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Maternity > High Risk Newborn (Week 8) > Flashcards

High Risk Newborn (Week 8) Flashcards

1
Q

high risk infants are classified on

A

BW
gestational age
predominant pathophysiologic problems

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2
Q

SGA %

A

10

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3
Q

AGA %

A

10-90 %

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4
Q

LGA %

A

90%

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5
Q

why might we place a baby in a bag

A

thermoregulation

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6
Q

majority of high risk infants are how old
- why

A

<37 weeks
organ systems are still immature
- thermo and respiratory

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7
Q

low BW

A

below 2,500

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8
Q

very low BW

A

below 1500

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9
Q

extremely low BW

A

below 1000

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10
Q

signs of resp distress

A

grunting, flaring, retracting

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11
Q

apnea vs periodic breathing

A

apea is more than 20 seconds and/or desat and/or bradycardia

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12
Q

MEN
- minimal enteral nutrition

A

few mL to prime gut to stool to prevent increase bili

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13
Q

if a infant gets an infection what happens to the temp

A

goes down

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14
Q

discharge criteria

A

cry when hungry
gain wt
normal neuro resp

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15
Q

corrected age

A

age of preterm infant is corrected by adding gestational age and postnatal age

corrected until 2 1/2

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16
Q

why give betamethasone prior to birth

A

mature lungs

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17
Q

if we are bag and valve mask what do we use

A

room air since its not an oxygenation thing

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18
Q

how long does it take for a baby to get to normal sat

A

awhile, like 10-20 min

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19
Q

why does asphixa influence the belly/GI

A

asphyxia is when the blood is shunted to the brain and heart and the GI is not perfused and they dont tolerate feedinfs

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20
Q

nonnutritive suck

A

pacifier when feeding through NG/OG

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21
Q

is vernix good

A

yes benefits
- doesn’t dry out skin

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22
Q

s/s of infant who is overstimulated

A

push hand away
hiccups
avert gaze
finger spray
apnea
Brady
desat

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23
Q

who’s at risk for RDS

A

c/s with out labor
2nd twin since they aren’t squeezed as much
gestational diabetes
Caucasian males

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24
Q

ROP

A

preterm
O2 and ventilation causes retinal damage

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25
Q

BPD

A

preterm
ventilation
surfactant issue

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26
Q

Patent ductus arteriosus

A

mottling
cyanosis
stress can reopen

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27
Q

Germinial matrix hemoorgafe

A

intrventituclar hemmorrge

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28
Q

Germinial matrix hemoorgafe s/s

A

full fontanel
hypotone
activity label change

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29
Q

NEC

A

infalmatiory disease of the GI mucosa
- intestinal ischemia
bacterial colonization

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30
Q

NEC is rare in

A

breast fed babies

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31
Q

late preterm risks

A

RDS = not all surfactant
thermoreg = decrease brown fat coldstress
nutritional = no suck swallow breathe
hypoglycemia = due to low temp

32
Q

what is the most frequent reason of readmission

A

hyperbili

33
Q

post term risks

A

Mecomonia aspiration
placental insuff = fetal distress

34
Q

growth restricted infants are at risk for

A

perinatal asphyxia
hypoglycemia
heat loss

35
Q

LGA risks

A

injury
should rsytocia
cardiac defects

36
Q

when does discharge begin

A

on admission

37
Q

which one crosses

A

caput

38
Q

what is the bone that is most often fractured in birth

A

clavicle

39
Q

damages of the nervous system

A

brachial plus
facial paralysis

40
Q

why are infants susceptible to infection

A

immature immune system

41
Q

what might sepsis be caused by in an infant

A

GBS

42
Q

what is he time frame for an acquired infection of a newborn

A

7-30 days

43
Q

med of choice for GBS

A

penicillin

44
Q

how many doses do we want to penicillin

A

at least 2
q4 but can have up to 3

45
Q

herpes 1st outbreak during 3rd tri

A

increase risk of baby

46
Q

s/s of sepsis in baby

A

lethargic
poor feeding
temp instability

47
Q

tobacco

A

LBW

48
Q

acohol

A

FAS

49
Q

FAS

A

learning dis
behavioral problems
speech langue issues
hyperactivity

lip to nose Is larger
thin lip
upper lip bump
eyes are wider
broad nasal bridge
upturned nose

50
Q

NAS

A

clinical signs of withdrawal from opioids
- ex: sneezing, stuffy nose, loose stool

51
Q

breast feeding for ANS

A

can be good!
if relapse not good

52
Q

cocaine

A

placental abruption
IUGR

53
Q

NAS score greater than 12

A

get morphine

54
Q

new way to manage NAS

A

eat sleep console
mom learns about baby and allows them to go home earlier

55
Q

SSRI what med is good

A

Zoloft

56
Q

can we narcan NAS babies

A

no it can lead to seizure

57
Q

NAS enviornment

A

low stim

58
Q

Rh imcompat

A

mother forms antibodies that then destroy fetal red blood cells

59
Q

how to treat Rh imcompat

A

rofolac 28weeks 72 hours after deliver

60
Q

most common hemolytic issue

A

ABO incomp

61
Q

ABO incom

A

fetal blod type is A, B, AB and mom is O

62
Q

major congenital anomalies that cause serious problems in neonates are

A

congenital heat disease
neural tube
cleft L/P
club foot
developmental dysplasia

63
Q

CHD

A

95% or above
less than 2% change
right hand and either feet

64
Q

neural tube defect nursing interventions

A

cover with sterile moist nonadehering dressing

65
Q

choanal atresia

A

congenital blockage of the posterior nares by a bony or soft tissue obstruction

66
Q

choanal atresia s/s

A

pink color when crying and screming
calm blue and dusky

67
Q

congenital diagrammatic hernia

A

abdomina organs are displaced into the thoracic cavity

68
Q

congenital diagrammatic hernia s/s

A

bowel sounds in chest

69
Q

cleft L/P

A

haberman nipple
- long nipple

70
Q

esophageal stress

A

esophagus isn’t connected or might be contected to trachea cannot swallow

71
Q

omphalocele

A

abdominal content in cord
genetic chromosomal

72
Q

gastrocehsis

A

intenstines born outside

73
Q

hydrosapdias

A

ventral

74
Q

bladder extrophy

A

bladder outside body

75
Q

ambiguois gentialia

A

underdeveloped penis or over developed clitoris
- cannot fully tell

76
Q
A

Maternity (15 decks)

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