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HighRIskNewborn

NU201

QuestionAnswer
Infant of diabetic mothers hypoglycemia after delivery
analgesics/anesthetics during labor narcotics cross the placenta and can cause respiratory depression in newborn
Fetus pass meconium into amniotic fluid fetal asphyxia: placental insufficiency, prolapsed cord, placental abruption, placental previa
Warm and humidified oxygen decrease insensible fluid and heat loss
Preterm baby common complication respiratory distress syndrome
RDS caused by -- lack of surfactant
Maternal risk for preterm labor young/old age smoking poor nutrition previous preterm delivery incompetent cervix placental problems
Maternal risk for preterm labor placental problems? preivs, abruption, preeclampsia/eclampsia
insufficient surfactant alveoli? alveoli collapse with each expiration
Preterm temperature instability why? less brown fat larger body surface area small muscle mass increased insensible loss
Preterm temperature instability Risk for -- hypothermia
Preterm baby immunity higher risk for infection, maternal antibodies cross placenta in 3rd trimester
Preterm infant prone to hypoglycemia why? decreased liver glycogen store
Preterm infant Risk for hyperbilirubinemia r/t Immature liver, and difficulty eliminiating bilirubin released by normal breakdown of RBC
Preterm infant risk for bleeding rlt immature production of clotting factors
Preterm infant feeding issues? increased risk of aspiration poor sucking/ swallowing
Gestational week sucking/ swallowing gag reflex 33-34 wk
Necrotizing enterocolitis NEC r/t immature GI and hypoxia
Preterm baby Kidney function? unable to concentrate urine
Created by: rachelchm