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64 Cards in this Set

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Contents of breast milk: (5)
Carb:Lactose
Protein:Whey & Casein
IgA, IgG
enzymes
Discharge Criteria: (8)
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!!
Caput Succedaneum-
collection of blood and serum underneath the scalp
Subgleal hemorrhage-
collection of blood- boggy skull
Cephalhematoma-
compartmentalized- ruptured capillaries
Erythema toxicum-
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.
Bullous Impetigo-
impetigo neonatorum- seen on babys trunk first. Caused by staph. aureas. Isolation required. Tx: oral/top. antibiotic
Hyperbilirubinemia-
increased con./uncon. bilirubin in blood. S/S: jaundice.
Physioloic Jaundice:
Most common. Causes: RBC hemolysis, immature liver fn. Tx: nothing or phototherapy.
Breast Milk Jaundice:Early
Causes: Lack of breast milk. Tx: frequent feedings, phototherapy. Onset:24h
Breast Milk Jaundice: Late
Onset:5-7d. Caused by contents of breast milk. Mon. closely.
Normal bilirubin?
0.2-1.4 mg/dl unconjugated
Jaudice will appeard when bilirbuin exceeds?
5mg
Rh incompatibility:
Rh- mom and Rh+ baby: mother developes antibodies and second Rh+ baby will be affected
Hydrops fetalis:
Most severe: very swollen, severely anemic, common to have still births,death
ABO incompatibility: Occurs:
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
What happens when ABO incompatibility occurs?
antibodies cross placenta and attach to fetal RBCx causing hemolysis
S/S of ABO in.:
Jaundice in first 24h, anemia from RBC hemolysis, hepatoplenomegaly, hydrops
Tx. of Rh sensitivity?
Rhogam w/i 72h
Hypoglycemia:
Decreased serum glucose. Exact level to cause hypo. depents on gest. age, birth wt., metabolic needs and illness state.
Patho. of hypoglycemia:
Baby has increase in insulin.
Sepsis- b/c baby does not have glycogen stores to keep up.
Mom has DM-insulin
S/S of hypoglycemia:
Cerebral: Jittery, high-pitched cry, seizures, tremors, low muscle tone
Others: apnea, sweating
Diag. Eval. of hypoglycemia:
chemstrip less than 40mg/dl. Two should be checked
Hyperglycemia:
bl. glucose above 125mg/dl in full term infant. Bl. Glucose greater than 150mg/dl in preterm infant
Hypocalcemia: Early
Appears in 24-48h. S/S: Jittery, apnea, cyanosis, high-pitched cry. Resovles in 1-3 days.
Hypocalcemia: Late (patho)
Appears in 3-4d. Seen in infants given cow milk-> intestinal malabsorbtion-> hypomagnesemia -> hyperinsulinemia
S/S of Hypocalcemia: Late
Tremors, seizures, tetany
Normal calcium?
7-8.5mg/dl
Tx. of hypocalcemia:
-Early feed
-IV 10% ca. gluc. over 30min
Nsg. Care of hypocalcemia:
Be aware of s/s of hyperca.- vomiting, bradycardia.
Max. rest
ABO incompatibility: Occurs:
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
What happens when ABO incompatibility occurs?
antibodies cross placenta and attach to fetal RBCx causing hemolysis
S/S of ABO in.:
Jaundice in first 24h, anemia from RBC hemolysis, hepatoplenomegaly, hydrops
Tx. of Rh sensitivity?
Rhogam w/i 72h
Hypoglycemia:
Decreased serum glucose. Exact level to cause hypo. depents on gest. age, birth wt., metabolic needs and illness state.
Patho. of hypoglycemia:
Baby has increase in insulin.
Sepsis- b/c baby does not have glycogen stores to keep up.
Mom has DM-insulin
S/S of hypoglycemia:
Cerebral: Jittery, high-pitched cry, seizures, tremors, low muscle tone
Others: apnea, sweating
Diag. Eval. of hypoglycemia:
chemstrip less than 40mg/dl. Two should be checked
Hyperglycemia:
bl. glucose above 125mg/dl in full term infant. Bl. Glucose greater than 150mg/dl in preterm infant
Hypocalcemia: Early
Appears in 24-48h. S/S: Jittery, apnea, cyanosis, high-pitched cry. Resovles in 1-3 days.
Hypocalcemia: Late (patho)
Appears in 3-4d. Seen in infants given cow milk-> intestinal malabsorbtion-> hypomagnesemia -> hyperinsulinemia
S/S of Hypocalcemia: Late
Tremors, seizures, tetany
Normal calcium?
7-8.5mg/dl
ABO incompatibility: Occurs:
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
Tx. of hypocalcemia:
-Early feed
-IV 10% ca. gluc. over 30min
What happens when ABO incompatibility occurs?
antibodies cross placenta and attach to fetal RBCx causing hemolysis
Nsg. Care of hypocalcemia:
Be aware of s/s of hyperca.- vomiting, bradycardia.
Max. rest
S/S of ABO in.:
Jaundice in first 24h, anemia from RBC hemolysis, hepatoplenomegaly, hydrops
Tx. of Rh sensitivity?
Rhogam w/i 72h
Hypoglycemia:
Decreased serum glucose. Exact level to cause hypo. depents on gest. age, birth wt., metabolic needs and illness state.
Patho. of hypoglycemia:
Baby has increase in insulin.
Sepsis- b/c baby does not have glycogen stores to keep up.
Mom has DM-insulin
S/S of hypoglycemia:
Cerebral: Jittery, high-pitched cry, seizures, tremors, low muscle tone
Others: apnea, sweating
Diag. Eval. of hypoglycemia:
chemstrip less than 40mg/dl. Two should be checked
Hyperglycemia:
bl. glucose above 125mg/dl in full term infant. Bl. Glucose greater than 150mg/dl in preterm infant
Hypocalcemia: Early
Appears in 24-48h. S/S: Jittery, apnea, cyanosis, high-pitched cry. Resovles in 1-3 days.
Hypocalcemia: Late (patho)
Appears in 3-4d. Seen in infants given cow milk-> intestinal malabsorbtion-> hypomagnesemia -> hyperinsulinemia
S/S of Hypocalcemia: Late
Tremors, seizures, tetany
Normal calcium?
7-8.5mg/dl
Tx. of hypocalcemia:
-Early feed
-IV 10% ca. gluc. over 30min
Nsg. Care of hypocalcemia:
Be aware of s/s of hyperca.- vomiting, bradycardia.
Max. rest
What is hemorrhagic disease caused by?
Vit. K def.
S/S of Hemorrahgic Disease:
bruising, bloddy stools, bleeding from stick site
Classig Hem. Dis.:
1-7d
prolonged pT and pTT
normal platelets and normal fibrinogen
Late onset Hem. Dis.:
2-12 wks.
Usually breast fed infants who did not recieve Vit. k.
S/S: intracranial hem, deep bruising, GI bleed