Developmental, Congenital, Childhood Flashcards
Prematurity
birth before the 37th gestational week; baby underdeveloped, underweight, and at high risk
Causes of prematurity
incompetent cervix, bicornate uterus, toxic conditions, maternal infection, premature amniotic rupture
Infant Respiratory Distress Syndrome (Hyaline Membrane Disease)
infant suffers acute hypoxemia, displays signs of respiratory distress, nasal flaring, grunting, sternal retractions
Causes of IRDS
infant’s lungs lack the surfactant needed to expand the alveoli
Bronchopulmonary Dysplasia
chronic lung disease, lungs stiff and obstructed, infant displays dyspnea, wheezing, cyanosis, nasal flaring, sternal retractions, crackling sounds during auscultation
Causes of BPD
IRDS, lung infection, pneumonia
Retinopathy of Prematurity
occurs in infants born before 28 weeks, no visible symptoms, abnormal growth of the blood vessels in the infant’s eyes
Causes of ROP
incomplete vascularization of the blood vessels to the retina
Necrotizing Enterocolitis
acute inflammatory process, fragile intestinal tract of the premature newborn becomes active
Causes of NEC
ischemic necrosis of the mucus lining of the small intestine, possibly breakdown in normal defense of the GI tract
Cerebral Palsy
congenital paralysis, displays a lack of control, poor balance, speech difficulty, wide gait
Causes of Cerebral Palsy
damage to the CNS, inadequate blood or oxygen supply to the brain during fetal development
Muscular Dystrophy
progressive weakening and degeneration of the skeletal muscles, displays toe walking, waddling gait, possible spinal deformities and mental retardation, eventual crippling
Causes of Muscular Dystrophy
genetic defect
Spina Bifida Occulta
posterior arches of the vertebrae fail to fuse, no herniation of meninges or spinal cord
Causes of Spina Bifida Occulta
neural tube fails to close, congenital defect
Meningocele
second level of failure of the spinal column to fuse, meninges protrude, forming a sac filled with CSF
Causes of Meningocele
neural tube fails to close, exact cause unknown
Myelomeningocele (Spina Bifida Cystica)
protrusion of a portion of the spinal cord and meninges through a defect in the spinal column (lumbar), spinal cord herniation, immobile joints, paralysis of lower extremities, musculoskeletal malformation
Causes of Myelomeningocele
neural tube fails to close, meninges, spinal cord herniate through spinal column
Hydrocephalus
amount of CSF is increased greatly or circulation is blocked, abnormal enlargement of the head, pressure changes in brain
Causes of Hydrocephalus
large amount of CSF accumulates in the skull, circulation impaired, possibly by a lesion or congenital defect, CSF prevented from reaching normal areas, possibly caused by intracranial hemorrhage, head traums, blood clot, prematurity
Anencephaly
fetus has no cranial vault and little cerebral tissue, fatal
Causes of Anencephaly
neural tube deficit
Cri-du-Chat Syndrome (Cat’s Cry Syndrome)
small head, deficiency of cerebral brain tissue, mental retardation, cat-like cry, eyes far apart
Causes of Cri-du-Chat Syndrome
deletion on chromosome 5
Down Syndrome
congenital, mental retardation, typical face, short hands, simian line
Causes of Down Syndrome
trisomy 21
Ventricular Septal Defect
abnormal opening between the right and left ventricles, most common congenital cardiac disorder, blood shunted from the left to the right side by higher pressure, murmur heard during auscultation, acyanotic
Patent Ductus Arteriosus
ductus fails to functionally close, murmur, growth and development possibly slowed, acyanotic
Coarctation of the Aorta
narrowed aortic lumen, partial obstruction, increased left ventricular pressure, decreased blood pressure distal to the narrowing, acyanotic
Atrial Septal Defect
abnormal opening between the right and left atria, can cause fatigue, shortness of breath, dyspnea, cyanosis, syncope
Tetralogy of Fallot
most common cyanotic cardiac defect, combination of ventricular septal defect, pulmonary stenosis, dextroposition (placement to the right) of the aorta, and right ventricular hypertrophy, infants affected born blue, symptoms of hypoxia, tachycardia, tachypnea, dyspnea, seizures
Transposition of the Great Arteries
aorta and pulmonary artery reversed, results in two closed-loop systems, cyanotic, tachypnea, signs of heart failure
Clubfoot (Talipes Equinovarus)
obvious, nontraumatic deformity of the foot, anterior half of foot adducted and inverted
Causes of Clubfoot
fetal position, genetic factors
Congenital Hip Dysplasia
abnormal development of the hip joint that ranges from unstable to dislocation of the femoral head, limited adduction, shortening of femur
Causes of CHD
exact cause unknown, possibly from softening of the ligaments caused by maternal relaxin, breech birth
Cleft Lip/Palate
congenital defect, one or more clefts in the upper lip, cleft palate is where there is a hole in the middle of the roof of the mouth
Causes of Cleft Lip/Palate
failure in the embryonic development of the fetus, multifactorial genetic disorder
Cryptorchidism
undescended testicle(s)
Causes of Cryptorchidism
unknown, possibly hormones