NUR 413 Lecture Notes - Lecture 5: Placental Abruption, Preterm Birth, Complications Of Pregnancy

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Born early <37 weeks: #1 cause of death in infants. Maternal infection or illness: diabetes, hiv, herpes. Exposure to environmental dangers: chemicals, drugs. Pregnancy complications: preterm labor, placental abruption, preeclampsia. Inborn errors of metabolism: pku, galactosemia. Neonatal transition requires spontaneous breathing & successful cardiopulmonary changes, as well as other changes to independent organ system functions. Rapidly identify infants whose transition from an intrauterine to extrauterine physiology is delayed: birth asphyxia, prematurity, congenital malformations. Monday, march 9, 2020: maternal analgesia, illness. 20% of all babies in us are born in level iii hospital. L&d nurse is solely responsible for newborn. This is so we can manage complex, at risk newborns. Complications of pregnancy that most frequently require a complex resuscitation by skilled personnel: perinatal asphyxia, extreme prematurity. Half of newborn deaths occur in 1st 24 hrs following birth: extremely premature infants. All personnel involved in delivery room care of the newborn should be trained adequately in all aspects of neonatal resuscitation.

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