Neonatal Jaundice::: is always pathologic if it appears before the first 24 hours... physiologic jaundice occurs after the first 24 hours... Coombs negative, unconjugated hyperbilirubinemia should be suspicious for G6PD in babies less than 24 hours old
Necrotizing enterocolitis (NEC) is a medical condition primarily seen in premature infants, where portions of the bowel undergo necrosis (tissue death). It occurs post-natally (i.e., is not seen in stillborn infants) and is the second most common cause of morbidity in premature infants. Insert NGT, keep NPO, observe for 24-48 hrs. ABT and IV fluids. TPN. Careful hand washing, avoid tight diapers, handle infant carefully.
Peds - APGAR score. Sample NCLEX question: The nurse observes that 1 minute after a newborn is delivered the heart rate is 124, central color is pink, hands are blue, moderate flexion is noted on the upper and lower extremities, cry is vigorous, and there is a slight response to a foot tap. What Apgar score should the nurse assign to the newborn? (A: 7) I wish the chart came with the test :/
Hypertension in Pregnancy... Hypertension BEFORE 20 weeks gestation or that lasts longer than 12 weeks postpartum is PRIMARY HYPERTENSION... Gestational HTN is after 20 weeks... Pre-eclampsia is after 20 weeks with proteinuria or end organ damage