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Pediatrics > 1.01 Immediate Post-partum Assessment > Flashcards

1.01 Immediate Post-partum Assessment Flashcards

1
Q

Components of the immediate post-partum assessment

A
  1. General appearance
  2. APGAR score
  3. Essential intrapartum newborn care
  4. Vital signs
  5. Anthropometrics
  6. Gestational age
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2
Q

Classifies newborn’s neurologic recovery from stress of birth

A

APGAR score

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3
Q

Components of APGAR score

A 
Appearance
Pulse
Grimace
Activity
Respiration
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4
Q

T/F. APGAR score indicates the NEED for resuscitation

A

F. It indicates EFFECTIVE neonatal resuscitation

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5
Q

A heart rate of <100 will have an APGAR score of

A

1

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6
Q

A good and strong respiration will have an APGAR score of

A

2

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7
Q

Muscle tone is scored 0 in APGAR score. How do you describe the muscle tone of the newborn.

A

Flaccid, limp

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8
Q

Muscle tone is scored 1 in APGAR score. How do you describe the muscle tone of the newborn.

A

Some flexion of the arms and legs

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9
Q

Muscle tone is scored 2 in APGAR score. How do you describe the muscle tone of the newborn.

A

There is active movement

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10
Q

Grimace on reflex irritability gets an APGAR score of

A

1

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11
Q

APGAR score of 2 on reflex irritability means

A

A vigorous cry, sneeze or cough

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12
Q

A blue, pale color will get an APGAR score of

A

0

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13
Q

A pink color all over will get an APGAR score of

A

2

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14
Q

APGAR score of 1 under color means

A

Body is pink but extremities are blue and pale

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15
Q

A 8-10 score on a 1-min APGAR score test means

A

Normal

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16
Q

A 5-7 score on a 1-min APGAR score test means

A

Some nervous system depression

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17
Q

A 0-5 score on a 1-min APGAR score test means

A

Severe depression, requires immediate resuscitation

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18
Q

A 8-10 score on a 5-min APGAR score test means

A

Normal

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19
Q

A 0-7 score on a 5-min APGAR score test means

A

High risk for subsequent central nervous system and other organ system dysfunction

20
Q

4 Components of the essential intrapartum newborn cares (EINC)

A
  1. Immediate and thorough drying of the newborn
  2. Early skin-to-skin contact bet. mother and newborn
  3. Properly-timed cord clamping and cutting
  4. Non-separation of mother and NB for early breastfeeding initiation
21
Q

Most accurate to measure temperature

A

Rectal temp.

22
Q

Temperature abnormalities in a NB may indicate

A

Sepsis, metabolic abnormalit, etc.

23
Q

Normal RR

A

40-60 breaths/min

24
Q

Normal HR

A

120-160 bpm

25
Q

Normal SLEEPING HR

A

100 bpm

26
Q

Normal systolic BP

A

40-80 mmHg

27
Q

Normal diastolic BP

A

20-55 mmHg

28
Q

T/F. Periodic breathings (>/= 3 apneic episode lasting within a 20s period of otherwise normal respiration) is normal and common in newborns

A

True

29
Q

Most reliable measurement of RR

A

Sleeping RR

30
Q

Why is there a decreasing HR with increasing age

A

Decreased metabolic states

Increased adaptability to environment

31
Q

Normal head circumference

A

32cm-37cm

32
Q

Average head circumference

A

35 cm

33
Q

Normal birth length

A

48-52cm

34
Q

Normal chest circumference

A

30-35 cm

35
Q

Normal birth wt

A

2500g - 4000g

36
Q

Landmarks for taking the head circumference

A

Anterior: Supraorbital ridge
Posterior: Most prominent part of the occiput

37
Q

Anthropometric measure that relates to intracranial volume and rate of brain growth

A

Head circumference

38
Q

Inadequate weight gain for age:

A

Growth <5th percentile for age
Weight for length <5th percentile
Drop >2 quartiles in 6 mos

39
Q

Wt to be considered AGA

A

> /= 2000g ; <4000g

40
Q

Wt to be considered LGA

A

> 4000g

41
Q

Methods to determine gestational age

A
  1. Mom’s menstrual history
  2. Early fetal ultrasound
  3. Ballard score
42
Q

2 components of the Ballard score

A
  1. Neuromuscular maturity

2. Physical maturity

43
Q

A gestational age of <34 wks is classified as

A

Preterm; short-term complications (respi and cardio)

44
Q

To be classified late preterm, gestational age must be

A

34-36 wks

45
Q

Gestational age for postterm is

A

> 42 weeks; perinatal mortality or morbidity

Pediatrics (3 decks)

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