Neonatal Jaundice

These conditions make newborns are at risk because Infants have more skin surface per pound of body weight than older children or adults, more skin means more radiant heat and more insensible water loss. Less brown fat and glycogen stores decreased ability to maintain flexion increased body surface area compared to weight.

Jaundice can be explained using a proximate explanation as a yellowing of the skin and eyes due to excess bilirubin. Bilirubin is a product of the breakdown of haemoglobin. It is made water soluble in the liver before being excreted into bile. [6] So bilirubin appears to be a useless waste product. It is only by looking at the evolutionary explanation for it that we understand its true value. Bilirubin is an antioxidant that protects against oxidative damage that leads to aging. High bilirubin levels have similarly been associated with a lower rate of heart attacks. Haem is first converted to biliverdin, then a reaction catalysed by biliverdin reductase produces bilirubin. Dangerous oxygen radicals react with bilirubin, preventing cell death.

Today I will inform you about the everyday obligations of neonatal nurses, the explanations of deficiency of staff and the impacts a sufficient number of neonatal nurses can cause in a baby’s life.

There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.

2. help if the child is vomiting provide a quite place for them to lie down.

Infection may occur in the child receiving treatment. The nurse can assess the child for general malaise, dehydration, seizures and fever to help diagnosis an infection. Labs will also be drawn to help identify the source of infection. Broad spectrum antibiotics are used right away and the child’s temperature is monitored closely. The nurse will educate the parents on keeping the child away from crowds when they are sick and encourage good handwashing.

     Some women choose not to breast-feed because they have heard the common myth that breast-feeding causes jaundice, or excess bilirubin in the skin that causes a baby to look yellow (Lim 70). This belief is unfounded. Breast-feeding is actually the best thing that you could do for a jaundice baby because colostrum, the rich fluid that comes in before your milk, actually acts as a laxative to help the baby pass meconium, a baby’s first bowel movement, which is high in bilirubin (Lim 70).

The ages for attending range from six weeks old to 20 years old depending on medical needs. Furthermore, while at the center, they can receive medications, daily needs such as suctioning and other nursing skills. Therapies are also implemented by staff in addition to therapies worked with a therapist, such as physical, speech, occupational, behavioral therapies and developmental interventions. Additionally, this also allows parents to feel better about their child receiving the best care that they can to help them advance. Health care providers are able to ensure that their patients are monitored thoroughly and are informed on any changes in their health that have been discovered by nursing staff. Providers also give orders for nursing staff to follow through a plan of treatment updated every three months. Additionally, this program works a therapy company to come in and evaluate and work with kids ,with parents' permission, but they also allow other therapist that they child is seeing to come in and see the child at the center. Additionally, with a staffed teacher, some children have homebound teachers see them at The Kidz Club. This program strives to provide kids who attended with all the things they need to progress both physically and

Premature babies typically have underdeveloped respiratory systems and problems maintaining body heat, so they may be kept on a respirator or in an incubator. Although the neonatal period is the first month after birth, these nurses often care for children up to age 2 who have long-term medical issues. While their primary focus is the health of the babies, neonatal nurses obviously will spend a lot of time with anxious parents who are visiting their children in the NICU and must be able to calmly and clearly explain the babies illnesses and treatment, as well as involve the parents in their

Labor and delivery nurses not only get to assist in delivery, but they get to help care for babies after delivery. After birth, the baby’s umbilical cord must be cut. Typically, the father of the baby will cut the cord, but if the cord is wrapped around the baby’s neck, it can restrict blood flow and must be cut immediately (Winder). The doctor must take charge and free the baby from choking by cutting the cord as quickly as possible. The nurse must remain calm and be ready to quickly check the baby to make sure everything is looking healthy. They must check its heart beat, clean out its nose and mouth, make sure it is breathing normally, make sure it has all ten fingers and toes, and check the weight and length of the baby (What Can I Do Now? Nursing

NICU Nurses are responsible for care of infants who may be diagnosed with diseases, delivery complications and, the one we see most, prematurity. They develop nursing care plans and assess, plan, implement, and evaluate the effectiveness of treatments in these plans. On

The APN leader interviewed for this paper is a Board Certified Nurse Practitioner (CNP), Chery Arnett works in the Neonatal Intensive Care Unit for Memorial Hospital of Carbondale. She began as a registered nurse in 1981, then in 2001earned her CNP title. She manages and cares for the ill neonate, collaborates with Neonatologist and Pediatricians to improve overall health outcomes. She provides support and assists ventilation, assists with deliveries both “normal” and high risk infants, provides care for the healthy newborns, also providing guidance to parents for caring for the “neonate” or healthy newborns. She is also responsible for assessments, orders, treatment plans, medications, and discharge of the infant. CNP’s provide initial, ongoing and comprehensive care, including managing patients with acute and chronic illness and diseases for both premature infants and term infants.

Similarly, birth triggers a major transformation in nutritional pathways and metabolism of the newborn. At a time when nutritional needs are high (per unit body weight higher than at any other time after birth) the newborn must abruptly begin to swallow, digest, and absorb a variety of complex proteins, lipids, and carbohydrates. No longer are readily available simple substrates provided by the mother via the placenta.

A lot of these problems seen in formula feed babies are due to the fact that the particular composition of the formula doesn’t suit their digestive system. Breast milk consists of the optimum proportions of fats, carbohydrates, proteins, vitamins, minerals and water. It is extremely digestible for a new-born baby because the milk is naturally refined to perfectly suit the baby’s digestive system. The milk also contains growth factors such as, epidermal growth factor (EGR) and insulin-like growth factor. The epidermal growth factor works by helping to prepare the lining of the gut to absorb the nutrients from the milk consumed. Insulin-like growth factor is believed to be one of the primary factors regulating early growth and development. Breast milk also contains essential fatty acids that are not present in most formula milk products. The two essential fatty acids present in breast milk are docosahexaenoic acid and arachidonis acid. Both of these play a vital role in optimal development of the central nervous system, intellectual and visual development in babies. Furthermore, one of the most prominent advantages associated with breast feeding over formula feeding babies is that, breast milk naturally changes composition to correspond to the stage of development of the infant. For example, colostrum is the name given to the first milk produced post-delivery. It has an abundance of white cells and antibodies, it also contains a

The nurse would want to ensure adequate nutrition for the baby and preventing aspiration or infection