CLIPP 7 - TTN Flashcards
Outcomes of high fetal insulin levels in 3rd trimester (3)
- increased heart, liver, and muscle growth
- increased fat synthesis and deposition
- macrosomia
Large for gesttional age (LGA)
birth weight >90th percentile
Potential clinical problems associated with LGA (3)
- associated complications of C-section, forceps, or vacuum delivery
- fractured clavicle, brachial plexus injury, facial nerve palsy
- hypoglycemia
Appropriate for gestational age (AGA)
birth weight 10-90%ile
Small for gestational age (SGA)
<10th %ile
potential clinical problems associated with SGA (3)
- temperature instability (hypothermia)
- inadequate glycogen stores (hypoglycemia)
- polycythemia and hyperviscosity
Sign of respiratory distress (3)
tachypnea, retractions, grunting
common problems in late preterm infants (6)
- hypothermia
- hypoglycemia
- respiratory distress
- apnea
- hyperbilirubinemia
- feeding difficulty
Target neonatal “fasting” glucose
> 45
treatment of symptomatic hypoglycemia
IV dextrose
treatment of asymptomatic hypoglycemia
feed the baby
clinical features of developmental dysplasia of the hip (DDH) (2)
- partial or complete dislocation
- instability of the femoral head
DDH risk factors (3)
- breech position
- female gender
- family hx
Newborn hospital discharge considerations (7)
- followup in first 48 hours of life and then within one week
- feed every 2-4 hours
- observe for jaundice
- Vitamin D supplementation
- car seat
- “back to sleep”
- no co-sleeping
DDX tachypnea in the newborn (9)
- RDS
- TTN
- pneumothorax
- meconium aspiration
- hypoglycemia
- hypothermia
- cardiac abnormalities
- neonatal sepsis
- congenital diaphragmatic hernia
