Immediate Care of the Newborn Flashcards
Physical findings in baby with Down Syndrome
flattened nasal bridge, small size and small rotated cup shaped ears, sandal gap toes, hypotonia, a protruding tongue, short broad hands, epicanthic folds, oblique palpebral fissures
What size babies are more common in type 1 diabetes moms
small babies that are hypoglycemic
What size babies are more common in gestational diabetes
macrosomic(large) and hypoglycemic
septic fetus may show ___ on FHR monitor
fetal tachycardia with minimal variability
a septic infant will typically appear _____
pale, lethargic, and have a high temperature
____ is a complication of monochorionic pregnancies
Twin twin transfusion syndrome
Twin Twin transfusion syndrome is characterized by ___
imbalance in blood flow through communicating vessels across a shared placenta leading to underperfusion of donor twin, which becomes anemic and overperfusion of recipient, which becomes polycythemic; donor twin develops IUGR and oligohydramnios; recipient experiences volume overload and polyhydramnios that may lead to heart failure and hydrops
Infants born to diabetic mothers are at increased risk for developing ____
hypoglycemia, polycythemia, hyperbilirubinemia, hypocalcemia, respiratory distress
A limp unresponsive infant is delivered with HR 90 and no respiratory effort, what should you do?
positive pressure ventilation and prepare to intubate
what do you do for treatment for baby born to HIV positive mom?
start zidovudine(AZT) immediately after delivery; HIV testing is done 24 hrs later; breastfeeding not encouraged
APGAR Score
Activity, Pulse, Grimace, Appearance, Respiration
Why is delayed clamping perfomed (waiting 30-60s after birth)?
Increases hemoglobin levels at birth and improves iron stores in first several months of life
