Hesi Newborn High-Risk Disorders

Front 1

List the major CNS danger signals that occur in the neonate.

Back 1

Lethargy, high-pitched cry, jitteriness, seizure, and bulging fontanelles.

Front 2

A baby is deleivered blue, and with heart rate <100. The nurse dries the infant, suctions the oropharynx and gently stimulates the infant while blowing O2 over the face. The infant still does not respond. What is the next nursing action?

Back 2

Begin oxygenation by bag and mask at 30 to 50 breaths per minute. If heart rate is <60, start cardiac massage at 120 events per minute. (30 breaths and 90 compressions). Assist health care provider in setting up for intubation procedure.

Front 3

What does the Silverman-Anderson index measure?

Back 3

Respiratory difficulty.

Front 4

What ar two complications of O2 toxicity?

Back 4

Retroplacental fibroplaisas and bronchopulmonary dysplasia

Front 5

Necrotizing enterocolitis results from ___________ and is manifested by_______. Ischemia/hypoxia results in _____-__.

Back 5

Ischemic hypoxia, abdominal distetion, sespis, and a lack of absorption from intestines; injury to the inestinal mucosa.

Front 6

Inraventricular hemorrhage is more common __________and results in symptoms of ___________.

Back 6

premature neonates and VLBW babies; increased intracranial pressure

Front 7

Wht conditions make oxygenation of the newborn more difficult?

Back 7

Respiratory distress syndrome: alveolar prematurity and lack of surfactant; anemia; polycythemia.

Front 8

In order to prevent problems with oxygenating the newborn, what parameters can the nurse observe?

Back 8

Po2 50 to 90; SvO2 60 to 80mmHg

Front 9

What are the cardinal symptoms of sepsis in a newborn?

Back 9

Lethargy, tempetature instability, difficulty feeding, subtle color changes, subtle behavioral changes, and hyperbilirubinemia.

Front 10

A premature baby is born and develops hypothermia. State the major nursing interventions t treat hypothermia.

Back 10

Place under radiant warmer or in incubator with temperature skin probe over liver. Warm all items touching newborn. Place plastic wrap over neonate.

Front 11

Nurses often weigh diapers in order to determine exact urine output in the high-risk neonate. Explain this procedure.

Back 11

Daiper 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.

Front 12

What factors does a nurse look for in determining a newborn's ability to take in nourishment by nipple and mouth?

Back 12

infant has good suck, has coordinated suck-swallow, takes less than 20 minutes to feed, gains 20 to 30g/day.

Front 13

What complications are associated with total parenteral nutrition?

Back 13

Hyperglycemia, electrolyte imbalance, dehydration, and infection.

Front 14

In order to prevent rickets in the preterm in the preterm newborn, what supplements are given?

Back 14

Calcium and Vitamin D.

Front 15

List four nursing interventions to enhance family and parent adjustment to a high-risk newborn.

Back 15

Initiate early visittaion at ICU. Provide daily information to family. Encourage partcipation in support group for parents. Encourage all attempts at care giving (enhances bonding).

Front 16

List the factors for Hyperbilirubinemia.

Back 16

Rh incompatibility, ABO incompatibility, prematurity, sepsis, perinatal asphyxia

Front 17

List the symptoms of hyperbilirubinemia in the neonate.

Back 17

Bilirubine levles rising 5mg/day, jaundice, dark urine, anemai, High reticulocyte (RBC) count, and dark stools.