
Initiating and Maintaining Respirations
- Respirations must be started immediately after birth.
- Ineffective respirations can lead to the failure of fetal circulatory shunts to close, especially the ductus arteriosus.
- Low birth weight is a factor predisposing infants to respiratory difficulty.
- Intrauterine growth restriction is a factor predisposing infants to respiratory difficulty.
- A maternal history of diabetes is a factor predisposing infants to respiratory difficulty.
- Premature rupture of membranes is a factor predisposing infants to respiratory difficulty.
- Maternal use of barbiturates or narcotics close to birth is a factor predisposing infants to respiratory difficulty.
- Meconium staining is a factor predisposing infants to respiratory difficulty.
- Irregularities detected by a fetal heart monitor during labor is a factor predisposing infants to respiratory difficulty.
- Cord prolapse is a factor predisposing infants to respiratory difficulty.
- Lowered APGAR scores at 1 or 5 minutes (APGAR score of <7) is a factor predisposing infants to respiratory difficulty.
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