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What are some Assessment findings for MAS? -
ANSWER-Meconium - stained amniotic fluid (Greenish)
Meconium visualized below the vocal cords
Greenish or yellowish discoloration of the skin, nail beds,
and umbilical cord
Low Apgar scores
Signs of respiratory distress
** Don't stimulate baby
,What Nursing actions do we take if a child has MAS? -
ANSWER-sessment of neonate (Respiratory distress,
cyanosis, discoloration of skin)
Administer oxygen as ordered
Maintain pulse oximetry
Assist with suctioning if warranted
Monitor blood glucose as ordered
Maintain a neutral thermal environment
Inform parents of condition
What are the doctors responsibilities for a newborn with
MAS? - ANSWER-Suctioning both the orno pharnx and
trachopharnx
,May do arterial blood gasses or chest X ray, Blood
Glucose monitoring, O2 therapy, Surfactant Therapy, and
antibiotics to treat the pneumonia
Define TTNB - ANSWER-Transient Tachypena of the
Newborn
Mild, Self limiting disorder of term and near-term infants
lasting 12 to greater than 72 hours
Fluid filled lungs that is more commonly seen in Cesarean
births, prolonged labor, and macrosomia
What are some Symptoms of TTNB?
What are some actions that a nurse would take -
ANSWER-Retractions ; Grunting; Cyanosis
, Administering oxygen as warranted
Ensuring warmth
Observing respiratory status
Understanding that this is a benign condition and time will
allow fluid to be removed
Define Hypoglycemia in a newborn - ANSWER-Common
in large for gestation age (LGA) babies, diabetic mothers,
small for gestational age (SGA) babies, and preterm
babies
Fetus is exposed to increase amount of glucose if mother
is diabetic. The fetus in return produces high levels of
insulin