intro to neonatology

Question 1

define low body weight for birth

Answer 1

<2500g

Question 2

maternal causes of small babies

Answer 2

• maternal pre-eclamptic toxemia

Question 3

foetal causes small babies

Answer 3

• chromosomal

- infection

Question 4

common problems associated with baby being small for date

Answer 4

• perinatal hypoxia
• hypoglycaemia
• hypothermia
• polycythaemia
• thrombocytopenia
• hypoglycaemia
• GI problems

Question 5

potential long term problemsassociated with baby being small for date

Answer 5

• hypertension
• reduced growth
• obesity
• ischaemic heart disease

Question 6

define very low body weight birth

Answer 6

<1500g

Question 7

define extremely low body weight for birth

Answer 7

<1000g

Question 8

define extremely preterm

Answer 8

<28 weeks

Question 9

prevention of respiratory distress syndrome

Answer 9

antenatal steroids

Question 10

early treatment resp distress syndrome

Answer 10

surfactant

Question 11

management broncho-pulmonary dysplasia

Answer 11

patience

nutrition and growth

steroids

Question 12

management of preterm apnoea/ irregular breathing/ desaturations

Answer 12

caffeine

N-CPAP

Question 13

management pre-term intra-ventricular haemorrhage

Answer 13

Antenatal steroids

drainage?

Question 14

consequences of patent ductus arteriosus

Answer 14

• worsening of resp symptoms
• retention of fluids/ low renal perfusion
• GI ischaemia

Question 15

describe necrotising entero-colitis

Answer 15

• ischaemic and inflammatory changes
• bowel necrosis
• surgical intervention often required
• antibiotics
• parenteral nutrition

Question 16

outcome of extreme prematurity

Answer 16

• 1/3 die
• 1/3 normal life or mild disability
• 1/3 moderate or severe disability for lifetime