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HYPOXIA IN THE TERM NEWBORN: PART TWO—PRIMARY PULMONARY DISEASE, OBSTRUCTION, AND EXTRINSIC COMPRESSION

Rohan, Annie J. MSN, RNC, NNP/PNP; Golombek, Sergio G. MD, MPH, FAAP

MCN, American Journal of Maternal Child Nursing: May/June 2009 - Volume 34 - Issue 3 - p 144–151
doi: 10.1097/01.NMC.0000351700.12890.da
Feature article

Pediatric care providers are repeatedly called upon to evaluate a cyanotic newborn in the labor and delivery suite, or in the well-baby nursery. A myriad of disorders spanning all-organ systems exist as possibilities for each of these problems, although several causes for newborn cyanosis are particularly common. In this second of a three-part series, primary pulmonary disease, airway obstruction, and extrinsic compression of the lungs as causes for newborn hypoxia are explored. It is in this group of disorders that we find the answers for the greatest number of these cyanotic dilemmas. Knowledge of the breadth of diagnoses, and respect for the variety of clinical possibilities, is the first step in providing a patient with accurate diagnosis, treatment, and referral.

This part 2 article in our series on neonatal hypoxia helps us to further understand etiologies and treatments.

Annie J. Rohan is a Senior Nurse Practitioner, Stony Brook Hospital-Stony Brook, and Jonas Nursing Scholar, Columbia University School of Nursing, PhD Program, New York, NY. She can be reached via e-mail at ajr73@columbia.edu

Sergio G. Golombek is an Associate Professor of Pediatrics and Clinical Public Health, New York Medical College, New York, NY, and Attending Neonatologist, Maria Fareri Children's Hospital of Westchester Medical Center, Valhalla, NY.

The authors have disclosed that they have no financial relationships related to this article.

© 2009 Lippincott Williams & Wilkins, Inc.