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High Risk Newborn

Review CH 28

QuestionAnswer
What are the different types of Respiratory distress? Respiratory Distress Syndrome Transient Tachypnea of the Newborn (TTNB) Meconium Aspiration Syndrome
What are the manifestations of Respiratory distress syndrome? 1.Lack of sufficient surfactant causes labored respirations and increased work at breathing 2. Seen most frequently in premature newborns
What is the Nursing care for Respiratory distress syndrome administration of surfactant, close assessment, and supportive care if mechanical ventilation is needed.
What are the manifestations of Transient tachypnea of the newborn? 1.usually develops from excess fluid in the lungs 2.infant breaths normally at birth, but develops symptoms of respiratory distress by 4-6 hours of age.
What is the nursing care for Transient tachypnea of the newborn? initiating oxygen therapy and restricting oral feedings until respiratory status improves
What are the manifestations of Meconium aspiration syndrome? 1.s/s of respiratory distress beginning at birth 2.Can depend upon the amount of meconium that is aspirated and the activity level of the newborn.
What is the INITIAL nursing care for Meconium aspiration syndrome? 1.If infant is vigorous even in presence of meconium- no subsequent special resuscitation 2. If infant has absent or depressed RR, HR less than 100 bpm, or poor muscle tone - direct suctioning by specially trained personnel. 3. Lavage with NS
What happens AFTER the initial nursing care of Meconium aspiration syndrome? 1.ongoing assessment for s/s of respiratory distress 2.Supportive care of the infant requiring mechanical ventilation
Discuss the selected metabolic abnormalities (including cold stress and hypoglycemia) effects on the newborn Cold stress sets up the chain of physiologic events of hypoglycemia, pulmonary vasoconstriction, hyperbilirubinemia, respiratory distress, and metabolic acidosis.
What are the Nursing interventions for the selected abnormalities ( including cold stress and hypoglycemia)? 1. Keep infant warmed during any transport 2. observe for any signs of hypoglycemia 3. Have infant go to breast or feed early in neonatal period. 4. Assess blood glucose frequently
What are the most common signs of newborn sepsis?
What are the different types of Respiratory distress? Respiratory Distress Syndrome Transient Tachypnea of the Newborn (TTNB) Meconium Aspiration Syndrome
What are the manifestations of Respiratory distress syndrome? 1.Lack of sufficient surfactant causes labored respirations and increased work at breathing 2. Seen most frequently in premature newborns
What is the Nursing care for Respiratory distress syndrome administration of surfactant, close assessment, and supportive care if mechanical ventilation is needed.
What are the manifestations of Transient tachypnea of the newborn? 1.usually develops from excess fluid in the lungs 2.infant breaths normally at birth, but develops symptoms of respiratory distress by 4-6 hours of age.
What is the nursing care for Transient tachypnea of the newborn? initiating oxygen therapy and restricting oral feedings until respiratory status improves
What are the manifestations of Meconium aspiration syndrome? 1.s/s of respiratory distress beginning at birth 2.Can depend upon the amount of meconium that is aspirated and the activity level of the newborn.
What is the INITIAL nursing care for Meconium aspiration syndrome? 1.If infant is vigorous even in presence of meconium- no subsequent special resuscitation 2. If infant has absent or depressed RR, HR less than 100 bpm, or poor muscle tone - direct suctioning by specially trained personnel. 3. Lavage with NS
What happens AFTER the initial nursing care of Meconium aspiration syndrome? 1.ongoing assessment for s/s of respiratory distress 2.Supportive care of the infant requiring mechanical ventilation
Discuss the selected metabolic abnormalities (including cold stress and hypoglycemia) effects on the newborn Cold stress sets up the chain of physiologic events of hypoglycemia, pulmonary vasoconstriction, hyperbilirubinemia, respiratory distress, and metabolic acidosis.
What are the Nursing interventions for the selected abnormalities ( including cold stress and hypoglycemia)? 1. Keep infant warmed during any transport 2. observe for any signs of hypoglycemia 3. Have infant go to breast or feed early in neonatal period. 4. Assess blood glucose frequently
What are the most common signs of newborn sepsis? 1.Lethargy or irritability 2.Pallor or duskiness 3. Hypothermia 4. Feeding intolerance 5. Hyperbilirubinemia 6. Tachycardia, bradycardia, or apneic spells
What is the nursing care of the newborn with an infection? 1.Obtain cultures before antibiotic therapy starts 2. Carry out laboratory sepsis workup 3. Administer antibiotics as prescribed
The supportive care of the newborn with an infection should include? 1. NTE 2. Respiratory and Cardiovascular support 3. nutrition support 4. Monitor fluid and electrolyte homeostasis 5. observe for complications
What is the care for the infant in the neonatal period with the possibility of the tranmission of gonorrhea and Chlamydia? All infants receive eye prophylaxis with ophthalamic antibiotic due to the possiblity of transmission during the birth process.
What is the care for the infant in the neonatal period when the mother has syphillis? Requires that the infant is isolated from other newborns and recieve antibiotics at birth.
What is the care for the infant in the neonatal period when the mother has herpes virus infection? administration of IV antiviral medications in the immediate newborn period, as well as multiple cultures (skin, spinal fluid)
What is another care of the infant in neonatal period? TORCH syndrome protection
Interventions to facilitate parental attachment and meet the special initial and long- term needs of parents of at- risk infants 1. Assess parents level of understanding of the infants problem. Need to understand problem and treatments 2. Prepare and facilitate the parents view of the infant 3. Promote touching and facilitate parental participation in the care of the infant.
More interventions to facilitate parental attachment and meet the special initial and long-term needs of parents of at- risk infants. 1. Ensure parents understand routine well baby care, normal growth and development,and have a referel for normal infant screenin procedures. 2. Have medical folllow up arranged 3. Facilitate parental adjustments to infants special needs
Created by: Jaycee420