Newborn Jaundice

Spleen

Stomach

Lymphocytes

Liver

Platelets

Erythrocytes

Neutrophils

Pancreas

FILL IN THE BLANKS GAME

Physiological jaundice is caused by the high breakdown count of what kind of fetal cells, leading to the release of heme and globin causing the accumulation of bilirubin?

Lymphocytes

Erythrocytes

2. Pathological jaundice can be caused by immature ___________function, leading to a reduced ability of the newborn to convert indirect bilirubin into direct bilirubin leading to elevated serum bilirubin levels..

liver

First 2-3 days

First 2-3 days

First week

First month

First 24 hours

First 24 hours

First week

First month

FILL IN THE BLANKS GAME

Physiological jaundice is self-resolving and typically appears within the _____________ of birth.

first 2-3 days

Pathological Jaundice is not self-resolving and typically appears within the _____________ of birth.

first 24 hours

Magic

Neurons

1 mg/dL

15 mg/dL

5 mg/dL

Thyroid gland

Liver cells

Pancreatic cells

8 mg/dL

FILL IN THE BLANKS GAME

Elevated indirect bilirubin levels are dangerous; if enough accumulates in the bloodstream it can permanently damage ________.

neurons

What level of serum bilirubin does it begin to permeate through the blood vessels outside the circulatory system giving infants the yellow skin complexion associated with jaundice?

INVADERS

INVADERS

BABY

PRESS START

What is the most common symptom of jaundice in newborn?

OF 5

LEVEL 1

1

yellowing of the skin

low birth weight

yellow eyes

2

3

X

What is a sign of pathological jaundice?

OF 5

LEVEL 2

1

cyanosis

dark colored stools

dark colored urine

2

3

X

In newborns with darker skin, signs of jaundice would most often be notice in the:

OF 5

LEVEL 3

1

gums

skin

ears

2

3

X

Symptoms of jaundice incldue:

OF 5

LEVEL 4

1

tremors

fever

weight gain

2

3

X

Newborns with jaundice begin to show yellow skin first at the:

OF 5

LEVEL 5

1

abdomen

extremitites

face

2

3

X

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QUIZ

start

TRIVIAL

Newborn Jaundice MEdications

Explanation

Phototherapy causes excessive insensible water loss that can lead to dehyration. Dehyrdation causes bilirubin levels to rise. Healthcare workers should increase oral feeding to combat this loss

Explanation

One of the main concerns for neonates is hypoglycemia. Given that newborns already lose weight after birth and that those with jaundice have poor appetite, IV glucose can help combat this outcome.

Explanation

This medication blocks maternal antibodies from attacking the newborns RBC's and thus reduces the newborn's need for additional interventions

Explanation

When serum bilirubin levels reach between 12 - 20 mg/dL, brain damage could result. Exchange blood transfusions are performed when phototherapy does not lower the serum bilirubin, or is used in conjunction with phototherapy when the newborn is experiencing a hemolytic disease as a result of blood incompatability with the maternal blood.

Solution

120 mL/kg/day * 3015 g * 1 kg/ 1000 g * 1 day/ 24 hr = 15.075 mL/hr = 15 mL/hr

Solution

(0.5 g)/kg * (1 kg)/(1000 g)* 2620 g = 1.31 g over 2 hours1.31 g/ 2 hr = 0.66 g/hr

End of the quiz!

In

level up.

What would you assess in a newborn with jaundice?

WBC's

SP02

BUN

poop

intercostal retractions

urine

fingernails

bilirubin levels

RR

retinopathy

eyes

skin

RBC's

HR

diaper weight

Regular monitoring of bilirubin levels, observe infant skin and eyes for yellowing, monitor urine and stool for changes

Solución

In

level up.

temperature

What are the areas of focus during phototherapy administration?

AND

SP02

BUN

poop

intercostal retractions

urine

fingernails

bilirubin levels

protection

retinopathy

eye

skin

RBC's

HR

diaper weight

Skin temperature AND eye protection

Solución

In

level up.

What should you educate parents on?

temperature

SP02

complications

poop

frequent feeding

urine

fingernails

bilirubin levels

home care

retinopathy

eye

disease

RBC's

HR

signs and symptoms

Disease, signs and symptoms, complications, home care, frequent feeding

Solución