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Maternity > Chapter 23 and 24: Newborn Complications > Flashcards

Chapter 23 and 24: Newborn Complications Flashcards

1
Q

2 categories of IUGR

A

symmetric: fetuses with equally poor growth rates of the brain, abdomen and long bones, thought to result from early global insult
asymmetric: brain grwoth is spared compared to abdomen and internal organs

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2
Q

Symmetrical/ non-brain sparing IUGR
causes?
when can it be noted?

A

long-term maternal conditions

1st half of 2nd tri

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3
Q

Asymmetrical/brain-sparing IUGR
causes?
when can it be noted?

A

acute compromise of uteroplacental blood flow

may not be evident until 3rd tri

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4
Q

Nursing mgmt SGA

A 
weight, length, head circ
serial blood glucose
vs monitoring
early and frequent oral feed
IV infusion of D10
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5
Q

LGA common problems

A

birth trauma
hypoglycemia
polycythemia
hyperbilirubinemia

Perinatal asphyxia
hypothermia
meconium aspiration

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6
Q

when are newborns at most risk for cold stress

A

first 12 hours of life

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7
Q

complications of cold stress (in premature)

A 
increased oxygen needs
respiratory distress
hypoglycemia
metabolic acidosis
jaundice
hypoxia
decreased surfactant
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8
Q

TTN

A

can take 4-6 hrs to return to normal
resolution by 72 hours age

tachypnea
expiratory grunting
retractions
labored breathing
nasal flaring
mild cyanosis
RR: 100-140
slightly decreased breath soudns
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9
Q

Risk factors of respiratory distress

A 
maternal asthma
male sex
macrosomia
maternal DM
c/s
premature
meconium aspiration
infection
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10
Q
  • RDS alternate name
  • cause?
  • before what gestational age will 100% of infants have RDS
A
  • Hyaline membrane disease
  • deficiency of surfactant
  • 28 weeks
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11
Q

s/s meconium aspiration syndrome

A 
prolonged tachypnea
increasing respiratory distress
intercostal retractions
end expiratory grunting
cyanosis
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12
Q

how frequently to check VS for meconium aspiration syndrome

A

q30 min for first 2hr

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13
Q

5 causes of Necrotizing enterocolitis

A
  • bowel hypoxic-ischemia events
  • perinatal stressors
  • imature intestinal barrier
  • abnormal bacterial colonization
  • formula feeding
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14
Q

Infants of DM mothers - appearance/risks

A 
full rosy cheeks
ruddy skin
short neck
buffalo hump
massive shoulders
distended upper abdomen
excessive SQ fat
hypoglycemia
birth trauma
hypomagnesemia
polycythemia
hyperbilirubinemia
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15
Q

Nicotine effects on newborn

A

low birth weight
increased risk SIDS
increased risk bronchitis and pneumonia

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16
Q

Marijuana

A

attention problems?

17
Q

Cocaine

A 
neuro-behavioral depression
-lethargy
-poor suck
-weak cry
-difficult to arouse
Excitability
-irritability
-inability to console
-high-pitched cry
-rigidity
Prematurity
low birth weight
increased risk for learning disability
18
Q

Heroin

A

withdrawal symptoms

  • jitteriness
  • persistent shrill cry
  • increased tendon reflexes
  • difficulties feeding
  • abnormal sleep cycle
  • tachypnea
  • problems with temp reg
19
Q

with subutex and methadone how long til baby stops withdrawing

A

5-7 days

20
Q

WITHDRAWAL

A

W: wakefullness - less than 3 hr sleep
I: Irritability
T: temperature variation, tachycardia, tremors
H: hyperactivity, high-pitched persistent cry
D: diarrhea, diaphoresis, disorganized suck
R: respiratory distress, rub marks, rhinorrhea
A: apneic attacks, autonomic dysfunction
W: weight loss or failure to gain weight
A: alkalosis (resp)
L: lacrimation

21
Q

what is kernicterus

A

bilirubin-induced brain dysfunction

22
Q

Alcohol effect on newborn

A 
microcephaly
facial abnormalities
cardiac defect
malformation of joints
failure to thrive and intellectual disability

abstinence syndrome

  • irritability
  • tremors
  • tachypnea
  • tachycardia
23
Q

hyperbilirubinemia risk factors

A 
blood iconmpatibility
prematurity
liver immaturity
delayed feeding
birth trauma
metabolic disorders
sepsis
congenital RBC abnormalities
24
Q

s/s hyperbilirubinemia

A

jaundice
increased sleepiness
high-pitched cries
feeding difficulties

25
Q

GBS infection s/s

A

respiratory distress
shock
apnea
meconium stained amniotic fluid

26
Q

Chlyamydia s/s

A

conjunctiviits
penumonia
eyelid swelling

27
Q

Herpes simplex s/s

A 
vesicular lesions
hepatitis
jaundice
penumonia
encephalitis
28
Q

General signs of newborn infection

A 
limp
low or high temp
increased resp/accessory muscle use
irritability
decreased urine output
seizures
jaundice
lethargy
high-pitched cry
29
Q

General signs of newborn infection

A 
limp
low or high temp
increased resp/accessory muscle use
irritability
decreased urine output
seizures
jaundice
lethargy
high-pitched cry

Maternity (8 decks)

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