Newborn Part 1 Nu 352 Jeramiah

Front 1

Contents of breast milk: (5)

Back 1

Carb:Lactose
Protein:Whey & Casein
IgA, IgG
enzymes

Front 2

Discharge Criteria: (8)

Back 2

Feeding: q2-4h
Elimination: meconium,void
Circumcision:void
Color:pink,no juandice
Cord: drying
Newborn Screen. Com.:docu.
Stable VS: esp. temp
Activity: all 4 ex., carseat!!

Front 3

Caput Succedaneum-

Back 3

collection of blood and serum underneath the scalp

Front 4

Subgleal hemorrhage-

Back 4

collection of blood- boggy skull

Front 5

Cephalhematoma-

Back 5

compartmentalized- ruptured capillaries

Front 6

Erythema toxicum-

Back 6

flea bite dematitis- very common rash, small lesions first presenting on face then moves down. Not seen on palms or soles of feet. Lasts 5-7 days.

Front 7

Bullous Impetigo-

Back 7

impetigo neonatorum- seen on babys trunk first. Caused by staph. aureas. Isolation required. Tx: oral/top. antibiotic

Front 8

Hyperbilirubinemia-

Back 8

increased con./uncon. bilirubin in blood. S/S: jaundice.

Front 9

Physioloic Jaundice:

Back 9

Most common. Causes: RBC hemolysis, immature liver fn. Tx: nothing or phototherapy.

Front 10

Breast Milk Jaundice:Early

Back 10

Causes: Lack of breast milk. Tx: frequent feedings, phototherapy. Onset:24h

Front 11

Breast Milk Jaundice: Late

Back 11

Onset:5-7d. Caused by contents of breast milk. Mon. closely.

Front 12

Normal bilirubin?

Back 12

0.2-1.4 mg/dl unconjugated

Front 13

Jaudice will appeard when bilirbuin exceeds?

Back 13

5mg

Front 14

Rh incompatibility:

Back 14

Rh- mom and Rh+ baby: mother developes antibodies and second Rh+ baby will be affected

Front 15

Hydrops fetalis:

Back 15

Most severe: very swollen, severely anemic, common to have still births,death

Front 16

ABO incompatibility: Occurs:

Back 16

When mother has different blood type than infant, usually mom= O and baby=A/B. Does not occur if mom is AB b/c no antibodies

Front 17

What happens when ABO incompatibility occurs?

Back 17

antibodies cross placenta and attach to fetal RBCx causing hemolysis

Front 18

S/S of ABO in.:

Back 18

Jaundice in first 24h, anemia from RBC hemolysis, hepatoplenomegaly, hydrops

Front 19

Tx. of Rh sensitivity?

Back 19

Rhogam w/i 72h

Front 20

Hypoglycemia:

Back 20

Decreased serum glucose. Exact level to cause hypo. depents on gest. age, birth wt., metabolic needs and illness state.

Front 21

Patho. of hypoglycemia:

Back 21

Baby has increase in insulin.
Sepsis- b/c baby does not have glycogen stores to keep up.
Mom has DM-insulin

Front 22

S/S of hypoglycemia:

Back 22

Cerebral: Jittery, high-pitched cry, seizures, tremors, low muscle tone
Others: apnea, sweating

Front 23

Diag. Eval. of hypoglycemia:

Back 23

chemstrip less than 40mg/dl. Two should be checked

Front 24

Hyperglycemia:

Back 24

bl. glucose above 125mg/dl in full term infant. Bl. Glucose greater than 150mg/dl in preterm infant

Front 25

Hypocalcemia: Early

Back 25

Appears in 24-48h. S/S: Jittery, apnea, cyanosis, high-pitched cry. Resovles in 1-3 days.

Front 26

Hypocalcemia: Late (patho)

Back 26

Appears in 3-4d. Seen in infants given cow milk-> intestinal malabsorbtion-> hypomagnesemia -> hyperinsulinemia

Front 27

S/S of Hypocalcemia: Late

Back 27

Tremors, seizures, tetany

Front 28

Normal calcium?

Back 28

7-8.5mg/dl

Front 29

Tx. of hypocalcemia:

Back 29

-Early feed
-IV 10% ca. gluc. over 30min

Front 30

Nsg. Care of hypocalcemia:

Back 30

Be aware of s/s of hyperca.- vomiting, bradycardia.
Max. rest

Front 31

ABO incompatibility: Occurs:

Back 31

When mother has different blood type than infant, usually mom= O and baby=A/B. Does not occur if mom is AB b/c no antibodies

Front 32

What happens when ABO incompatibility occurs?

Back 32

antibodies cross placenta and attach to fetal RBCx causing hemolysis

Front 33

S/S of ABO in.:

Back 33

Jaundice in first 24h, anemia from RBC hemolysis, hepatoplenomegaly, hydrops

Front 34

Tx. of Rh sensitivity?

Back 34

Rhogam w/i 72h

Front 35

Hypoglycemia:

Back 35

Decreased serum glucose. Exact level to cause hypo. depents on gest. age, birth wt., metabolic needs and illness state.

Front 36

Patho. of hypoglycemia:

Back 36

Baby has increase in insulin.
Sepsis- b/c baby does not have glycogen stores to keep up.
Mom has DM-insulin

Front 37

S/S of hypoglycemia:

Back 37

Cerebral: Jittery, high-pitched cry, seizures, tremors, low muscle tone
Others: apnea, sweating

Front 38

Diag. Eval. of hypoglycemia:

Back 38

chemstrip less than 40mg/dl. Two should be checked

Front 39

Hyperglycemia:

Back 39

bl. glucose above 125mg/dl in full term infant. Bl. Glucose greater than 150mg/dl in preterm infant

Front 40

Hypocalcemia: Early

Back 40

Appears in 24-48h. S/S: Jittery, apnea, cyanosis, high-pitched cry. Resovles in 1-3 days.

Front 41

Hypocalcemia: Late (patho)

Back 41

Appears in 3-4d. Seen in infants given cow milk-> intestinal malabsorbtion-> hypomagnesemia -> hyperinsulinemia

Front 42

S/S of Hypocalcemia: Late

Back 42

Tremors, seizures, tetany

Front 43

Normal calcium?

Back 43

7-8.5mg/dl

Front 44

ABO incompatibility: Occurs:

Back 44

When mother has different blood type than infant, usually mom= O and baby=A/B. Does not occur if mom is AB b/c no antibodies

Front 45

Tx. of hypocalcemia:

Back 45

-Early feed
-IV 10% ca. gluc. over 30min

Front 46

What happens when ABO incompatibility occurs?

Back 46

antibodies cross placenta and attach to fetal RBCx causing hemolysis

Front 47

Nsg. Care of hypocalcemia:

Back 47

Be aware of s/s of hyperca.- vomiting, bradycardia.
Max. rest

Front 48

S/S of ABO in.:

Back 48

Jaundice in first 24h, anemia from RBC hemolysis, hepatoplenomegaly, hydrops

Front 49

Tx. of Rh sensitivity?

Back 49

Rhogam w/i 72h

Front 50

Hypoglycemia:

Back 50

Decreased serum glucose. Exact level to cause hypo. depents on gest. age, birth wt., metabolic needs and illness state.

Front 51

Patho. of hypoglycemia:

Back 51

Baby has increase in insulin.
Sepsis- b/c baby does not have glycogen stores to keep up.
Mom has DM-insulin

Front 52

S/S of hypoglycemia:

Back 52

Cerebral: Jittery, high-pitched cry, seizures, tremors, low muscle tone
Others: apnea, sweating

Front 53

Diag. Eval. of hypoglycemia:

Back 53

chemstrip less than 40mg/dl. Two should be checked

Front 54

Hyperglycemia:

Back 54

bl. glucose above 125mg/dl in full term infant. Bl. Glucose greater than 150mg/dl in preterm infant

Front 55

Hypocalcemia: Early

Back 55

Appears in 24-48h. S/S: Jittery, apnea, cyanosis, high-pitched cry. Resovles in 1-3 days.

Front 56

Hypocalcemia: Late (patho)

Back 56

Appears in 3-4d. Seen in infants given cow milk-> intestinal malabsorbtion-> hypomagnesemia -> hyperinsulinemia

Front 57

S/S of Hypocalcemia: Late

Back 57

Tremors, seizures, tetany

Front 58

Normal calcium?

Back 58

7-8.5mg/dl

Front 59

Tx. of hypocalcemia:

Back 59

-Early feed
-IV 10% ca. gluc. over 30min

Front 60

Nsg. Care of hypocalcemia:

Back 60

Be aware of s/s of hyperca.- vomiting, bradycardia.
Max. rest

Front 61

What is hemorrhagic disease caused by?

Back 61

Vit. K def.

Front 62

S/S of Hemorrahgic Disease:

Back 62

bruising, bloddy stools, bleeding from stick site

Front 63

Classig Hem. Dis.:

Back 63

1-7d
prolonged pT and pTT
normal platelets and normal fibrinogen

Front 64

Late onset Hem. Dis.:

Back 64

2-12 wks.
Usually breast fed infants who did not recieve Vit. k.
S/S: intracranial hem, deep bruising, GI bleed