over 30 diseases and conditions: ■ Phenylketonuria (PKU): ● Can’t break down/metabolize protein ● Prick the baby's heel place on strip ● Send to Columbus ● If positive immediate change in diet to avoid brain damage etc. ■ Hypothyroidism ■ Galactosemia ■ Sickle cell anemia ■ HIV (some states blind testing) ○ An example of PKU: Galactosemia ● NAS (neonatal abstinence syndrome) ○ Babies that are born exposed or addicted to drugs in utero ■ Heroin ■ Fentanyl ■ Cocaine ■ Methamphetamine ■ Ecstasy ■ Even high caffeine intake while pregnant ○ Babies can have: ■ High pitched cry ■ Lethargy ■ Sleeping problems ■ Feeding difficulties ■ Tremors ■ Diarrhea ○ Most facilities have an NAS assessment and scoring system ○ Based on the score you may give certain meds also based on what mom was abusing: ■ Risperdal ■ Morphine ■ Suboxone Maternity Nursing ● The Newborn is in a state of transition ● All body systems are transitioning ● The Registered Nurse consistently: ○ assesses for signs of stable transition and normalcy while identifying complications in newborn adaptations
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- Winter '17
- Deborah Cridor