At Risk Newborn

Question 1

What does substance use during pregnancy put the fetus at risk for?

Answer 1

IGR, hypoxic, fetal demise, increased R/F placental abruptio, fetal structural abnorms., passive addiction

Question 2

What is the management of care for a mother who uses drugs?

Answer 2

periodic prenatal toxicology, tox. on mom in labor, tox. on baby , check for S+S of withdrawl,

Question 3

Does a nurse report a + toxicology on a newborn?

Answer 3

Yes

Question 4

What are some nursing interventions for the newborn going through withdrawl?

Answer 4

cluster care, mitts, calm enviro., swaddle w/ hands out, skin breakdown checks, promote bonding, feedings, enviro. temp.,

Question 5

What medication would you give/ not give to a newborn going through withdrawal?

Answer 5

NO NARCAN, phenobarbital, methadone weening

Question 6

New born withdrawal S+S:

Answer 6

Irritable, hyperactivity, jittery, rooting, excessive reflexes, difficult to console, poor sleeper, high pitch cry, scratching at their face, possible seizures, stuffy, sweaty, diarrhea, unstable temp.

Question 7

how much alcohol causes Fetal Alcohol Syndrome?

Answer 7

no regulated amount

Question 8

What facial abnormalities are a sing of Fetal Alcohol Syndrome?

Answer 8

small eye openings, thin upper lip, flat upper lip, small jaw, wide nasal bridge, cleft, fold of upper eyelids

Question 9

What are non-facial symptoms of Fetal Alcohol Syndrome?

Answer 9

Altered birth weight, hearing loss, skeletal or cardiac abnormalities

Question 10

When does a baby show withdrawal symptoms?

Answer 10

24-48 hours