Caring for a newborn at risk

Question 1

Dysmature

Answer 1

before term or postterm, SGA, LGA

Question 2

intrauterine

Answer 2

in the uterus

Question 3

intrapartal

Answer 3

time from labor to birth

Question 4

extrauterine

Answer 4

adaption to extrauterine life. Baby outside uterus

Question 5

asphyxia

Answer 5

o2 cut off from baby

Question 6

What signals the first moment of intervention

Answer 6

the delivery of the babys head

Question 7

atropine does what

Answer 7

relieves bradycardia

Question 8

epinephrine does what

Answer 8

increase HR & BP

Question 9

What is given to all newborns under 1500g?

Answer 9

surfactant

Question 10

8 priority needs of newborn the first few days of life

Answer 10

initiate & maintain respirations, establishment of circulation, control temp, obtain adequate nourishment, establish elimination, prevent infection, establish bonding, development of care

Question 11

Premature o2 saturation should be between what

Answer 11

88%-92%

Question 12

Maintain skin temp of newborn at?

Answer 12

97-98 (36.1-36.7 C)

Question 13

Convection heat loss

Answer 13

cold draft

Question 14

Conduction heat loss

Answer 14

warm blankets

Question 15

Cold stress causes

Answer 15

hypoglycemia, respiratory distress, increased RR, contribute to circulatory problems

Question 16

Symptoms of Respiratory Distress Syndrome

Answer 16

Retractions, nasal flaring, expiratory grunting, changes in respiratory & HR

Question 17

What tests can you do for lung maturity

Answer 17

L/S & PG values ( phosphatidlglcerol)

Question 18

Ductus arterosus, formen ovale & ductus venosus do what with fetal maturity

Answer 18

close

Question 19

LGA

Answer 19

> 90 percentile

Question 20

SGA

Answer 20

<10 percentile

Question 21

LBW

Answer 21

less than expected birth weight. Weight of 2500g or less at birth

Question 22

AGA

Answer 22

between 10th & 90th percentile

Question 23

preterm babys look like:

Answer 23

small, underdeveloped, few creases on feet, diminished reflexes, head disproportionately large, small fontane, skin ruddy d/t decreased subq fat, little vernix, extensive lanugo

Question 24

preterm complications in baby

Answer 24

hyperbeilrubinemia–>kernicterus, anemia dt immature hematopoietic system, respiratory distress syndrome, retinopathy probs, necrotizing entercolitis ( small intestines cant digest food)

Question 25

postterm babies will look like:

Answer 25

dry, cracked leather skin, absence of vernix, slight weight loss, longer fingernails, alert, may have passed meconium, polycythemia dt decreased oxygenation, hypoglycemia

Question 26

cause of RDS

Answer 26

low levels of lung surfactant

Question 27

medications for RDS

Answer 27

antibiotics, sodium bicarbonate to correct acidosis, IV fluids, N/G feedings, o2 with or without ventilator, surfactant replacement via ET tube

Question 28

Transient tachypnea

Answer 28

rapid respirations 80-120. Decreasing over initial few hours eaing at 36 & fading by 72 hours

Question 29

Cause of Transient tachypnea

Answer 29

slow absorption of lung fluid

Question 30

Cause of meconium aspiration syndrome

Answer 30

infections, hypoxia, advanced gestational age, umbilical cord compression, poor intrauterine growth, cocaine

Question 31

What do you do when a baby has meconium aspiration syndrome

Answer 31

Suction on perineum before 1st breath, no stimulation until suction-laryngoscope & ET tube, no use of 02 until suctioning done. We do 02 by a hood over babys head

Question 32

Meconium aspiration syndrome treatments

Answer 32

observation if no symptoms, ET tube for suction, 02 by hood or ventilator, antibiotics, replace surfactant via ET tube,