3.2B - Prematurity Flashcards

1
Q

Late preterm infants

A
  • 34 0/7 to 36 6/7
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2
Q

EXAM

Late preterm infant - co morbitiites

A
  • Temperature instability
  • Hypoglycaemia
  • Respiratory issues
  • immature regulation of breathing
  • hyperbilirubinemia
  • RDS
  • Development delays
  • immature suck and swallowing due to breathing immaturity
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3
Q

EXAM

Assessment

A
  • Skin
  • any defects
  • cardiovascular exam
    • capillary refill
    • heart sounds
  • respiratory exam
    • any grunting moaning
    • nasal flaring
    • intercostal and subcostal retractions
    • apnoea episodes
    • air entry
    • cracking
  • abdominal exam
    • tenderness
    • bowel sounds
    • anus patent
    • inguriual hernia
    • check diaper
  • neuro
    • tone
    • jitteriness
    • fontals
    • reflex
    • any heaemtoma
    • red reflect
    • sacral dimples
    • rooting reflex
    • sucking reflex
    • *
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4
Q

EXAM

Ballard score

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5
Q

EXAM

Assessing gestation age

A
  • Mother’s menstrual history
  • Prenatal ultrasonography
  • Postnatal maturational examination
  • Paediatric
    • based on physical characteristics
    • neurological examination such as ballard score
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6
Q

mentimeter

A
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7
Q

the revised ballard score

A

is used to determine extra-uterine gestation

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8
Q

Which of the following is true

A

prems have poor stores of macro and micronutrients

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9
Q

The principal cause of FGR is

A

Placental insufficiency

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10
Q

If required, human milk fortifier is introduced

A

to all feeds from day 7 and tolerating full feeds

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11
Q

A LBW infant is defined as

A

<2500

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12
Q

percentage of SGA infants are constitutionally small

A

50-70%

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13
Q

brain sparing is a feature of FGR with

A

late insult

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