Nursing Care For High Risk Neonates Flashcards
An infant who stays in utero past 42 weeks is at special risk, what are associated problems that may be encountered
asphyxia meconium aspiration, poor nutritional status, increased RBC production, difficult delivery, birth defects seizures as a result of the hypoxic state
clinical manifestations for small for gestational age
decreased anthropomorphic measurements, poor skin turgor, widely separated skull sutures, dull and lusterless hair, sunken abdomen, dry and yellow cord.
Clinical manifestations for large for gestational age
immature reflex and low scores on gestational exams, extensive bruising or birth injury, prominent caput succedaneum, cephalematoma, or molding, tachycardia, cyanosis, polycythemia, hyperbilirubinemia
common causes of hyperthermia
disturbance in heat regulating center, (intercranial hemorrhage, intercranial edema), incubator temperature is set too high, dehydrating fever
how low does a neonate’s glucose level drop to when the cord is cut
50 mg/dl
what is the leading cause of fetal malnutrition and low birth weight
maternal malnutrition
this is associated with the acquisition of microorganism for the mother during pregnancy or labor, newborns with _______ infection present within 24-72 hours
Early-onset sepsis
these manifestations such as lethargy, oliguria, hypotonia and 50%-70% of infants display seizures, usually in the 24 hours of birth, reflect which grade of Hypoxic Ischemic Encephalopathy?
Grade 2
A result of the total serum bilirubin being >7 mg/dl is a sign of?
Hyperbilirubinemia
this condition, also known as bilirubin encephalopathy, is when the unconjugated serum bilirubin level exceeds more than 20 mg/dl
Kernicterus
it is a benign disease of near-term or term infants who display respiratory distress shortly after delivery
Transient tachypnea of the newborn
management of Transient tachypnea of the newborn includes?
Oxygenation, fluid restriction, feeding when tachypnea improves
during assessment for IMCI, all sick children of what age, are examined for very severe disease and local bacteria infection?
from birth up to 2 months
if there is no serious condition, the mother should be correctly advised on the appropriate actions to be taken for care of the child at home, what kind of classification is thi?
Green Classification
if wheezing with either fast breathing or chest indrawing, give a trial of rapid acting inhaled bronchodilator for up to 2-3 times, how many minutes apart?
15-20
according to the ICMI classifications for DOB(difficulty of breathing), what is the appropriate action for intervention under pink classification
Give first dose of an appropriate antibiotic
refer URGENTLY to hospital
what to look for the general condition if a child is taken in for diarrhea
Lethargic or unconscious
Restless and irritable
according to the ICMI classifications for diarrhea what is the sign under yellow classification
No dehydration
After giving the first dose of Artemether-lumefantrine when giving the second dose shall be given when and where
at home, after 8 hours
when treating eye infections, how many times must the eyes be cleaned?
4
when a child is brought in for an ear problem, you would be most likely be looking for?
pus draining from the ear/ tender swelling behind the ear
on the case of yellow classification for anemia under ICMI, what must be given to the child if they are 1 year or older?
Mebendazole
when determining the child’s MUAC(mid upper arm circumference), if the child’s measurement is 115-125mm, what does this count as?
moderate malnutrition
the recommended amount of ready-to-use therapeutic food for malnourished per day if the child is 8.5-9.4 kg is?
3.5 packets per day
when asking for severe diseases and local bacterial infection, always as if?
the infant is having difficulty feeding
has the infant had convulsions.
aside from checking the skin and eye of the child for jaundice, what else should be adressed?
the palms and soles
under the yellow classification of interventions for feeding problems, if the baby is breastfeeding 8 times under 24 hours, should it be increased or decreased?
Increased
for infant diarrhea when going over the general condition of the infant, should you observe if the infant is restless and irritable? yes or no?
Yes
