day two class pp Flashcards
pre-natal post natal concerns
name three maternal health concerns:
STORCH viruses
Nutrition
Exposure to toxins
STORCH viruses include:
Syphilis Toxoplasmosis Rubella Cytomeglovirus HIV/AIDS
list five peri-natal complications?
diabetes structural abnormalities of the pelvis placenta previa present birth defects multiple births
list three post natal complications
prematurity - post maturity
accidents
acquired childhood illness diseases
autosomal dominant
abnormal genes passed on from one of the non sex chromosomes
autosomal recessive
gene must be carried from both parents (1/4 chance of getting disease)
sex linked
sex linked abnormal gene is passed on sex-linked chromosome by the mother
polygenetic/ multifactorial
many genes passed from both parents
MAS
aspiration of meconium into trachea and bronchi
apnea:
prolonged pause in respiration accompanied by slowing of heart rate
RDS
airs sacs of term babies kept open by a chemical coating called surfactant for gas exchange to occur in premature infant doesn’t produce surfactant the lungs will collapse
BPD:
acute respiratory problem that requires prolonged use of ventilator
patentductus arteriosis:
while in utero fetal circulation by passes the lungs via ductus arteriosus and normally closes at birth. in some preterm infants it may remain open. leading to enlargement of heart and back-up of blood in lungs
hypoxic ischemic encephalopathy:
lack of oxygen due to many factors - peri-natural seizures are associated
intraventricular or intracranial hemorrhage IVH:
bleeding into cerebral ventricles and surrounding brain tissue
grade 1 IVH:
can be reversible
at which grade can 1 IVH be reversible?
grade 1
grade 2 IVH can cause
motor problems, cause cerebral palsy, if half the tracts are affected it can cause spastic diplegia
grade 3 IVH can cause:
most severe involves bleeding into ventricles can cause more severe cerebral palsy
overall IVH can cause ____ if gets worse enough
cerebral palsy
PVL: periventricular leukomalacis
necrosis of white matter below the cortex around the ventricles
hydrocephalus
inflammation from blood in ventricles impedes circulation and re-absorption of CSF. build-up of CSF in the ventricles of the brain
sepsis is
the decreased immunity leads to increased susceptibility of infection
reinopathy of prematurity ROP has how many grades/
FOUR
IVH has how many grades?
three
grade 1 ROP
minor no long term effects
grade 2 ROP
results in high levels of nearsightedness
grade 3 ROP
involves the retina being partly attached, causes significant vision problems
grade 4 ROP
completely detached retina leads to blindess
what is the most severe thing to happen with ROP
blindess - completely detached retina
name one behavioral problem from prematurity
ADHD
higher risk for this vision problem?
cortical visual impairment
list the three stages of preemie development
early preemie
developing preemie
older preemie
dates of early preemie
less than 30 weeks gestation
dates of developing preemie
30-35 weeks gestation
dates of older preemie
35 weeks + gestation
early preemie remains in what type of state?
drowsy