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JAUNDICE (Chow, Ateah, Scott, Ricci, & Kyle, 2013)

Teacher: W
Across
This lab test can detect hemolytic disease of a newborn
This is a type of jaundice is a normal manifestation of hyperbilirubinemia that presents itself on the third-fourth day of a neonates life.
The most common cause of pathological jaundice are......... which are typically either a result of an RH or ABO blood type incompatibility
This is a treatment option for jaundice when extensive phototherapy has not been effective. This needs to be done in an intensive care setting in order for nurses to constantly monitor for adverse reactions, as well as assessing vital signs and for electrolyte imbalances
Hyperbilirubinema is most common in the
Usually jaundice begins in the head then gradually spreads to the abdomen and ............ if not treated
This is a timely nursing responsibility that includes noting the time of onset of newborn jaundice. This crucial in detecting the difference between physiological and pathological jaundice
This medical condition causes break down of RBC's leading to higher serum bilirubin levels and is another cause of pathological jaundice
Newborns should only be removed from under phototherapy lights for this. It also promotes bonding between mother and infant in the early stage of life.
Monitor this Q3-4H.
Down
If bilirubin reaches toxic levels without intervention, this serious condition can occur
Encourage early and effective..... In order to prevent neonatal hypoglycemia, and to increase protein intake so that albumin levels can be maintained in order for bilirubin to be transferred to the liver
If a mother has type O blood and her body has naturally made anti-A or Anti-B antibodies over her lifespan and they cross the placenta during the first pregnancy, into the fetal circulation, this can occur as a result
Unconjugated or indirect bilirubin is fat-soluble and ..... to the body's tisues
Results when unconjugated bilirubin is deposited in the skin and mucous membranes
Bilirubin production increases after birth because of a shortened lifespan and increased mass of
If you are doing a nursing assessment of a newborn and suspect jaundice, when should you report it?
Fetal uncojugated bilirubin is normally cleared by the mothers liver and the inutero
You need to do this Q2H for newborns undergoing phototherapy to prevent skin excoriation and to maximize the area of skin being exposed to light
Part of the nursing assessment. In a well lit area, use physical pressure to blanch the skin over a ........ to detect the "yellow" colour of jaundice in a newborn
This develops if unconjugated bilirubin crosses the blood brain barrier.
Infants with delayed passage of................ have a higher chance of contracting physiological jaundice.