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Flashcards in CH 27 Deck (16):
1

What are objective assessment findings of heroin withdrawal

Manifestations of neonatal abstinence syndrome- low birth weight, SGA, decreased Moro reflexes, and hypo or hyperthermia.

2

What are objective assessment findings of a newborn with methadone withdrawal

Manifestations of neonatal abstinence syndrome- increased tolerance of seizures, sleep pattern disturbances, higher birth weights, and higher risk of SIDS

3

What are objective assessment findings of a newborn with marijuana withdrawal

Preterm birth and mecomium staining

4

What are objective assessment findings of a newborn with amphetamine withdrawal

Preterm or SGA, drowsiness, jitteriness, sleep pattern disturbances, respiratory distress, frequent infections, poor weight gain,emotional disturbances, delayed growth and development.

5

What are objective assessment findings of a newborn with fetal alcohol syndrome

Facial anomalies include eyes with epicanthal folds, strabismus, ptosis, mouth with a poor suck, small teeth, and cleft lip or palate.
Deafness
Abnormal palmar creases and irregular hair
Heart defects such as tetralogy of fallout, and patent ductus arteriosis
Prenatal and post natal growth retardation

6

What are objective assessment findings of a newborn with opiate withdrawal

It can last for 2-3 weeks
Manifestations of neonatal abstinence syndrome- rapid changes in mood,hypersensitivity to noise and external stimuli, dehydration, and poor weight gain

7

What are lab tests to differentiate between neonatal drug withdrawal and central nervous system irritability

CBC
BLOOD GLUCOSE
CALCIUM, MAGNESIUM
THYROID STIMULATING HORMONE, THYROXINE, TRIIODOTHYRONINE
DRUG SCREEN OF,URINE OR MECOMIUM TO REVEAL THE AGENT USED BY THE MOTHER
HAIR ANALYSIS

8

What are diagnostic procedures for a neonate with FAS

Chest x Ray to rule out congenital heart defects

9

What are meds prescribed for the neonate with FAS

Phenobarbital ( Solfoton) {anticonvulsant}
It is prescribed to decrease CNS irritability and control seizures for newborns who have alcohol or opioid addiction.

10

What is hypoglycemia in a newborn

Serum glucose levels less than 40.

11

What newborns should be assesses for hypoglycemia

Those who are LGA or SGA

12

How does hypoglycemia differ from full term babies and preterm babies

Hypoglycemia occurring in the first 3 days of life is defined as a blood glucose less than 40.

Hypoglycemia in the preterm infant is described as a blood glucose level less than 25

13

What can untreated hypoglycemia result in

Seizures
Brain Damage and or death!!!!!!!!!

14

What are risk factors for hypoglycemia in the infant

Maternal DM
Preterm birth
LGA or SGA
stress at birth such as cold stress and asphyxia
Maternal epidural anesthesia

15

What are objective assessment findings of a newborn with hypoglycemia

Poor feeding, jitteriness/ tremors
Hypothermia, diaphoresis
Weak shrill cry
Lethargy
Flaccid muscle tone
Seizures/ coma
Irregular respirations
Cyanosis, apnea

16

How should a newborns blood glucose be checked

Heel stick