Maternal by Aja Tucker https://padlet.com/ajatucker03/9r4eer18g01p5kb9 en-us 2024-02-20 18:42:40 UTC 2024-02-21 20:17:11 UTC hello@padlet.com Patho ajatucker03 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889906741 Cold stress increases the need for oxygen, decreasing oxygen uptake by the lungs and oxygen to the tissues, and can deplete glucose stores.

]]> 2024-02-20 18:43:36 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889906741 Signs and Symptoms ajatucker03 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889906950 Cold infants may cry and appear restless.

  • Pale and mottled

  • Cool skin caused by increase in anaerobic glycolysis

  • decreased movement and alertness

  • poor feeding

  • respiratory rate increases and respiratory difficulty

  • oxygen consumption increases

  • pulmonary and peripheral vasoconstriction can occur

]]> 2024-02-20 18:43:49 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889906950 Complications ajatucker03 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889908117

  • Decrease in the PO2 and pH levels leading to metabolic acidosis.

  • Circumcision performed immediately after birth

  • hypoxia

  • hypoglycemia

    • ]]>     2024-02-20 18:44:48 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889908117     Risk factors/ Prevention ajatucker03 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889908346

  • Respiratory acidosis can happen and excessive fatty acid can displace the bilirubin and from the albumin binding sites and exacerbate hyperbilirubinemia.

  • Respiratory acidosis occurs from a lack of oxygen for an extended time.

    • ]]>     2024-02-20 18:45:03 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889908346     Nursing management ajatucker03 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889910012

  • Warm blanket to the baby

  • Keep baby skin to skin with mom

  • Place a cap on the baby's head

  • Place the baby under a radiant light if needed to promote thermoregulation.

    • ]]>     2024-02-20 18:46:31 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889910012     Patient Teaching ajatucker03 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889910199

  • Keep extra clothing handy in case you get wet and need to change.

  • Avoid touching cold metal or wet surfaces with bare skin.

  • Do not overheat the baby.

    • ]]>     2024-02-20 18:46:41 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889910199     Patho naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889913466

  • The liver is responsible for the conjugation of bilirubin, which results from the breakdown of RBC's.


    • ]]>     2024-02-20 18:49:31 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889913466     S/S & Labs naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889913851

  • Jaundice

  • Higher RBC mass at birth

  • Total serum bilirubin (TSB) level exceeds 6-7 mg/dL

    • ]]>     2024-02-20 18:49:53 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889913851     Complications naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889913986 2024-02-20 18:50:00 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889913986 Risk factors/ Prevention naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889914345 2024-02-20 18:50:12 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889914345 Nursing Management naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889914552

  • Preventing injury / progression of condition

  • Provide support/ appropriate information to family

    • ]]>     2024-02-20 18:50:21 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889914552     Pt Teaching naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889914666

  • It is important for patients who are receiving phototherapy to drink adequate fluids (breast milk). And should continue during phototherapy

    • ]]>     2024-02-20 18:50:27 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889914666     Eye Prophylaxis https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889915633 To prevent neonatal conjunctivitis (Inflammation caused by sexual transmitted bacteria acquired during passage through the mother’s birth canal.



    ]]>     2024-02-20 18:51:22 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889915633     Vitamin K Prophylaxis https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889915938 Vitamin K Prophylaxis- To prevent Vitamin K deficiency bleeding (VKDB)

    ]]>     2024-02-20 18:51:33 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889915938     Who gets the medications and when? https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889916248 Erythromycin is usually admin. Within the first 1 hour of birth or up to 2 hours until the first breastfeeding  (recommended for both C-section and vaginal delivery)

    Vit. K - recommend that every newborn receive a single dose of phytonadione delayed until after the first feeding


    ]]>     2024-02-20 18:51:50 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889916248     How are medications administered? https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889916513 Instillation of Medication into Eye of Newborn. Thumb and forefinger are used to open the eye; medication is placed in the lower conjunctiva from the inner to the outer canthus.

    A pair of gloved hands administering medication in the eyes of a newborn. One hand is opening the eye as the other hand holds the medicine tube above the eye while instilling it. 


    Vit. K- Admin. Through injection 


    ]]>     2024-02-20 18:52:07 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889916513     Patient Ed. https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889916787

    Erythromycin is given as a prophylactic measure to prevent any vision changes caused by sexually transmitted diseases the mother may have. And Vit. K is admin. Because the newborn is unable to establish a normal intestinal flora until 7  days of age. This reduces the chances of serious bleeding issues.


    Vit K.: encourage parents to use comfort measures for neonate such as skin-to-skin care before, during, and after injection.

    ]]>     2024-02-20 18:52:22 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889916787     Can parents refuse medication? https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889917002 Yes, parents are refusing vitamin K injections, related to concerns about synthetic or toxic ingredients, excessive dose, side effects, and pain with administration; a desire to be natural; or believing in alternative methods of prophylaxis.


    ]]>     2024-02-20 18:52:33 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889917002     Risk vs Benefits https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889917196 Risk: Vitamin K: Many facilities have refusal forms that outline the risks versus benefits for parents to sign if they choose to refuse vitamin K for their newborn. Male infants who do not receive the vitamin K injection are significantly more likely to bleed post-circumcision, and many providers will decline performing this procedure when the newborn has not received vitamin K


    ]]>     2024-02-20 18:52:44 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889917196     Patho Jaundice naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889946945 2024-02-20 19:18:18 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889946945 Physiologic Jaundice naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889947216 2024-02-20 19:18:31 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889947216 What to know if baby has high bilirubin and what to do naijones05 https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889955689 2024-02-20 19:25:43 UTC https://padlet.com/ajatucker03/9r4eer18g01p5kb9/wish/2889955689