Summary

This document discusses various aspects of neonatal care, including priorities in the neonatal period, definitions of gestational age, and potential risks associated with prematurity and other conditions, such as hypoglycemia and hypothermia.

Full Transcript

**The Neonate** - - - - - **Priorities in the neonatal period (28 days)** - - - - - - - - - - - - - - **Defining the neonate** GESTATIONAL AGE Preterm: Term: 37 weeks-42 weeks Post-term (postmature) After 42 weeks increased risk of placental dysfun...

**The Neonate** - - - - - **Priorities in the neonatal period (28 days)** - - - - - - - - - - - - - - **Defining the neonate** GESTATIONAL AGE Preterm: Term: 37 weeks-42 weeks Post-term (postmature) After 42 weeks increased risk of placental dysfunction (fetal hypoxia, late decelerations) Increased risk of meconium aspiration Hypoglycemia, hypothermia Birth trauma and PPH SIZE RELATED TO AGE - - - - - - - - - - - - IMMEDIATE CHANGES AFTER BIRTH - - - - - - - - **Cold stress** ***Hypothermia (less than 36.5)*** **Thermoregulation:** - - - - - - - - - - - - - - - - - - - - - - - - **PROPHYLAXIS** In addition to APGAR The neonate is at risk for - - **Routine care** - - - - - - **Assessments** - **Normal Neonatal Assessment** If conditions were identified during the pregnancy that could result in congenital defects, carefully watch for those. - - - - - - - - - - - - **DANGER SIGNS !** **Respiratory Distress** - - - - - - **Cold Stress** - - - - - **Other S/S to Document and Report** - - - - **Circumcision** **Pain management:** - - - - - - - **Wound care:** - - **Neonatal abstinence syndrome (neonatal withdrawal):** - - - - - - - - **Group b strep** - - - - - **MENINGITIS** **SEPTICEMIA** - - - - **Covid 19** - - - - - - - - - Newborn screening- PKU - - - - - - - - - - **Newborn screening- Jaundice** - - - - - **Prematurity** **As & Bs of prematurity: APNEA and BRADYCARDIA** - - - - - - - - - - - - - Kangaroo care (skin to skin) - **Neonatal problems associated with prematurity** Respiratory Distress Syndrome (RDS) - - - - - - - - - Bronchopulmonary Dysplasia (BPD) - - - - - Retinopathy of Prematurity (ROP) - - - Patent Ductus Arteriosus (PDA) - - - - - Necrotizing enterocolitis - - - - - Meconium aspiration syndrome - - - Meconium Aspiration Syndrome - - - - - - Discharge planning and teaching - FAMILY Discharge planning and teaching - - - - - - - - - - - - Breast Feeding Advantages - - - - - Contraindicated - - - - - - Advantages - - - Disadvantages - - - Solid at 4-6 months **DANGER SIGNS!** **Parents should be instructed to call the physician or seek medical care fo**r: - - - - - - - - - - - -

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