acc newborn Flashcards
apgar
Appearance (skin color) Pulse (heart rate) Grimace (reflex irritability) Activity (muscle tone) Respiration
ballard assessment tool
uses signs of physical and neuromuscular maturity to estimate gestational age.
what additional risks should you consider for an infant thats small for gestational age?
hypothermic
hypoglycemic
polycythemic
absent red reflex
A cataract
An opacified cornea (such as in mucopolysaccharidosis)
Inflammation of the anterior chamber
Developmental anomalies of the eye
Retinoblastoma, a potentially lethal malignancy (careful examination of the eye of an infant with retinoblastoma often identifies a white, irregular mass within the globe).
which meds given to newborn
IM vit K
hep B vaccine
erythromycin for gonoccoocal eye inf.
discharge teaching of newborn should include
Reasons to seek immediate medical care, including fever, signs of poor feeding, worsening jaundice
Expectations for normal feeding, stooling, urine output
Safety issues (including placing the newborn on his back to sleep, proper infant auto restraint, avoiding cigarette smoke exposure.)
Plan for physician outpatient followup in 48-72 hours
Social Services follow up plan
24 hour emergency contact information
taking anticonvulsants during pregnancy can cause
cardiac defects, dysmorphic craniofacial features, hypoplastic nails and distal phalanges, IUGR, and microcephaly. Mental retardation may be seen. A rare neonatal side effect is methemoglobinuria.
heroin during pregnancy can cause
CNS findings (irritability, hyperactivity, hypertonicity, incessant high-pitched cry, tremors, seizures),
GI symptoms (vomiting, diarrhea, weight loss, poor feeding, incessant hunger, excessive salivation),
respiratory findings (including nasal stuffiness, sneezing, and yawning).
Fetal alcohol syndrome has very characteristic facial features, including…
including a smooth philtrum, thinning of the upper lip, and small palpebral fissures.
PKU symptoms and enzyme def.
vomiting, hypotonia, musty odor, developmental delay, and decreased pigmentation of the hair and eyes.
phenylalanine hydroxylase
homocystinuria symptoms and lab
Marfanoid body habitus, a hypercoaguable state, and possible developmental delay.
high methionine
niemann pick symptoms and enzyme
Children present by six months of age with hepatomegaly, ataxia, seizures, and progressive neurologic degeneration. Fundoscopic exam reveals a “cherry-red” macula.
sphingomyelinase
Hurler syndrome
defect in alpha-L-iduronidase- LSD aut rec
at 1 yo: hepatosplenomegaly, coarse facial features, frontal bossing, corneal clouding, and developmental delay.
Von Gierke’s disease,
defect in glucose-6-phosphatase - aut rec
hypoglycemia, hepatomegaly, and metabolic acidosis
when is apgar score taken?
1 min and 5 min
