COLLABORATIVE_PROBLEMS_of_NEWBORN[1]

COLLABORATIVE_PROBLEMS_of_NEWBORN[1] - COLLABORATIVE...

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Unformatted text preview: COLLABORATIVE PROBLEMS of the NEWBORN Dysmaturity Syndrome Placental function deterioration in postterm pregnancies which causes interference w/oxygen & nutrient supply. This results in hypoxia & malnourishment in the fetus. Also known as postmaturity syndrome 6-12% of pregnancies go postterm postterm infants have a 2-3 x higher perinatal mortality rate than infants born at term major concern is how well placenta functions during the last wks of pregnancy Postmature Infants o Look like babies who are 1-3 weeks old o Skin is typically dry and cracked o May have long hair and nails. o May have meconium stained finger nails d/t meconium release in utero. o May weigh more than a term infant, but often appear physically wasted . They can look malnourished d/t uteroplacental insufficiency. o Lack of SQ fat due to intrauterine deprivation (poorly functioning placenta). Placenta is old, becomes calcified. o Prone to meconium aspiration syndrome: if baby gets hypoxic (from aged placenta), rectal sphincter relaxes causing meconium release. May give amnio infusion to reduce effects of meconium aspiration. o Post term infants with oligohydramnios are prone to cord compression o Prone to problems associated with their macrosomia (shoulder dystocia, prolonged birth)---------------------------------------------------------------------------------------------- Preterm Infants Account for the largest # of admissions to NICU Typically very small, minimal SQ fat (brown fat) Immaturity affects every body system More prone to ineffective thermoregulatio n: d/t minimal brown fat. Also have friable (easily broken or pulverized) capillaries. Poor muscle tone. More prone to respiratory distress : caused by insufficient production of surfactant, which is needed to keep alveoli open during exhalation. Periodic breathing with 5-10 seconds of respiratory pauses is normal. More prone to hyperbilirubinemia More prone to hypoglycemia---------------------------------------------------------------------------------------------- Kangaroo Care Method of providing skin-to-skin contact between preterm infants and their parents. Begin ASAP. Infant, wearing only a diaper and hat, is placed under the mothers clothes between her breasts. Increases attachment. Infants better able to maintain temperature. Also, more stable heart rates and oxygen saturation levels. Found safe for stable infants, even if intubated. May breastfeed if they wish & if infant is able 1---------------------------------------------------------------------------------------------- Bilirubin Although newborns liver is able to conjugate bilirubin, it may not be mature enough to prevent development of jaundice during the first week of life....
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COLLABORATIVE_PROBLEMS_of_NEWBORN[1] - COLLABORATIVE...

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