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DIAGNOSTIC IMAGING > M1: Newborn & Adolescent History > Flashcards

M1: Newborn & Adolescent History Flashcards

0
Q

Newborn History can be divided in three periods

A

Prenatal, Natal & Neonatal

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1
Q

The newborn period begins at birth and includes the first month of life

A

Neonatal period

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2
Q

Neonatal period

A

First 28 days of life

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3
Q

Full term baby at what week

A

38th week

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4
Q

28th week of gestation through 7th day

A

Perinatal

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5
Q

Perinatal History: 1. _________ & ________ data

A

Demographic & Social

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6
Q

Perinatal History: 2. ______________ in the mother and family (including siblings)

A

Past medical illnesses

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7
Q

Perinatal History: 3. Previous ____________ problems

A

Maternal reproductive

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8
Q

Perinatal History: 4. Events is ___________

A

Present Pregnancy

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9
Q

Perinatal History: 5. Description of __________

A

Labor

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10
Q

Perinatal History: 6. Description of __________

A

Delivery

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11
Q

Includes maternal & fetal conditions, mother’s health during pregnancy, prenatal care, radiation exposure, smoking, substances and emotional & behavioral status.

A

Prenatal

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12
Q

Includes birth history, place/manner of delivery, birth weight of infant (grams/kg), duration of pregnancy and age of gestation

A

Natal

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13
Q

Duration of pregnancy & age of gestation

A

In wks up to 44 weeks

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14
Q

Is determined by counting weeks from amenorrhea to birth

A

Age of Gestation

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15
Q

Used to accurately determine Gestational age through neuromuscular and physical assessment of a newborn fetus. For maturity rating.

A

Ballard score

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16
Q

Scope of weeks for Ballard scoring

A

20-44weeks

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17
Q

Two maturity components in Ballard score

A

Physical & Neuromuscular Maturity

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18
Q

Six criteria in Neuromuscular Maturity

A

Square window, Scarf sign, Heel to ear, Arm recoil, Posture & Popliteal angle “SSHAPP”

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19
Q

Six criteria for Physical Maturity

A

Breast, Plantar surface, Lanugo, Eye/Ear, Genitals & Skin “BP LEGS”

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20
Q

Downy hair covering a body of a newborn

A

Lanugo

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21
Q

Maximum score for Ballard

A

50

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22
Q

Minimum score for Ballard

A

-10

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23
Q

Posture with a score of 4 indicates

A

Full term baby

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24
Q

Score for preterm when talking about posture

A

0 & 1

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25
Q

Leathery, cracked & wrinked skin with a score of 5 indicates

A

Post term baby

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26
Q

In plantar surface, what score indicates a Post term. Give its characteristics.

A
  1. Creases over entire sole.
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27
Q

The younger the baby, the more the ear is __________.

A

Gelatinous

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28
Q

In Categorizing Newborns, classification would include

A

Birth weight & Gestational age

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29
Q

Birth weight & Gestational age is plotted in what kind of curve

A

Intrauterine growth curve

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30
Q

SGA stands for (more problems than LGA)

A

Small for Gestational Age

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31
Q

AGA stands for

A

Appropriate for Gestational Age

32
Q

LGA stands for

A

Large for Gestational Age

33
Q

Is a practical method of assessing newborns to help identify those requiring resuscitation and to predict survival in the neonatal period.

A

APGAR

34
Q

APGAR stands for

A

Appearance, Pulse rate, Grimace, Activity & Respiration

35
Q

For immediate resuscitation

A

1 minute

36
Q

Successful resuscitation. Cannot predict neurologic outcome.

A

5, 10, 15 & 20 minutes

37
Q

Predicts neonatal death

A

APGAR 0-3 at 5min

38
Q

Apgar scoring: HR absent, Respiratory effort absent, Muscle tone limp, Response to catheter in nostril no response and Color is blue pale.

A

0

39
Q

Apgar scoring: HR scores 1

A

Below 100

40
Q

Apgar scoring: Respiratory effort of 3

A

Good & Crying

41
Q

Apgar scoring: Muscle tone scores 1

A

Some flexion of extremities

42
Q

Apgar scoring: Response to catheter in nostril scores 1

A

Grimace

43
Q

Apgar scoring: Color scores 2

A

Completely pink

44
Q

Apgar scoring: Heart rate scores 2

A

Over 100

45
Q

Apgar scoring: Respiratory effort scores 1

A

Slow & Irregular

46
Q

Apgar scoring: Muscle tone scores 2

A

Active motion

47
Q

Apgar scoring: Response to catheter in nostril scores 2

A

Cough or Sneeze

48
Q

Apgar scoring: Color scores 1

A

Body pink, extremities Blue

49
Q

APGAR Interpretation: 3-4

A

Moderate Asphyxia

50
Q

APGAR Interpretation: 8-10

A

No Asphyxia

51
Q

APGAR Interpretation: 0-2

A

Severe Asphyxia

52
Q

APGAR Interpretation: 5-7

A

Mild Asphyxia

53
Q

Ask about first few hours of life

A

APGAR, wt, length, head circumference & Gestational age

54
Q

Neonatal History should: Identify ___________ for prompt action.

A

Disabling diseases

55
Q

Neonatal History should: _____________ that may be of later importance.

A

Anticipate conditions

56
Q

Neonatal History should: Uncover __________ explaining pathology.

A

Causative factors

57
Q

Age for Early Adolescence

A

11-14 y/o

58
Q

Age for Middle Adolescence

A

15-17 y/o

59
Q

Age for Late Adolescence

A

18-21 y/o

60
Q

A growing ability to use abstract thought

A

Early Adolescence

61
Q

Peer group remains very important for social and behavioral norms

A

Middle Adolescence

62
Q

Dating a major activity

A

Middle Adolescence

63
Q

Seeking increasingly more independence

A

Late Adolescence

64
Q

Beginning of abstract cognition

A

Middle Adolescence

65
Q

Physical growth and hormonal development

A

Early Adolescence

66
Q

Conflicts with parents & emancipation issues become dominant themes

A

Middle Adolescence

67
Q

Pubescence, Risk-taking behaviors & rejection of authority

A

Middle Adolescence

68
Q

Discover self, social & academic potential accompanied by changing life goals

A

Late Adolescence

69
Q

Feelings of omnipotence and invincibility

A

Middle Adolescence

70
Q

Uncertain or ambivalent about career. Difficulty performing traditional academic tasks. Become more self confident.

A

Late Adolescence

71
Q

HEEADSSS stands for

A

Home, Education/Employment, Eating, Activities with peers, Drugs/Alcohol/Tobacco, Sexual Identity/Sexuality, Suicide & Depression/Sleep and Safety

72
Q

Maximum hours to spend in electronic gadgets or TV

A

2hrs

73
Q

Makes question seem natural and less intrusive

A

Context

74
Q

Number one cause of death & injury in youth

A

Accidents

75
Q

Is an increasing threat for many American youth

A

Violent behavior

76
Q

For high-risk youth, ask about __________ and a history of _______ including friends and family.

A

Criminal activity. Incarceration.

77
Q

Sum up their life in one word or as in weather report. Identify a trusted adult in the family. It is important to acknowledge those parts of the adolescent’s life that are going well.

A

Wrapping it up

DIAGNOSTIC IMAGING (3 decks)

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