the most important nursing consideration related to congenital hypothyroidism is
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- Congenital hypothyroidism (CH) is one of the most common preventable causes of mental retardation. In most cases, the disorder is permanent and results from an abnormality in thyroid gland development (dysgenesis or agenesis) or a defect in thyroid hormonogenesis.
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- I was one of the first babies in my state that was tested at birth for thyroid issues. I was also the first that they found a baby with congenital hypothyroidism. My parents and I spent a lot of time at the hospital when I was a baby. They did lots of tests because they didn’t know what to expect with me.
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Chronic Thyroiditis (Hashimoto's Disease)  In-Depth Report 1 Early symptoms of undetected and untreated hypothyroidism in infants include feeding problems, failure to thrive, constipation, hoarseness, and sleepiness. 2  Later on, symptoms in untreated children include protruding abdomens; rough, dry skin; and delayed teething.
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- But for clinicians today taking care of women with psychiatric disorders requiring this class of compounds, the message is that nothing can trump the importance of maternal euthymia, failure to sustain euthymia is the strongest predictor of postpartum illness and tips the scale from one of equipoise, to one where treatment becomes that much more ...
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- Almost all cases of hypothyroidism in children and teens are caused by the autoimmune disease known as Graves’ disease. Among children, we see hyperthyroidism most often in adolescent girls. It may come and go throughout life, needing treatment for months or years at a time and then not needing treatment for some time.
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7 Hyperthyroidism Nursing Care Plans 7 Hyperthyroidism Nursing Care Plans. Hyperthyroidism, also known as Graves disease, Basedow’s disease, or thyrotoxicosis) is a metabolic imbalance that results from overproduction of thyroid hormones triiodothyronine (T3) and thyroxine (T4).
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Congenital hypothyroidism Treatment consists of a daily dose of thyroid hormone (thyroxine) by mouth. Because the treatment is simple, effective, and inexpensive, nearly all of the developed world practices newborn screening to detect and treat congenital hypothyroidism in the first weeks of life.
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Subclinical Hypothyroidism: Deciding When to Treat Because patients with subclinical hypothyroidism sometimes have subtle hypothyroid symptoms and may have mild abnormalities of serum lipoproteins and cardiac function, patients with definite and persistent TSH elevation should be considered for thyroid treatment.easurement of serum TSH is generally considered the best screening test for thyroid disease; increased values usually indicate hypothyroidism, and decreased values usually indicate hyperthyroidism. This test has proved to be both sensitive and specific.
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- Uncontrolled hypothyroidism during pregnancy can lead to. 1  preeclampsia. 2  anemia—too few red blood cells in the body, which prevents the body from getting enough oxygen. 3  miscarriage. 4  low birth weight. 5  stillbirth. 6  congestive heart failure, rarely.
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1. To examine an infant's thyroid gland, the nurse should place the infant in which position? a. Prone b. Sitting c. Standing d. Supine Answer: D Rationale: To examine an infant's thyroid gland, the nurse should hyperextend the infant's neck slightly while the child is held supine on the caregiver's lap. Neck hyperextension promotes thyroid palpation by elongating the surface area of the infant's characteristically short neck.
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Neonatal Hypothyroidism Back to Top Causes. Hypothyroidism in the newborn may be caused by: 1  A missing or poorly developed thyroid gland. 2  A pituitary gland that does not stimulate the thyroid gland. 3  Thyroid hormones that are poorly formed or do not work.
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Hypothyroidism Drugs: Treating an Underactive Thyroid In some cases, infants are born with a missing or malfunctioning thyroid – a condition known as congenital hypothyroidism. In all cases, the treatment for an underactive thyroid, shut down gland, surgically removed gland or congenitally damaged gland is thyroid hormone replacement with a prescription thyroid drug. The following is an overview of the key thyroid hormone replacement medications.
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Managing Pregnancy in Women with Thyroid Problems If you have thyroid disease, you should have your thyroid monitored during your pregnancy. If thyroid disease runs in your family or you have symptoms of thyroid disease, see your doctor for testing. It's important to treat hypothyroidism, low thyroid levels, during pregnancy. Left untreated, hypothyroidism can cause developmental and motor delays in children born to mothers with the condition. If you have hypothyroidism, do not stop taking your medication while pregnant. Some women may develop hyperthyroidism, high thyroid levels (or Graves disease), during pregnancy. Left untreated, hyperthyroidism can cause pre-eclampsia or premature birth for the baby.
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- In children and adolescents (not infants), hypothyroidism is most often caused by an inflamed thyroid gland. The inflamed gland (thyroiditis) is usually caused by an autoimmune attack or a viral infection.
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Neonatal Hypothyroidism If a pregnant woman takes radioactive iodine for thyroid cancer, the thyroid gland may be destroyed in the developing fetus. Infants whose mothers have taken such medicines should be observed carefully after birth for signs of hypothyroidism. Also, pregnant women should not avoid iodine-supplemented salt.
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- Neonates who have congenital defects of the pituitary or hypothalamus may have hypoglycemia (which also can occur in older children), midline defects (eg, cleft palate), or micropenis, as well as manifestations of other endocrine deficiencies.
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- When maternal TSH is elevated, measurement of serum FT4 concentration is necessary to classify the patient's status as either subclinical (SCH) or overt hypothyroidism (OH). SCH is defined as a serum TSH between 2.5 and 10 mIU/L with a normal FT4 concentration. Women with a TSH concentration above the trimester-specific reference interval with a decreased FT4, and all women with a TSH concentration above 10.0 mIU/L irrespective of the level of FT4 are also considered to have OH. [3]
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- The roles of the pituitary gland and hypothalamus, which control thyroid hormone levels via secretion of TSH and TRH, respectively, have been discussed elsewhere. A fourth class of hypothyroidism is congenital...implying a defect at birth that affects thyroid hormone synthesis, transport to tissues or iodine metabolism.
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Congenital Hypothyroidism in Infants and Children Fetus or newborn exposure to very high doses of iodine, which can cause transient hypothyroidism. This sort of iodine exposure results from use of an iodine-based medication like amiodarone (used to treat irregular heart rhythms) in mother or baby, or use of iodine-containing antiseptics or contrast agents.
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Module 6 Initial Discussion Post: The identification of congenital heart defects in the newborn can be complicated. The identification of congenital heart defects in the newborn can be complicated. After reading the article The nurse champion model for advancing newborn screening of critical congenital heart disease Discuss the following: Identify two (2) variables needed to promote the accuracy of pulse oximetry results in the newborn. Discuss why these variables are important to address. Identify two (2) benefits and two (2) limitations to performing a pulse oximetry on all newborns.
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The Thyroid and Pregnancy Thyroid Disorders and Miscarriage. A woman with untreated hypothyroidism is at the greatest risk for a miscarriage during her first trimester. Unless the case is mild, women with untreated hyperthyroidism are also at risk for miscarriage.
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- Hypothyroidism is the most prevalent form of thyroid disease and symptoms may include memory and learning impairment, depression, psychotic behaviour, retarded locomotor ability, somnolence, progressive intellectual deterioration and, in extreme cases, coma (Anderson, 2001; Smith et al., 2002).
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- 1 Hypothyroidism, wherein the thyroid gland produces an inadequate amount of thyroid hormone, is a common disorder particularly in women of childbearing age.  Hypothyroidism of the mother during pregnancy may result in developmental delay in the child.
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Overview Initially, babies born without a thyroid gland or with a gland that doesn't work properly may have few signs and symptoms. When newborns do have problems with hypothyroidism, the problems may include: Yellowing of the skin and whites of the eyes (jaundice).
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Glossary When newborns do have problems with hypothyroidism, the problems may include: 1  Yellowing of the skin and whites of the eyes (jaundice). 2  Frequent choking. 3  A large, protruding tongue.  A puffy appearance to the face.
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- Medical Definition of ACCRETION. : the process of growth or enlargement; especially: increase by external addition or accumulation (as by adhesion of external parts or particles)—compare apposition 1, intussusception 2. — ac·cre·tion·ary \-shə-ˌner-ē\ adjective.