Neonate complications

Question 1

bili levels increase by what?

Answer 1

two’s until the fourth/fifth day
they peak and begin to decrease

Day one=2
Day two= 4

Question 2

higher levels of RBCs or immature liver

Answer 2

causes of hyperbilirubemia

Question 3

testing for hyperbilirubinemia

Answer 3

Transcutaneous bilirubin (TcB)

Question 4

24h bili total

Answer 4

2-6

Question 5

48 hr bili total

Answer 5

6-7

Question 6

3-5 days bili total

Answer 6

4-6

Question 7

light source for phototherapy should be how many cm/in from baby?

Answer 7

45-50 cm (17-19in)

Question 8

Kernicterus s/s

Answer 8

Poor feeding
Fatigue
Fever

Acute bilirubin encephalopathy

Question 9

Gestational diabetes & hormones

Answer 9

maternal hyperglycemia

Question 10

hypoglycemia occurs in

Answer 10

first 30 minutes of birth

need to get a heel stick & get baseline

Question 11

early onset sepsis

Answer 11

first 24 hrs to 6 days of life

Question 12

TORCH

Answer 12

toxoplasmosis (higher levels of IgM)
other (hep B, syphilis)
Rubella
Cytomegalovirus (CMV)
Herpes simplex virus

Question 13

Sepsis presentation

Answer 13

Respiratory distress
Thermoregulation disturbances (hypothermic; viral infection)
Neurological (usually late) lethargic; decreased responses

Question 14

Sepsis treatment

Answer 14

Broad spectrum antibiotics 
Oxygen/vent
thermoregulation
BP
Fluid resuscitation

Question 15

CNS NAS clinical presentation

Answer 15

high pitched cry
poor sleep
tremors
seizures

Question 16

Metabolic, respiratory, vasomotor NAS

Answer 16

sweating
fever >100.4
Frequent yawning
nasal flaring
tachypnea

Question 17

Gastro-intestinal NAS

Answer 17

Excessive sucking
poor feeding
loose/watery stools

Question 18

3 major systems affected with NAS

Answer 18

CNS
Metabolic/respiratory/vasomotor
Gastro-intestinal

Question 19

Retained lung fluid
seen with C section babys
Mild respiratory distress

Answer 19

Transient Tachypnea of newborn (TTN)

Question 20

s/s of TTN

Answer 20

grunting
flaring
retracting
tachypnea

Question 21

treatment of TTN

Answer 21

oxygen
CPAP
fluids
Antibiotics

Question 22

Hallmark sign of fetal distress

Answer 22

Meconium aspiration syndrome (MAS)

Question 23

treatment of MAS

Answer 23

oyxgen 
vent support
surfactant
vasopressors
nitric oxide
ECMO

Question 24

NEC treatment

Answer 24

gastric decompression
antibiotics
serial xrays

Question 25

NEC

Answer 25

very low birth weight

intestinal tissue dies off; disease of progression

Question 26

NEC diagnosis

Answer 26

serial abdominal xrays