Table of Contents
Contributing Authors
Foreword
1 Fetal Assessment and Prenatal Diagnosis 1
2 Maternal Conditions that Affect the Fetus 9
Diabetes Mellitus 9
Thyroid Disorders 19
Preeclampsia and Related Conditions 29
3 Assessment of the Newborn 35
History and Physical Examination of the Newborn 35
Identifying the High-Risk Newborn and Evaluating Gestational Age, Prematurity, Postmaturity, Large-for-Gestational-Age, and Small-for-Gestational-Age 42
4 Resuscitation in the Delivery Room 57
5 Nursery Care of the Well Newborn 71
6 Care of the Extremely Low-Birth-Weight Infant 79
7 Multiple Births 87
8 Genetic Issues Presenting in the Nursery 95
9 Fluid and Electrolyte Management 101
10 Nutrition 115
11 Breastfeeding 139
12 Temperature Control 147
13 Neonatal Transport 151
14 Developmentally Supportive Care 159
15 Follow-Up of Very-Low-Birth-Weight Infants 163
16 Discharge Planning 169
17 Shock 181
18 Neonatal Hyperbilirubinemia 185
19 Drug Abuse and Withdrawal 223
20 Birth Trauma 237
21 Decision-Making and Ethical Dilemmas 247
22 Management of Neonatal Death and Bereavement Follow-Up 251
23 Infections 255
Viral Infections 255
Bacterial and Fungal Infections 287
Tuberculosis 313
Syphilis 321
Lyme Disease 327
Toxoplasmosis 330
24 Respiratory Disorders 341
Respiratory Distress Syndrome 341
Mechanical Ventilation 348
Blood Gas and Pulmonary Graphic Monitoring 361
ECMO 364
Pulmonary Air Leak 371
Persistent Pulmonary Hypertension of the Newborn 377
Transient Tachypnea of the Newborn 383
Pulmonary Hemorrhage 385
Apnea 388
Bronchopulmonary Dysplasia/Chronic Lung Disease 393
Meconium Aspiration 402
25 Cardiac Disorders 407
26 Hematologic Problems 461
Anemia 461
Bleeding 468
Polycythemia 475
Thrombocytopenia 479
Blood Products Used in the Newborn 487
Neonatal Thrombosis 492
27 Neurology 507
Neonatal Seizures 507
Intracranial Hemorrhage 523
Perinatal Asphyxia 536
Neural Tube Defects 555
28 Orthopedic Problems 565
29 Metabolic Problems 569
Hypoglycemia and Hyperglycemia 569
Hypocalcemia, Hypercalcemia, and Hypermagnesemia 579
Metabolic Bone Disease of Prematurity 589
Inborn Errors of Metabolism 591
30 Ambiguous Genitalia 607
31 Renal Conditions 621
32 Necrotizing Enterocolitis 643
33 Surgical Emergencies in the Newborn 651
34 Skin Care 669
35 Auditory and Ophthalmologic Problems 677
Retinopathy of Prematurity 677
Hearing Loss in Neonatal Intensive Care Unit Graduates 683
36 Common Neonatal Procedures 687
37 Management of Pain and Stress in the NICU 703
App. A Common NICU Medication Guidelines 717
App. B Effects of Maternal Drugs on the Fetus 749
App. C Maternal Medications and Breastfeeding 771
App. D Selected Chemistry Normal Values 781
Subject Index 783
Weight Table 819
Length Table 821
Temperature Table 823
This Spiral® Manual provides a practical approach to the diagnosis and medical management of newborns. Chapters cover maternal, fetal, and neonatal problems and common neonatal procedures. An outline format provides quick access to a large amount of information, and the outline headings are standardized in this edition. The updated coverage includes new information on fetal assessment, survival of premature infants, and perinatal asphyxia and new guidelines on neonatal jaundice.
The popular appendices include effects of maternal drugs on the fetus, maternal medications during lactation, and NICU medication guidelines. A neonatal dosing chart and intubation/sedation guidelines appear on the inside covers.
