newborn s/s

hypoglycemia

lethargy, tachycardia, resp. distress (apneic), jittery (tremors), hypothermia (temp instability), poor feeding, weak or high pitched cry (irritable), hypotonia, seizures

polycythemia

weak suck, ruddy, tachypnea, jaundice, lethargy, poor feeding, hypotonia, seizures

cold stress

cool to touch, cyanosis, RDS, lethargy, poor feed, weak cry, hypoglycemia

infection

apnea, poor feed, temp unstable, RDS, pale, hypoglycemia, tachycardia

(may be nonspecific): hypothermia, pallor, hypotonia, cyanosis, poor wt gain, irritable, seizures, jaundice, grunting, nasal flaring, apnea, bradycardia, lethargy, hypoglycemia, poor feeding, abdominal distention

transient tachypnea (TTN)

grunting, moaning, retractions, nasal flaring, mild cyanosis, rr 100-140

resp distress syndrome (RDS)

(same as TTN: grunting, moaning, retractions, nasal flaring, mild cyanosis, rr 100-140) AND crackles, HR 150-180, general cyanosis

meconium aspiration syndrome

(same as RDS): grunting, moaning, retractions, nasal flaring, mild cyanosis, rr 100-140 AND crackles, HR 150-180, general cyanosis

persistent pulmonary hypertension

grunting, moaning, retractions, nasal flaring, mild cyanosis, rr 100-140 AND crackles, HR 150-180, general cyanosis, ADD murmur, hypotension

bronchopulmonary dysplasia/chronic lung disease (COPD)

(same as RDS: grunting, moaning, retractions, nasal flaring, mild cyanosis, rr 100-140 AND crackles, HR 150-180, general cyanosis) AND: poor wt gain, bronchospasm, abnormal breath sounds, hypoxia, acidosis, high CO2 (hypercapnia), cardiomegaly, infiltrates

periventricular-intraventricular hemorrhage (IVH)

low hgb, low hct, pale, resp. distress, seizure, shock, tense ant. fontanelle, lethargy, weak suck, high pitch cry, hypotonia, bradycardia, hypotension, increase head circumference, “waxy” skin color

necrotizing enterocolitis

abdominal distension, tender, bile emesis, intolerance to feeding, lethargy, resp. distress, bloody stools

fetal alcohol syndrome

small head, small palpebral eyelid fissures, thin upper lip, low wt, short length, intellectual disability, poor suck, poor feed

substance abuse

agitated, jittery, poor wt gain, poor sleep, high pitch cry, resp distress

neonatal abstinence syndrome (withdrawal)

wakefulness (1-3 hrs of sleep), irritability, temperature variation, tachycardia, tremors, hyperactivity, high-pitched cry, hyperreflexia, hypertonus, diarrhea, diaphoresis, disorganized suck, resp. distress, rub marks, rhinorrhea, apneic attacks, autonomic dysfunction, wt loss or failure to gain wt, alkalosis (resp), lacrimation

dehydration

decreased urine output, sunken fontanels, elevated temp, lethargy, elevated resp