Lecture 4 Flashcards
What are the three stages of birth with general descriptions?
- Contractions and dilation of cervix
- Delivery
- Detachment of Placenta, Umbilical Cord, and Membranes
How long generally does each birth stage last?
- 12-14 hours
- 20-50mins
- 10 mins
What does APGAR stand for? What is it?
It is a post-natal vital sign assessment tool
Appearance
Pulse
Grimace
Activity
Respiratory effort
What is considered a normal gestational age?
37-42 weeks
What are the levels of low birth weight?
LBW (2500g)
VLBW (1500g)
ELBW (1000g)
What does AGA stand for and what defines it?
Appropriate (size) for gestational age (10-90th percentile)
What are the parameters of low viability birth? (9-30% survive, 50% with major disabilities)
22 weeks of gestation, or under 1 lb
Are LBW infants able to catch up to AGA infants?
Yes
What is the statistic for LBW infants and death?
They are 25x more likely to die in the first month
What are 3 major issues with preterm birth?
- Lungs are missing surfactant to seal
- Temperature regulation is very poor
- Brain bleeds and heart valve problems
What is the difference between adaptive and primitive reflexes?
Adaptive reflexes help newborns survive and can persist through life ie. sucking
Primitive reflexes disappear usually and are controlled by more primitive parts of the brain
What is the Babinski reflex?
Toes up and out on foot sole stroke
What is the Moro reflex?
A sudden noise or loss of support will cause the infant to throw the arms and legs out
What is the plantar refex?
Curling of the toes when an object is placed under
What is the rooting reflex?
A soft touch on the cheek leads to a head turn towards it
What is the tonic neck reflex?
A lying baby will extend the arm and leg of the side the head is facing
When is the general risk stage for SIDS?
It is rare in month 1, most cases are month 2-4, and 90% of cases happen by 6 months
What are some risk factors associated with SIDS?
Smoking, LBW, Family history, Male, Respiratory Illness, Drugs in pregnancy, formula?
What are the benefits of breast fed babies?
- Lower incidence of GI/respiratory infections
- Lower incidence of SIDS
What are the benefits of having a child sleep on their back? (3)
- Lower incidence of SIDS
- Lower CO2 levels in body
- Lower incidence of sleep apnea