Page 830 - Saunders Comprehensive Review For NCLEX-RN

corticosteroids.
XIII. Transient Tachypnea of the Newborn
A. Description

1. Respiratory condition that results from

incomplete reabsorption of fetal lung fluid in full-
term newborns
2. Usually disappears within 24 to 48 hours
B. Assessment
1. Tachypnea
2. Expiratory grunting
3. Retractions
4. Nasal flaring
5. Fluid breath sounds per auscultation
6. Cyanosis
C. Interventions
1. Supportive care
2. Oxygen administration
XIV. Intraventricular Hemorrhage
A. Description
1. Bleeding within the ventricles of the brain
2. Risk factors include prematurity, respiratory distress
syndrome, trauma, and asphyxia.
B. Assessment: Diminished or absent Moro reflex, lethargy, apnea,
poor feeding, high-pitched shrill cry, seizure activity
C. Interventions: Supportive treatment
XV. Retinopathy of Prematurity
A. Description
1. Vascular disorder involving gradual replacement of
retina by fibrous tissue and blood vessels

2. Primarily caused by prematurity and use of

supplemental oxygen (> 30 days)
B. Assessment: Leukocoria (white tissue on the retrolental space),
vitreous hemorrhage, strabismus, cataracts (check for red reflex)
C. Interventions: Laser photocoagulation surgery
XVI. Necrotizing Enterocolitis (NEC)
A. Description
1. Acute inflammatory disease of the gastrointestinal
tract
2. Usually occurs 4 to 10 days after birth, and is most
frequently seen in preterm newborns

B. Assessment: Increased abdominal girth, decreased or

absent bowel sounds, bowel loop distention, vomiting, bile-stained
emesis, abdominal tenderness, occult blood in stool
C. Prevention

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