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NEWBORN METRIC CONVERSION TABLES

Temperature

FAHRENHEIT (F) TO CELSIUS (°C)

°F °C °F °C °F °C °F °C

95.0 35.0 98.0 36.7 101.0 38.3 104.0 40.0

95.2 35.1 98.2 36.8 101.2 38.4 104.2 40.1

95.4 35.2 98.4 36.9 101.4 38.6 104.4 40.2

95.6 35.3 98.6 37.0 101.6 38.7 104.6 40.3

95.8 35.4 98.8 37.1 101.8 38.8 104.8 40.4

96.0 35.6 99.0 37.2 102.0 38.9 105.0 40.6

96.2 35.7 99.2 37.3 102.2 39.0 105.2 40.7

96.4 35.8 99.4 37.4 102.4 39.1 105.4 40.8

96.6 35.9 99.6 37.6 102.6 39.2 105.6 40.9

96.8 36.0 99.8 37.7 102.8 39.3 105.8 41.0

97.0 36.1 100.0 37.8 103.0 39.4 106.0 41.1

97.2 36.2 100.2 37.9 103.2 39.6 106.2 41.2

97.4 36.3 100.4 38.0 103.4 39.7 106.4 41.3

97.6 36.4 100.6 38.1 103.6 39.8 106.6 41.4

97.8 36.6 100.8 38.2 103.8 39.9 106.8 41.6

NOTE: °C = (°F – 32) × 5⁄9. Celsius temperature equivalents have been rounded to one decimal place by adding 0.1 when the second decimal place is 5 or greater.

See inside back cover for additional tables.

Merenstein & Gardner’s Handbook of

NEONATAL INTENSIVE CARE: AN INTERPROFESSIONAL APPROACH

This page intentionally left blank

Merenstein & Gardner’s Handbook of

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NEONATAL INTENSIVE CARE: AN INTERPROFESSIONAL APPROACH

MARY ENZMAN-HINES, Ph D, APRN, CNS, CPNP, APHN-BC

9th

edition

SANDRA L. GARDNER, RN, MS

Retired Clinical Nurse Specialist;

Retired Pediatric Nurse Practitioner;

Director, Professional Outreach Consultation;

Aurora, Colorado

BRIAN S. CARTER, MD, FAAP

Professor of Pediatrics

University of Missouri-Kansas City School of Medicine

Division of Neonatology & Bioethics Center

Children’s Mercy Hospital-Kansas City

Kansas City, Missouri

Professor Emeritus

Beth El College of Nursing and Health Sciences

University of Colorado at Colorado Springs;

Certified Pediatric Nurse Practitioner

Co-Owner of Integrative Pediatric Health Care

Englewood, Colorado

SUSAN NIERMEYER, MD, MPH, FAAP

Professor

Department of Pediatrics

University of Colorado Denver

Anschutz Medical Campus

School of Medicine

Aurora,

Colorado

Elsevier

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3251 Riverport Lane St. Louis, Missouri 63043

MERENSTEIN & GARDNER’S HANDBOOK OF NEONATAL INTENSIVE CARE NURSING: AN INTERPROFESSIONAL APPROACH, NINTH EDITION ISBN: 978-0-323-56903-3

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notice

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verication of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Library of Congress Control Number: 2019955906

Content Strategist: Lee Henderson Content Development Specialist: Laura Klein Publishing Services Manager: Deepthi Unni Project Manager: Srividhya Vidhyashankar Design Direction: Bridget Hoette

Printed in the United States of America

Last digit is the print number: 9 8 7 6 5 4 3 2 1

We dedicate this edition to the memory of Gerald B. Merenstein, MD—our friend,

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colleague, and mentor who was also a wonderful husband, father, and grandfather. As the inspiration for this text, Gerry contributed to the fields of neonatal and pediatric care through his dedication to nurses, nurse practitioners, child health associates, interns, residents, fellows, neonates, and their families. We miss him every day and know that his empathy, knowledge, teaching, and compassion influences all of us, as well as the newborns, children, and families that he and we serve.

SLG BSC MEH SN

In memory of Stephanie Marie Gardner, whose three days of life did have a purpose. To Muffy Roo, Millie Moo, and Mollie Mittens, my sweet rescue dogs, for their eminent patience for the last 3 years!

SLG

To my family: Angel, Sean, Yvonne, Rebecca, and Jacquelyn; my mentors and colleagues; and all of the children and families who have allowed me to share with them both joyous and difficult times in their lives.

BSC

To my family: James, Jennifer, Sean, Finnoula, Steve, and Sarah for their enduring source of love, confidence, and encouragement and to all the families who have informed my practice and knowledge about caring for fragile infants.

MEH

To all of the babies, families, and dedicated caregivers who have been my constant teachers; my mentor Jacinto Hernandez, who opened my horizons to a larger world; and my husband John for his unfailing love and support.

In Memoriam

Billy F. Andrews Sr., MD

Jimmie Lynne Scholl Avery

L. Joseph Butterfield, MD

Lula O. Lubchenco, MD

William A. Silverman, MD

CONTRIBUTORS

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Rita Agarwal, MD, FAAP

Clinical Professor of Anesthesiology Department of Anesthesiology; Associate Director Pediatric Anesthesia Education Department of Anesthesiology Lucille Packard Children’s Hospital Stanford Stanford, California

Anne M. Ambia, MD

Assistant Professor of Obstetrics and Gynecology Division of Maternal-Fetal Medicine University of Texas Southwestern Dallas, Texas

James S. Barry, MD

Medical Director Neonatal Intensive Care Unit; Associate Professor of Pediatrics Department of Pediatrics Section of Neonatology University of Colorado School of Medicine Children’s Hospital Colorado Aurora, Colorado

Terri J. Bisio, BSN

Registered Nurse Kidney Center Children’s Hospital Aurora, Colorado

Wanda T. Bradshaw, MSN, RN, NNP-BC

Assistant Professor and Lead Faculty NNP Specialty Duke University School of Nursing Durham, North Carolina; Neonatal Nurse Practitioner Cone Health Greensboro, North Carolina

M. Colleen Brand, PhD, APRN, NNP-BC

Neonatal Nurse Practitioner Department of Neonatology Texas Children’s Hospital; Assistant Professor Pediatrics-Newborn Baylor College of Medicine Houston, Texas

Bridget M. Bronsert, DNP, MSN, RNC, NNP-BC

Neonatal Nurse Practitioner Clinical Coordinator Neonatal Intensive Care Unit SCL Lutheran Medical Center Wheat Ridge, Colorado

Laura D. Brown, MD

Associate Professor Department of Pediatrics University of Colorado School of Medicine Aurora, Colorado

Jessica L. Brunkhorst, MD

Assistant Professor of Pediatrics Division of Neonatology Children’s Mercy Kansas City, Missouri

Deanne Buschbach, RN, MSN, NNP, PNP

Director Center for Advanced Practice Neonatology and Center for Advanced Practice Duke University Medical Center Durham, North Carolina

Melissa A. Cadnapaphornchai, MD

Pediatric Nephrologist Rocky Mountain Pediatric Kidney Center Rocky Mountain Hospital for Children/Presbyterian

St. Luke’s Medical Center

Denver, Colorado

CONTRIBUTORS

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vii

Betsy H. Cammack, MD

Neonatal-Perinatal Medicine Fellow Division of Neonatology Children’s Mercy Hospital Kansas City, Missouri

Suzanne M. Carrington, DNP, CNM

Assistant Professor College of Nursing University of Colorado Aurora, Colorado

Angel Carter, DNP, APRN, NNP-BC

Advanced Practice Registered Nurse Ambulatory Neonatology Children’s Mercy Hospital Kansas City, Missouri

Brian S. Carter, MD, FAAP

Professor of Pediatrics Medical Humanities & Bioethics Pediatrics—Neonatology University of Missouri—Kansas City School of

Medicine; Bioethicist Bioethics Center Children’s Mercy Hospital Kansas City, Missouri

Heather Furlong Brown, MD

Associate Professor of Pediatrics Division of Neonatology University of Louisville School of Medicine Louisville Kentucky

Jane Davis, BSN, RNC-NIC

Charge Nurse Neonatal Intensive Care Unit University of Colorado Hospital Aurora, Colorado

Jane Deacon, NNP-BC, MS

Neonatal Nurse Practitioner Children’s Hospital Colorado Aurora, Colorado

David J. Durand, MD

Neonatologist Division of Neonatology UCSF Benioff Children’s Hospital—Oakland Oakland, California

Nancy K. English, PhD, APRN, CHPN, CT

Professor College of Nursing University of Colorado Denver, Colorado

Susan B. Clarke, MS, BSN, RNC-NIC, RN-BC, CNS

Retired, Professional Development Specialist Professional Development Department Children’s Hospital Colorado Aurora, Colorado

Kristi Coe, MSN, NNP, CNS, PNP

Consulting Associate, MSN Program Duke University School of Nursing Durham, North Carolina; Neonatal Nurse Practitioner Neonatal Intensive Care Unit Cone Health Greensboro, North Carolina

Mary Enzman-Hines, PhD, APRN, CNS, CPNP, APHN-BC

Beth El College of Nursing and Health Sciences Department of Nursing University of Colorado at Colorado Springs; Professor Emeritus Department of Nursing University of Colorado at Colorado Springs Colorado Springs, Colorado; Certified Pediatric Nurse Practitioner Co-Owner, Integrative Pediatric Health Care, LLC Englewood, Colorado

Lori Erickson, BSN, MSN

CHAMP Clinical Program Manager Ward Family Heart Center Children’s Mercy Hospital—Kansas City Kansas City, Missouri

CONTRIBUTORSviii

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Ruth Evans, BSN, MSN, NNP-BC

Neonatal Nurse Practitioner Children’s Hospital Colorado Aurora, Colorado

Amanda Flaherty, BSN, RNC-NIC

Transport RN Neonatal Intensive Care Unit Valley Children’s Hospital Madera, California

Patricia A. Froese, DNP, APRN, NNP-BC

Neonatal Nurse Practitioner Division of Neonatology Cincinnati Children’s Hospital Cincinnati, Ohio

Margaret E. Gallagher, MD

Pediatric Surgeon Department of Surgery Brooke Army Medical Center San Antonio, Texas

Sandra L. Gardner, RN, MS

Retired Clinical Nurse Specialist Retired Pediatric Nurse Practitioner Director Professional Outreach Consultation Aurora, Colorado

Edward Goldson, MD, FAAP

Professor Department of Pediatrics University of Colorado Medical Children’s Hospital Colorado Aurora, Colorado

William W. Hay Jr., MD, FAAP

Professor of Pediatrics University of Colorado School of Medicine Aurora, Colorado

Kendra Hendrickson, MS, RD, CNSC, CSP

Clinical Dietitian Neonatal Intensive Care Unit University of Colorado Hospital Aurora, Colorado

Carmen Hernandez, MSN, NNP-BC

Neonatal Nurse Practitioner Women’s Services Lutheran Medical Center Wheat Ridge, Colorado

Chi Hornik, PharmD, BCPS, CPP

Assistant Professor Pediatrics and Pharmacy Duke University Medical Center and Duke Clinical

Research Institute

Durham, North Carolina

Jodi Jackson, MD

Neonatologist Department of Pediatrics Children’s Mercy Hospital Kansas City, Missouri; Medical Director Neonatal Unit Department of Pediatrics AdventHealth, Shawnee Mission Shawnee Mission, Kansas; Chairperson, Director NAS Initiative Kansas Perinatal Quality Collaborative Topeka, Kansas

Ara S. Hall, MD

Assistant Professor Neurology University of Missouri—Kansas City Kansas City, Missouri

Susan Harvey, BSN, MSN

Instructor—Nurse Practitioner Center for Cancer and Blood Disorders University of Colorado Aurora, Colorado

M. Douglas Jones Jr., MD, FAAP

Professor Department of Pediatrics University of Colorado School of Medicine Aurora, Colorado

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