Congenitial Defects

Question 0

What is normal newborn respiratory rate?

Answer 0

Newborn respiratory rate = 30-60

Question 1

What is normal new born heart rate?

Answer 1

Heart rate newborn= 120-160

Question 2

What is normal newborn blood pressure?

Answer 2

Newborn BP = 60-100 over 30-60

Question 3

What is the ductus venousis?

Answer 3

Shunt in newborn from liver to divert oxygenated blood to inferior vena cava.

Question 4

What is the forman ovale?

Answer 4

Hole in atrial septum to divert oxygenated blood from right atrium to left atrium to aorta

Question 5

What is the ductus arterious?

Answer 5

Shunt from pulmonary artery that divers blood from pulmonary artery directly to aorta

Question 6

What are some symptoms of heart failure in newborn?

Answer 6

Increased HR > 160
Increased respi rations > 60 with grunting
Nasal flaring
Accessory muscle use
Decreased urine output
JVD
Irritable 2* decreased feeding from tired
Cyanosis

Question 7

What is the most common complaint from parents that lead you to suspect heart defect/ problem?

Answer 7

Difficulty eating

Question 8

What do you teach a parent when feeding a baby with HF?

Answer 8

Upright position
Feed after well rested
Small frequent meal 
Be calm
Short feeding time 20 min q 3 hours
Increased calories formula
Monitor output- weights

Question 9

What heart rate would hold digoxin in newborn?

Answer 9

Hold digoxin if HR < 90 bpm

Question 10

What position do you put an newborn in if having hypercyanotic episode?

What med would help?
Other intervention?

Answer 10

Knees to chest

Morphine to help with air exchange

Apply oxygen

Question 11

What causes a hypercyanotic episode?

Answer 11

Acute right ventricle spasm–> decreased pulmonary blood flow–> hypoxia–> metabolic acidosis