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The Care and Management of Neonates Experiencing Neonatal Abstinence Syndrome and the Role of the Advanced Practice Registered Nurse.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN-2024-0023
Caitlin Zahn
{"title":"The Care and Management of Neonates Experiencing Neonatal Abstinence Syndrome and the Role of the Advanced Practice Registered Nurse.","authors":"Caitlin Zahn","doi":"10.1891/NN-2024-0023","DOIUrl":"https://doi.org/10.1891/NN-2024-0023","url":null,"abstract":"<p><p>This article aims to provide a comprehensive description of the postnatal effects of drug exposure on neonates, including neonatal abstinence syndrome (NAS), and the neonatal advanced practice registered nurse (APRN)'s role in working with this vulnerable and marginalized population. Maternal substance use disorders (SUDs) are a significant epidemic in the United States and are a leading cause of infant admission to the NICU. Substance use disorders carry stigmas for individuals experiencing them. The opioid crisis has played a pivotal role, with opioids being the most used substance during pregnancy. Neonatal abstinence syndrome manifests as a multisystem disorder resulting from chronic exposure to illicit or prescribed substances in utero that are abruptly halted at delivery. Symptoms of NAS vary in severity depending on the substance type and duration of exposure. The neonatal APRN is in a unique position to have a positive impact on the care provided to neonates experiencing NAS and their mothers experiencing SUD.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"54-60"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Academy News.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN.44.1.news
Debbie Fraser, Rachel Joseph, Sheron Wagner, Sandra Hubbard, Stephanie Abbu, Kathryn Rudd
{"title":"Academy News.","authors":"Debbie Fraser, Rachel Joseph, Sheron Wagner, Sandra Hubbard, Stephanie Abbu, Kathryn Rudd","doi":"10.1891/NN.44.1.news","DOIUrl":"https://doi.org/10.1891/NN.44.1.news","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"70-76"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ambiguous Loss: Implications for Perinatal and Neonatal Nurses.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN-2024-0032
Rachel A Joseph, Mary Highton
{"title":"Ambiguous Loss: Implications for Perinatal and Neonatal Nurses.","authors":"Rachel A Joseph, Mary Highton","doi":"10.1891/NN-2024-0032","DOIUrl":"https://doi.org/10.1891/NN-2024-0032","url":null,"abstract":"<p><p>Death and grieving are regular events in the human lifecycle, and the rituals associated with the loss bring closure to dear ones. Ambiguous loss, a term coined by Pauline Boss, is a state in which there is no actual \"death\" and, therefore, no \"grieving\" or closure associated with it. Pregnancy is a happy event most of the time; however, the loss of pregnancy can be distressing to the parents. Additionally, a prenatal diagnosis can be an emotional burden to the family where the fetus is there, but an unknown loss is anticipated. While the birth of a child is expected to be a joyful event, premature birth and subsequent admission to the NICU for prolonged periods with fluctuating conditions force the parent to be in a constant crisis mode where the outcome is unknown. This can mentally, physically, and emotionally drain the parents and may cause depression or other mental health challenges. Perinatal and neonatal nurses are uniquely positioned to recognize the warning signs of emerging grief crises in the parents and support them appropriately. Such support can equip the parents for a healthy transition of care to home and help parents learn to live a healthy life despite the challenges.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"33-41"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
It Takes a Village….
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN-2024-0062
Debbie Fraser
{"title":"It Takes a Village….","authors":"Debbie Fraser","doi":"10.1891/NN-2024-0062","DOIUrl":"https://doi.org/10.1891/NN-2024-0062","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"5-6"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Basics of Neonatal Hyperbilirubinemia.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN-2024-0051
Megan Falke
{"title":"The Basics of Neonatal Hyperbilirubinemia.","authors":"Megan Falke","doi":"10.1891/NN-2024-0051","DOIUrl":"https://doi.org/10.1891/NN-2024-0051","url":null,"abstract":"<p><p>Neonatal jaundice is a common condition affecting four out of five healthy newborns, characterized by the yellowing of the skin due to elevated bilirubin levels. This condition, known as hyperbilirubinemia, is typically benign and transient when properly managed but may progress to severe complications such as kernicterus-a permanent neurologic condition-if untreated. Newborns are particularly susceptible to jaundice due to increased red blood cell turnover, immature liver enzymes, and delayed stooling patterns. Preventive measures during pregnancy, such as maternal blood typing and Rh immunoglobulin administration, can mitigate the risk of hemolytic conditions leading to jaundice. Early detection through bilirubin screening and prompt treatment, including phototherapy, are critical to preventing neurotoxicity. Recent updates to the American Academy of Pediatrics guidelines emphasize higher thresholds for intervention, stratified by gestational age and risk factors. Effective management relies on thorough assessment, parental education, and close postdischarge follow-up. Understanding the pathophysiology, risk factors, and treatment protocols enables health care providers to optimize outcomes and prevent long-term sequelae in affected infants. This article will provide an overview of neonatal jaundice and neonatal hyperbilirubinemia, focusing on its pathophysiology, diagnostic methods, and the most recent treatment guidelines. The aim is to provide this guidance to support the bedside NICU nursing practice.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"61-67"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Ins and Outs of Neonatal Dermatology.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN-2024-0030
Curry Bordelon, Colleen Moss, Lela Baker, Michele Savin
{"title":"The Ins and Outs of Neonatal Dermatology.","authors":"Curry Bordelon, Colleen Moss, Lela Baker, Michele Savin","doi":"10.1891/NN-2024-0030","DOIUrl":"https://doi.org/10.1891/NN-2024-0030","url":null,"abstract":"<p><p>In the field of neonatal care, the integrity of an infant's skin is paramount yet often underestimated. This article provides a comprehensive review of neonatal skin, illuminating the critical necessity for tailored care practices. The authors explore the developmental variances, highlighting the premature skin's vulnerability to external insults and its role in physiological processes, such as thermoregulation and barrier function. This review synthesizes current best practices in neonatal skin care, including hygiene, protection, and treatment protocols. Furthermore, it addresses common dermatological conditions in infants, providing insights into their identification, implications, and management strategies.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"7-19"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing Continuing Professional Development Activities: January/February 2025.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/0730-0832.44.1.68
{"title":"Nursing Continuing Professional Development Activities: January/February 2025.","authors":"","doi":"10.1891/0730-0832.44.1.68","DOIUrl":"https://doi.org/10.1891/0730-0832.44.1.68","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"68-69"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and Predictors of Problematic Feeding at 1, 3, and 6 Months Corrected Age in Preterm Infants Born Prior to 34 Weeks.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN-2024-0025
Britt F Pados, Grace Briceno, Victoria Feaster, Anna Pope, Michelle Chiu
{"title":"Prevalence and Predictors of Problematic Feeding at 1, 3, and 6 Months Corrected Age in Preterm Infants Born Prior to 34 Weeks.","authors":"Britt F Pados, Grace Briceno, Victoria Feaster, Anna Pope, Michelle Chiu","doi":"10.1891/NN-2024-0025","DOIUrl":"https://doi.org/10.1891/NN-2024-0025","url":null,"abstract":"<p><p>The purpose of this study is to describe the prevalence of problematic feeding in the first 6 months of life in infants born preterm, the impact of feeding problems on the family and parent, and explore which factors known at the time of neonatal discharge predict later symptoms of problematic feeding. The study design is a longitudinal, observational study. The sample included 43 infants born at 28.3 (23.57-33.86) weeks postmenstrual age at 1, 3, and 6 months corrected gestational age. The Infant Eating Assessment Tool and Feeding Impact Scales provided the main outcome variables. Prevalence of problematic feeding was 64% at 1 month, 66% at 3 months, and 29% at 6 months. Diagnosis of gastroesophageal reflux disease while in the NICU was the greatest predictor of problematic feeding in the first 6 months. Families and parents were more negatively impacted when their infant had problematic feeding.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"42-53"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sweating It Out: When Meconium Ileus Is Not Cystic Fibrosis-A Case Report.
IF 0.6
Neonatal Network Pub Date : 2025-03-01 DOI: 10.1891/NN-2024-0033
Mary Beth Whalen, Tiffany Gwartney
{"title":"Sweating It Out: When Meconium Ileus Is Not Cystic Fibrosis-A Case Report.","authors":"Mary Beth Whalen, Tiffany Gwartney","doi":"10.1891/NN-2024-0033","DOIUrl":"https://doi.org/10.1891/NN-2024-0033","url":null,"abstract":"<p><p>Meconium ileus (MI) is the result of the accumulation of thick, dry, inspissated meconium that creates a bowel blockage, most commonly in the terminal ileum. These pockets of meconium prevent passage of stool beyond the point of obstruction, which leads to distention of the proximal bowel, bowel wall thickening, and distal microcolon. Occurring most commonly (90%) in conjunction with cystic fibrosis (CF), the occurrence of MI without CF is rare. The literature describes the incidence of MI associated with CF occurring in as many as 24.9% of those who have a pair (homozygous) of the most common CF gene mutation, Delta F508. The incidence of MI decreases with other CF mutations, of which there are over 2,000. The morbidity and mortality risks are related to whether the MI is simple or complex. Simple MI can be managed clinically with contrast enemas to relieve the obstruction and restore bowel function, while complex MI requires surgical intervention for possible bowel necrosis, perforation, peritonitis, strictures, and/or volvulus that can occur in utero or after birth. This article presents a case report of a 32-week-gestation female infant with gross abdominal distention beginning on day of life 1. The differential diagnosis, necessary testing, and required treatment that led to the final diagnosis will be presented. Additionally, radiographic modalities used to confirm the diagnosis are discussed. Finally, nursing management of the infant with simple or complex MI and short- and long-term challenges for infants and their families will be addressed.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 1","pages":"20-32"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concerns about NICU Infants and Sleep. 对新生儿重症监护病房婴儿和睡眠的关注。
IF 0.6
Neonatal Network Pub Date : 2024-12-01 DOI: 10.1891/NN-2024-0017
Deborah Discenza
{"title":"Concerns about NICU Infants and Sleep.","authors":"Deborah Discenza","doi":"10.1891/NN-2024-0017","DOIUrl":"10.1891/NN-2024-0017","url":null,"abstract":"<p><p>As a NICU parent, I was always wondering how my daughter could sleep through all of the noise in the NICU what with her very early birth. I was already concerned about her developmental outcomes due to the birth itself, but the alarms and noise in the NICU gave me incredible pause. So when I found about DREAMIES, a product that helps muffle the noise not only in the NICU but during transport and during an MRI, I was amazed.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 6","pages":"384-386"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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