Term
| Distinguish between physiological jaundice and pathological jaundice (Hemolytic Disease of the Newborn). |
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Definition
pathological jaundice is the result of the Rh incompatibility between the blood of the mother and the fetus
physiological jaundice is caused by ABO incompatibility. Mothers with type O blood have natural antibodies to types A and B blood. The antibodies cross the placenta and cause hemolysis of fetal RBCs. |
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Term
| Formulate a plan of care for a newborn with hyperbilirubinemia |
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Definition
| phototherapy, exchange transfusions, risk for injury, risk for imbalanced fluid volume (see page 722-723) |
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Term
Explain the following disorders of the gastrointestinal tract.
a. Anorectal malformations
b. Omphalocele & Gastroschisis
c. Esophageal Atresia |
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Definition
anorectal malformations is when the anus isn't patent and there is a disconnection between the gastorintestinal tract and he anus.
omphalocele is the large herniation of the intestines into the umbilical cord. The viscera are outside the ABD cavity but inside a translucent sac, covered with peritoneum and amniotic membrane.
gastroschisis weakness in the ABD wall that cuases herniation of intestines on one side of the umbilical cord during early development, most commonly on the right. Viscera are outside the ABD cavity and are not covered with the sac.
esophageal atresia is when there is a disconnect between the esophagus and the stomach. This can cause great distress because the infant is able to eat, but when they swallow, they will start choking. |
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Term
| Formulate a plan of care for the infant with an anorectal malformation |
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Definition
| anal dilation, may require surgical intervention, at risk for choking, at risk for infection, at risk for other complications |
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Term
| Formulate a nursing plan of care for the preoperative and postoperative infant with abdominal wall defect |
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Definition
| risk for infection, risk for imbalanced fluid and electrolyte levels, risk for impaired nutrition, risk for RDS, risk for shock |
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Term
| Develop a nursing plan of care for the preoperative and postoperative infant with an esophageal defect |
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Definition
| risk for choking, risk for impaired nutrition, risk for imbalanced fluid and electrolyte levels |
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Term
| Explain peripheral nerve birth injuries and develop a plan of care for neonates with this disorder |
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Definition
| brachial palsy or facial paralysis |
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Term
Explain and organize a plan of care for neonates with the following neonatal infections:
a. Ophthalmia Neonatorum c. Group B Strep
b. Thrush/Candida Albicans d. Herpes Type 2 |
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Definition
a. antibiotic eye ointment
b. nystatin
c. antibiotic therapy
d. antibiotic therapy |
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Term
| Identify the common complications of the drug-addicted newborn including Fetal Alcohol Syndrome (FAS) |
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Definition
| withdraw, seizures, excessive crying, not being able to suck swallow breathe in coordination, lack of coordination, trouble latching, trouble eating |
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Term
| Discuss the plan of care for drug addicted newborns who are experiencing common complications of addiction |
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Definition
| risk for injury, risk for ineffective bonding, risk for impaired nutrition |
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Term
| Distinguish the uniqueness of care required by a newborn with AIDS |
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Definition
| babies need to be bathed immediately, avoid giving shots until after bath has been completed, cannot be breastfed |
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Term
| Review CPR guidelines for closed-chest massage and mouth-to-mouth resuscitation of the newborn |
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Definition
| two thumbs encircling hands around chest, compress below nipple line at 1.5 inches. 30:2 one rescuer or 15:2 two rescuers. head tilt chin lift. 1 breath every 6-8 sec |
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Term
Discuss the physiological action, potential side effects and nursing implications for each of the following medications. Be prepared to identify the therapeutic effect of each medication
Classification: Anti-infective
Ampicillin
Pencillin G
Gentamicin
Cefotaxime
Classification: Antiviral
Acyclovir
Classification: Antifungal
Mycostatin
Classification: Immunizing Agent
RhoGam (given to the mother)
Classification: Opiod; Detoxifying Agent
Methadone |
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Definition
*ampicillin-antibiotic used for respiratory tract infections, baterial meningitis, UTI, GI infections, septecemia or endocarditis
*penicillin G- treatment of syphyllis
*gentamicin- treatment alternative for pt who are allergic to PCN
*cefotaxime-treatment of respiratory, genitourinary, gynecologic,skin/skin structure, intraabdominal, bone and joint, central nervous system infecions, and bacteremia or sepsis
*acyclovir- treatment of herpes
*mycostatin- treatment for thrush/candida albacinas
*rhogam- treatment for rh incompatibility
*methadone- treatment for baby whose mothers used drugs during pregnancy. meant to detox baby slowly to prevent s&s of withdraw or seizures |
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