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Neonatology for primary care 1st Edition Deborah E.
Campbell (Editor) Digital Instant Download
Author(s): Deborah E. Campbell (editor)
ISBN(s): 9781581108200, 1581108206
Edition: 1
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Year: 2014
Language: english
Neonatology
Neonatology
FOR PRIMARY CARE
Editor: Deborah E. Campbell, MD, FAAP
Neonatology
FOR PRIMARY CARE
The scope of pediatric primary care has expanded as advances in prenatal, Editor
neonatal, and pediatric specialty care have improved survival among prema-
ture and low-birth-weight infants, as well as management of congenital dis
Deborah E. Campbell, MD, FAAP
orders, birth defects, and maternal conditions affecting the newborn.
Designed as an action-oriented working tool, Neonatology for Primary Care
provides the essential core of practical knowledge that pediatricians, family
practitioners, residents, pediatric nurse practitioners, and medical students
FOR PRIMARY CARE
need to deliver optimal care to all neonates.
The content covers the continuum of care from delivery through hospitali
zation and discharge for the healthy term and late preterm infant, as well as
the infant who requires specialized neonatal intensive care.
Neonatology for Primary Care contains evidence-based practice recommen
dations and provides tools to support the in-hospital and after-hospital
community pediatric care for healthy and at-risk infants.
Features step-by-step recommendations on what to do, when to admit, and
when to refer.
Thirty-six chapters feature comprehensive coverage of
• Perinatal preventive care
• Routine care issues
• Assessment and physical examination of the newborn
• Neonatal medical conditions
• Caring for the high-risk infant
• Neonatal outcomes
• Medical-legal considerations
• Support for families during perinatal illness and death
An ideal resource for pediatricians, family physicians, medical students, CAMPBELL
residents, residency program directors, physician assistants, pediatric nurse
practitioners, and nurses.
For other neonatal and pediatric
resources, visit the American Academy
of Pediatrics at shop.aap.org.
AAP
American Academy of Pediatrics
Neonatology
FOR PRIMARY CARE
Deborah E. Campbell, MD, FAAP
Editor
Professor of Clinical Pediatrics
Chief, Division of Neonatology
Department of Pediatrics
The Children’s Hospital at Montefiore
Albert Einstein College of Medicine
Bronx, New York
American Academy of Pediatrics Department of Marketing and Publications Staff
Maureen DeRosa, MPA, Director, Department of Marketing and Publications
Mark Grimes, Director, Division of Product Development
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Published by the American Academy of Pediatrics
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Library of Congress Control Number: 2014944612
ISBN: 978-1-58110-817-0
eBook: 978-1-58110-820-0
MA0677
The recommendations in this publication do not indicate an exclusive course of treatment or serve as a
standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
Every effort has been made to ensure that the drug selection and dosage set forth in this text are in
accordance with the current recommendations and practice at the time of publication. It is the respon-
sibility of the health care provider to check the package insert of each drug for any change in indications
and dosage and for added warnings and precautions.
The mention of product names in this publication is for informational purposes only and does not imply
endorsement by the American Academy of Pediatrics.
The American Academy of Pediatrics is not responsible for the content of the resources mentioned in
this publication. Web site addresses are as current as possible, but may change at any time.
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have inadvertently overlooked any, they will be pleased to make the necessary arrangements at the
first opportunity.
Copyright © 2015 American Academy of Pediatrics. All rights reserved. No part of this publication may
be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without prior permission from the publisher.
Printed in the United States of America.
9-348/0814
1 2 3 4 5 6 7 8 9 10
Contributors
Darius J. Adams, MD Felix Banadera, MD
Director, Personalized Genomic Assistant Professor
Medicine Division of Neonatal-Perinatal
Atlantic Health System Medicine, Department of Pediatrics
Division Head of Genetics and University of Florida College of
Metabolism Medicine–Jacksonville
Goryeb Children’s Hospital Jacksonville, Florida
Morristown, New Jersey 23: Prenatal Drug Use: Neonatal Effects
25: Specific Congenital Metabolic and the Drug Withdrawal Syndrome
Diseases
Judy C. Bernbaum, MD, FAAP
Mohamed Farooq Ahamed, MD, Director, Neonatal Follow-up Program
FAAP The Children’s Hospital of Philadelphia
Fellow Professor of Pediatrics
Department of Pediatrics, Division of The Perelman School of Medicine of the
Neonatology University of Pennsylvania
Montefiore Medical Center Department of Pediatrics/Division of
Bronx, New York General Pediatrics
27: Surgical Emergencies of the Chest The Children’s Hospital of Philadelphia
and Abdomen in the Newborn Philadelphia, Pennsylvania
33: Follow-up Care of the Graduate from
Neil Joseph B. Alviedo, MD Neonatal Intensive Care
Assistant Professor 34: Health and Developmental
Division of Neonatal-Perinatal Outcomes of Very Preterm and Very
Medicine, Department of Pediatrics Low-Birth-Weight Infants
University of Florida College of
Medicine–Jacksonville Diane E. Bloomfield, MD, FAAP
Jacksonville, Florida Assistant Professor of Pediatrics
23: Prenatal Drug Use: Neonatal Effects Albert Einstein College of Medicine
and the Drug Withdrawal Syndrome Medical Director, Family Care Center at
Montefiore, General Pediatrics
Peter A. M. Auld, MD Montefiore Medical Center
New York, New York Bronx, New York
2: Assisted Reproductive Technologies, 6: Care of the Newborn After Delivery
Multiple Births, and Pregnancy
Outcomes
iii
CONTRIBUTORS
iv
Luc P. Brion, MD, FAAP 35: Health and Developmental
Professor of Pediatrics Outcomes of Selected Medically
Division of Neonatal-Perinatal Medicine Complex Neonates
University of Texas Southwestern 36: Support for Families Whose Infant Is
Medical Center Sick or Dying
Dallas, Texas
18: Neonatal Jaundice Sarah Chambers, MD
Director, Fetal Heart Program
Christie J. Bruno, DO, FAAP Assistant Professor of Pediatrics
Assistant Professor of Pediatrics Division of Pediatric Cardiology
Albert Einstein College of Medicine The Children’s Hospital at Montefiore
Attending Neonatologist Bronx, New York
Department of Pediatrics 35: Health and Developmental
Division of Neonatology Outcomes of Selected Medically
The Children’s Hospital at Montefiore Complex Neonates
Bronx, New York
2: Assisted Reproductive Technologies, Amy Yuntzu-Yen Chen, MD, FAAD
Multiple Births, and Pregnancy Assistant Professor of Dermatology
Outcomes Department of Dermatology
Boston University School of Medicine
Deborah E. Campbell, MD, FAAP Boston, Massachusetts
Professor of Clinical Pediatrics 14: Neonatal Skin
Chief, Division of Neonatology
Department of Pediatrics Josef Misael Cortez, MD
The Children’s Hospital at Montefiore Assistant Professor
Albert Einstein College of Medicine Division of Neonatal–Perinatal
Bronx, New York Medicine
5: Prenatal Pediatric Visit Department of Pediatrics
9: Care of the Late Preterm Infant Wayne State University
11: Follow-up Care of the Healthy Detroit, Michigan
Newborn 23: Prenatal Drug Use: Neonatal
12: Maternal Medical History Effects and the Drug Withdrawal
13 Physical Examination of the Newborn Syndrome
16: Postnatal Assessment of Common
Viral A. Dave, MD
Prenatal Sonographic Findings
Assistant Professor of Pediatrics
31: Continuing Care of the Infant After
Section of Neonatology
Transfer From Neonatal Intensive Care
Department of Pediatrics
32: Discharge Planning for the High-Risk
Texas Children’s Hospital and Baylor
Newborn Requiring Intensive Care
College of Medicine
34: Health and Developmental
Houston, Texas
Outcomes of Very Preterm and Very
9: Care of the Late Preterm Infant
Low-Birth-Weight Infants
CONTRIBUTORS
v
Lilia C. De Jesus, MD M. Catherine Driscoll, MD
Clinical Assistant Professor of Professor of Clinical Pediatrics
Pediatrics Department of Pediatrics
Department of Pediatrics/Neonatology Division of Hematology–Oncology
Division Albert Einstein College of Medicine
UCSF Benioff Children’s Hospital The Children’s Hospital at Montefiore
San Francisco, California Bronx, New York
23: Prenatal Drug Use: Neonatal 22: The Newborn With Hematologic
Effects and the Drug Withdrawal Abnormalities
Syndrome
Marian Earls, MD, FAAP
Sonia Dela Cruz-Rivera, MD Clinical Professor of Pediatrics
Attending Pediatrician, Assistant University of North Carolina Medical
Clinical Professor School
Montefiore Medical Center, Albert Chapel Hill, North Carolina
Einstein College of Medicine Director of Pediatric Programs
Division of Pediatrics Community Care of North Carolina
Bronx, New York Raleigh, North Carolina
10: Hospital Discharge of the Healthy 3: Maternal Depression
Term and Late Preterm Infant
Jonathan M. Fanaroff, MD, JD, FAAP
Elaine Dinolfo, MS, MD, FAAP Associate Professor of Pediatrics
Assistant Clinical Professor of Case Western Reserve University School
Pediatrics of Medicine
Columbia University College of Director, Rainbow Center for Pediatric
Physicians and Surgeons Ethics
Assistant Attending, Department of Co-Medical Director, Neonatal Intensive
Pediatrics Care Unit
Columbia University Medical Rainbow Babies & Children’s Hospital
Center–The Affiliation at Harlem Cleveland, Ohio
Hospital Center 4: Medical-Legal Considerations in the
New York, New York Care of Newborns
6: Care of the Newborn After Delivery
Andrew L. Freedman, MD, FAAP
Aleksandra Djukic, MD, PhD Walter and Shirley Wang Chair in
Director, Tri-State Rett Syndrome Pediatric Surgery
Center Vice Chair for Pediatric Surgical
Associate Professor of Clinical Services
Neurology and Clinical Pediatrics Director of Pediatric Urology
Montefiore Medical Center Department of Surgery
Department of Neurology Cedars-Sinai Medical Center
Albert Einstein College of Medicine Los Angeles, California
Bronx, New York 8: The Circumcision Decision
26: The Newborn With Neurologic
Findings
CONTRIBUTORS
vi
Mamta Fuloria, MD Sonia O. Imaizumi, MD
Assistant Professor of Pediatrics Medical Director
Director, Neonatology Fellowship Amerihealth New Jersey
Program Cranbury, New Jersey
Department of Pediatrics Independence Blue Cross
Division of Neonatology Philadelphia, Pennsylvania
The Children’s Hospital at Montefiore, 34: Health and Developmental
Albert Einstein College of Medicine Outcomes of Very Preterm and Very
Bronx, New York Low-Birth-Weight Infants
27: Surgical Emergencies of the Chest
and Abdomen in the Newborn Abieyuwa Iyare, MD
General Academic Pediatrician
Anna Christina Ganster, MD, FAAP Montefiore Medical Center
Assistant Professor of Clinical Bronx, New York
Pediatrics 16: Postnatal Assessment of Common
Division of Neonatology at LAC/USC Prenatal Sonographic Findings
Children’s Hospital Los Angeles
Keck School of Medicine Vishal Subodhbhai Kapadia, MD
University of Southern California Assistant Professor of Pediatrics
Los Angeles, California Department of Pediatrics
27: Surgical Emergencies of the Chest Division of Neonatal–Perinatal
and Abdomen in the Newborn Medicine
University of Texas Southwestern
Gina Marie Geis, MD, FAAP Medical Center
Attending Neonatologist Dallas, Texas
Associate Medical Director, Neonatal 18. Neonatal Jaundice
Intensive Care Unit Floating Hospital
for Children at Tufts Medical Center Harpreet Kaur, MD
Cochair, Hospital Ethics Committee at Division of Neonatology
Tufts Medical Center Saint Peter’s University Hospital
Assistant Professor of Pediatrics, Tufts New Brunswick, New Jersey
University School of Medicine 12: Maternal Medical History
Boston, Massachusetts 13: Physical Examination of the
30: Care of the Sick or Premature Newborn
Infant Before Transport
Tsoline Kojaoghlanian, MD
James A. Grifo, MD, PhD Assistant Professor
Professor of Obstetrics and Gynecology Department of Pediatrics
NYU Langone Medical Center Division of Infectious Diseases
New York, New York The Children’s Hospital at Montefiore
2: Assisted Reproductive Technologies, Bronx, New York
Multiple Births, and Pregnancy 21: The Newborn at Risk for Infection
Outcomes
CONTRIBUTORS
vii
Faye Kokotos, MD, FAAP Teri Jo Mauch, MD, PhD, FAAP, FASN
Assistant Professor of Clinical Professor and Section Chief, Pediatric
Pediatrics Nephrology
Division of General Pediatrics University of Nebraska Medical Center
The Children’s Hospital at Montefiore Omaha, Nebraska
Bronx, New York 16: Postnatal Assessment of Common
6: Care of the Newborn After Delivery Prenatal Sonographic Findings
Zuzanna Kubicka, MD Edith A. McCarthy, MD
Department of Newborn Medicine 2: Assisted Reproductive Technologies,
Boston Children’s Hospital Multiple Births, and Pregnancy
Boston, Massachusetts Outcomes
24: Transient Metabolic Disturbances in
the Newborn Upender K. Munshi, MBBS,
MD(Paediatrics), FAAP
George A. Little, MD, FAAP Associate Professor of Pediatrics,
Professor of Pediatrics and Obstetrics Neonatology Division
and Gynecology Children’s Hospital at Albany Medical
Dartmouth-Hitchcock Clinic Center
Department of Pediatrics Albany, New York
Children’s Hospital at Dartmouth 29: Identifying the Newborn Who
Lebanon, New Hampshire Requires Specialized Care
1: Perinatal Preventive Care: Fetal
Assessment Suhas M. Nafday, MD, MRCP(Ire),
24: Transient Metabolic Disturbances in DCH, FAAP
the Newborn Director, Newborn Services
36: Support for Families Whose Infant Is Division of Neonatology
Sick or Dying The Children’s Hospital at Montefiore
Associate Professor of Clinical
Christina Long, DO Pediatrics
Chief, Neonatal Intensive Care Unit Albert Einstein College of Medicine
Department of Pediatrics/Division of Bronx, New York
Neonatology 17: Abnormalities of Fetal Growth
Madigan Army Medical Center 19: Respiratory Distress and Breathing
Tacoma, Washington Disorders in the Newborn
19: Respiratory Distress and Breathing
Disorders in the Newborn Sheri L. Nemerofsky, MD, FAAP
32: Discharge Planning for the High-Risk Assistant Professor of Pediatrics
Newborn Requiring Intensive Care Department of Pediatrics
Division of Neonatology
Robert W. Marion, MD Montefiore Medical Center, Albert
Chief, Division of Genetics Einstein College of Medicine
Department of Pediatrics Bronx, New York
The Children’s Hospital at Montefiore, 9: Care of the Late Preterm Infant
Albert Einstein College of Medicine 16: Postnatal Assessment of Common
Bronx, New York Prenatal Sonographic Findings
15: Common Congenital Anomalies
CONTRIBUTORS
viii
Enrique M. Ostrea Jr, MD Orna Rosen, MD, FAAP
Professor of Pediatrics Program Advisor
Department of Pediatrics Montefiore Medical Center
Hutzel Women’s Hospital Division of Neonatology
Children’s Hospital of Michigan Weiler Hospital
Wayne State University Bronx, New York
Detroit, Michigan 15: Common Congenital Anomalies
23: Prenatal Drug Use: Neonatal Effects
and the Drug Withdrawal Syndrome Joy Melinda Samanich, MD
Pediatric Geneticist
Joaquim M. B. Pinheiro, MD, MPH, Assistant Professor, Albert Einstein
FAAP College of Medicine
Professor of Pediatrics Director, Center for Craniofacial
Department of Pediatrics Disorders
Division of Neonatology The Children’s Hospital at Montefiore
Albany Medical Center Bronx, New York
Albany, New York 15: Common Congenital Anomalies
28: Assessment and Stabilization
at Delivery Oranee Sanmaneechai, MD
Pediatric Neurology Fellow
E. Rebecca Pschirrer, MD, MPH Montefiore Medical Center
Associate Professor of OB/GYN and Albert Einstein College of Medicine
Radiology Bronx, New York
Geisel School of Medicine at Dartmouth Assistant Professor of Pediatrics
Hanover, New Hampshire Department of Pediatrics, Division of
Clerkship Director OB/GYN Neurology
Director of Obstetric Ultrasound and Siriraj Hospital, Mahidol University
Prenatal Diagnosis Bangkok, Thailand
Division of Maternal–Fetal Medicine 26: The Newborn With Neurologic
Dartmouth-Hitchcock Medical Center Findings
Lebanon, New Hampshire
1: Prenatal Preventive Care: Fetal Richard J. Schanler, MD, FAAP
Assessment Director, Neonatal Services
Cohen Children’s Medical Center of
Angel Rios, MD, FAAP New York and
Professor of Pediatrics North Shore Long Island Jewish Health
Director of Neonatology System
Department of Pediatrics Professor, Hofstra North Shore-LIJ
Division of Neonatology School of Medicine
The Children’s Hospital at the Albany New Hyde Park, New York
Medical Center 7: Breastfeeding the Newborn
Albany, New York
25: Specific Congenital Metabolic
Diseases
CONTRIBUTORS
ix
Richard M. Schwend, MD, FAAP Robert Turbow, MD, JD
Professor of Orthopaedics and Attending Neonatologist and Chief
Pediatrics Patient Safety Officer
University of Missouri, Kansas Department of Maternal-Child Health,
University Division of Neonatology
Director of Research Department of Risk, Quality, and
Children’s Mercy Hospital Safety—Central Coast Service Area
Kansas City, Missouri Marian Regional Medical Center
16: Postnatal Assessment of Common Santa Maria, California
Prenatal Sonographic Findings 4: Medical-Legal Considerations in the
Care of Newborns
Lisa Marie Stellwagen, MD, FAAP
Medical Director, Newborn Service Catherine Ulman, MD
UC San Diego Medical Center Department of Dermatology
San Diego, California Boonshoft School of Medicine
7: Breastfeeding the Newborn Wright State University
Dayton, Ohio
Christina Kan Sullivan, MD, FAAP 14: Neonatal Skin
Assistant Clinical Professor of
Pediatrics Joseph A. Vitterito II, MD
Albert Einstein College of Medicine Associate Professor
Department of Pediatrics Tufts University School of Medicine
Division of General Pediatrics Attending Neonatologist
The Children’s Hospital at Montefiore Department of Pediatrics
Bronx, NY Division of Neonatology
10: Hospital Discharge of the Healthy Maine Medical Center
Term and Late Preterm Infant Portland, Maine
36: Support for Families Whose Infant Is
Nicole J. Sutton, MD, FAAP Sick or Dying
Assistant Professor of Pediatrics
The Children’s Hospital at Montefiore, Christine A. Walsh, MD, FAAP
Albert Einstein College of Medicine Professor of Clinical Pediatrics
Bronx, New York Director, Outpatient Dysrhythmia
20: The Newborn With a Heart Murmur Center
or Cyanosis Codirector, Montefiore-Einstein
Cardiogenetics Center
Julian Trevino, MD Pediatrics/Pediatric Cardiology
Professor and Chair, Department of The Children’s Hospital at Montefiore,
Dermatology Albert Einstein College of Medicine
Boonshoft School of Medicine Bronx, New York
Wright State University 20: The Newborn With a Heart Murmur
Dayton, Ohio or Cyanosis
14: Neonatal Skin
CONTRIBUTORS
x
Karen S. Wood, MD, FAAP Department of Pediatrics
Professor of Pediatrics Division of Neonatal-Perinatal Medicine
Medical Director, Neonatal Critical Care University of North Carolina Hospitals
Center, UNC Hospitals Chapel Hill, North Carolina
Medical Director, Pediatric Transport, 30: Care of the Sick or Premature Infant
UNC Air Care and Ground Before Transport
Transportation Services
American Academy of Pediatrics
Reviewers
Committee on Bioethics
Committee on Drugs
Committee on Fetus and Newborn
Committee on Genetics
Committee on Nutrition
Committee on Practice and Ambulatory Medicine
Committee on Psychosocial Aspects of Child and Family Health
Committee on Substance Abuse
Council on Children With Disabilities
Council on Early Childhood
Council on Environmental Health
Council on Injury, Violence, and Poison Prevention
Medical Home Implementation PAC
Section on Anesthesiology and Pain Medicine
Section on Cardiology and Cardiac Surgery
Section on Child Abuse and Neglect
Section on Clinical Pharmacology and Therapeutics
Section on Dermatology
Section on Developmental and Behavioral Pediatrics
Section on Gastroenterology, Hepatology, and Nutrition
Section on Hematology/Oncology
Section on Hospice and Palliative Medicine
Section on Oral Health
Section on Orthopaedics
Section on Pediatric Pulmonology and Sleep Medicine
Section on Radiology
Section on Surgery
Section on Urology
xi
Contents
Section 1—Perinatal Health
1 Perinatal Preventive Care: Fetal Assessment, 3
E. Rebecca Pschirrer, MD, MPH
George A. Little, MD
2 Assisted Reproductive Technologies, Multiple Births, and Pregnancy
Outcomes, 53
Christie J. Bruno, DO
Edith A. McCarthy, MD
Peter A. M. Auld, MD
James A. Grifo, MD
3 Maternal Depression, 67
Marian Earls, MD
Section 2—Routine Care Issues
4 Medical-Legal Considerations in the Care of Newborns, 77
Jonathan M. Fanaroff, MD, JD
Robert Turbow, MD, JD
5 Prenatal Pediatric Visit, 99
Deborah E. Campbell, MD
6 Care of the Newborn After Delivery, 105
Diane E. Bloomfield, MD
Elaine Dinolfo, MS, MD
Faye Kokotos, MD
7 Breastfeeding the Newborn, 123
Lisa Marie Stellwagen, MD
Richard J. Schanler, MD
8 The Circumcision Decision, 153
Andrew L. Freedman, MD
9 Care of the Late Preterm Infant, 163
Sheri L. Nemerofsky, MD
Viral A. Dave, MD
Deborah E. Campbell, MD
xiii
CONTENTS
xiv
10 Hospital Discharge of the Healthy Term and Late Preterm Infant, 183
Christina Kan Sullivan, MD
Sonia Dela Cruz-Rivera, MD
11 Follow-up Care of the Healthy Newborn, 207
Deborah E. Campbell, MD
Section 3—Assessment and Physical Examination
of the Newborn
12 Maternal Medical History, 221
Harpreet Kaur, MD
Deborah E. Campbell, MD
13 Physical Examination of the Newborn, 231
Harpreet Kaur, MD
Deborah E. Campbell, MD
14 Neonatal Skin, 263
Julian Trevino, MD
Amy Yuntzu-Yen Chen, MD
Catherine Ulman, MD
15 Common Congenital Anomalies, 283
Orna Rosen, MD
Robert W. Marion, MD
Joy Melinda Samanich, MD
16 Postnatal Assessment of Common Prenatal Sonographic Findings, 301
Deborah E. Campbell, MD
Sheri L. Nemerofsky, MD
Abieyuwa Iyare, MD
Teri Jo Mauch, MD, PhD
Richard M. Schwend, MD
Section 4—Neonatal Medical Conditions
17 Abnormalities of Fetal Growth, 323
Suhas M. Nafday, MD, MRCP(Ire), DCH
18 Neonatal Jaundice, 345
Vishal Subodhbhai Kapadia, MD
Luc P. Brion, MD
19 Respiratory Distress and Breathing Disorders in the Newborn, 361
Suhas M. Nafday, MD, MRCP(Ire), DCH
Christina Long, DO
20 The Newborn With a Heart Murmur or Cyanosis, 399
Nicole J. Sutton, MD
Christine A. Walsh, MD
CONTENTS
xv
21 The Newborn at Risk for Infection, 417
Tsoline Kojaoghlanian, MD
22 The Newborn With Hematologic Abnormalities, 439
M. Catherine Driscoll, MD
23 Prenatal Drug Use: Neonatal Effects and the Drug Withdrawal
Syndrome, 455
Enrique M. Ostrea Jr, MD
Neil Joseph B. Alviedo, MD
Felix Banadera, MD
Josef Misael Cortez, MD
Lilia C. De Jesus, MD
24 Transient Metabolic Disturbances in the Newborn, 483
Zuzanna Kubicka, MD
George A. Little, MD
25 Specific Congenital Metabolic Diseases, 501
Angel Rios, MD
Darius J. Adams, MD
26 The Newborn With Neurologic Findings, 541
Oranee Sanmaneechai, MD
Aleksandra Djukic, MD, PhD
27 Surgical Emergencies of the Chest and Abdomen in the Newborn, 551
Anna Christina Ganster, MD
Mohamed Farooq Ahamed, MD
Mamta Fuloria, MD
Section 5—Perinatal Care: Caring for the High-Risk Infant
28 Assessment and Stabilization at Delivery, 585
Joaquim M. B. Pinheiro, MD, MPH
29 Identifying the Newborn Who Requires Specialized Care, 611
Upender K. Munshi, MBBS, MD
30 Care of the Sick or Premature Infant Before Transport, 629
Gina Marie Geis, MD
Karen S. Wood, MD
31 Continuing Care of the Infant After Transfer From Neonatal
Intensive Care, 645
Deborah E. Campbell, MD
32 Discharge Planning for the High-Risk Newborn Requiring
Intensive Care, 703
Christina Long, DO
Deborah E. Campbell, MD
33 Follow-up Care of the Graduate From Neonatal Intensive Care, 741
Judy C. Bernbaum, MD
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- Note: Important consideration
Example 8: Interdisciplinary approaches
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Definition: Current trends and future directions
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 10: Diagram/Chart/Graph]
Review 2: Critical analysis and evaluation
Important: Ethical considerations and implications
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Learning outcomes and objectives
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 12: Diagram/Chart/Graph]
Key Concept: Critical analysis and evaluation
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 13: Diagram/Chart/Graph]
Note: Current trends and future directions
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Research findings and conclusions
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Study tips and learning strategies
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 16: Ethical considerations and implications
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Experimental procedures and results
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Theoretical framework and methodology
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Key terms and definitions
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 20: Diagram/Chart/Graph]
Topic 3: Current trends and future directions
Example 20: Assessment criteria and rubrics
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Practical applications and examples
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 22: Learning outcomes and objectives
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Case studies and real-world applications
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Fundamental concepts and principles
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 25: Practical applications and examples
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Practice Problem 26: Learning outcomes and objectives
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Historical development and evolution
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Key terms and definitions
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Important: Ethical considerations and implications
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Review 4: Case studies and real-world applications
Definition: Assessment criteria and rubrics
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Theoretical framework and methodology
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Practical applications and examples
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 33: Diagram/Chart/Graph]
Important: Study tips and learning strategies
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 34: Diagram/Chart/Graph]
Remember: Ethical considerations and implications
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 35: Diagram/Chart/Graph]
Example 35: Key terms and definitions
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 36: Learning outcomes and objectives
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Key Concept: Problem-solving strategies and techniques
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Historical development and evolution
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Fundamental concepts and principles
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 40: Diagram/Chart/Graph]
Test 5: Problem-solving strategies and techniques
Remember: Fundamental concepts and principles
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Key Concept: Theoretical framework and methodology
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Example 42: Practical applications and examples
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Fundamental concepts and principles
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Historical development and evolution
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Key terms and definitions
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Remember: Fundamental concepts and principles
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Theoretical framework and methodology
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 48: Fundamental concepts and principles
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 49: Current trends and future directions
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Chapter 6: Key terms and definitions
Practice Problem 50: Critical analysis and evaluation
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Current trends and future directions
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Key terms and definitions
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Fundamental concepts and principles
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Key terms and definitions
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Current trends and future directions
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Practice Problem 56: Current trends and future directions
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Practical applications and examples
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Fundamental concepts and principles
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Example 59: Experimental procedures and results
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Review 7: Best practices and recommendations
Important: Current trends and future directions
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 61: Literature review and discussion
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Theoretical framework and methodology
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Note: Literature review and discussion
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 64: Diagram/Chart/Graph]
Remember: Key terms and definitions
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 65: Diagram/Chart/Graph]
Key Concept: Practical applications and examples
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 66: Diagram/Chart/Graph]
Important: Comparative analysis and synthesis
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Statistical analysis and interpretation
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Key Concept: Literature review and discussion
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Remember: Problem-solving strategies and techniques
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Test 8: Ethical considerations and implications
Key Concept: Problem-solving strategies and techniques
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Best practices and recommendations
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Ethical considerations and implications
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 73: Key terms and definitions
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Example 74: Ethical considerations and implications
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 75: Diagram/Chart/Graph]
Note: Critical analysis and evaluation
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Statistical analysis and interpretation
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Key terms and definitions
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Assessment criteria and rubrics
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Practice Problem 79: Interdisciplinary approaches
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Practice 9: Comparative analysis and synthesis
Key Concept: Study tips and learning strategies
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 81: Diagram/Chart/Graph]
Note: Research findings and conclusions
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Note: Comparative analysis and synthesis
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Study tips and learning strategies
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Research findings and conclusions
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 85: Learning outcomes and objectives
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 86: Critical analysis and evaluation
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 87: Diagram/Chart/Graph]
Definition: Fundamental concepts and principles
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Current trends and future directions
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 89: Diagram/Chart/Graph]
Example 89: Practical applications and examples
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 90: Diagram/Chart/Graph]
Review 10: Current trends and future directions
Note: Learning outcomes and objectives
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Practical applications and examples
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Fundamental concepts and principles
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Best practices and recommendations
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Note: Practical applications and examples
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Example 95: Case studies and real-world applications
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 96: Diagram/Chart/Graph]
Definition: Assessment criteria and rubrics
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Literature review and discussion
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Remember: Key terms and definitions
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Note: Assessment criteria and rubrics
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
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