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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
Score for preterm when talking about posture
0 & 1
25
Leathery, cracked & wrinked skin with a score of 5 indicates
Post term baby
26
In plantar surface, what score indicates a Post term. Give its characteristics.
4. Creases over entire sole.
27
The younger the baby, the more the ear is __________.
Gelatinous
28
In Categorizing Newborns, classification would include
Birth weight & Gestational age
29
Birth weight & Gestational age is plotted in what kind of curve
Intrauterine growth curve
30
SGA stands for (more problems than LGA)
Small for Gestational Age
31
AGA stands for
Appropriate for Gestational Age
32
LGA stands for
Large for Gestational Age
33
Is a practical method of assessing newborns to help identify those requiring resuscitation and to predict survival in the neonatal period.
APGAR
34
APGAR stands for
Appearance, Pulse rate, Grimace, Activity & Respiration
35
For immediate resuscitation
1 minute
36
Successful resuscitation. Cannot predict neurologic outcome.
5, 10, 15 & 20 minutes
37
Predicts neonatal death
APGAR 0-3 at 5min
38
Apgar scoring: HR absent, Respiratory effort absent, Muscle tone limp, Response to catheter in nostril no response and Color is blue pale.
0
39
Apgar scoring: HR scores 1
Below 100
40
Apgar scoring: Respiratory effort of 3
Good & Crying
41
Apgar scoring: Muscle tone scores 1
Some flexion of extremities
42
Apgar scoring: Response to catheter in nostril scores 1
Grimace
43
Apgar scoring: Color scores 2
Completely pink
44
Apgar scoring: Heart rate scores 2
Over 100
45
Apgar scoring: Respiratory effort scores 1
Slow & Irregular
46
Apgar scoring: Muscle tone scores 2
Active motion
47
Apgar scoring: Response to catheter in nostril scores 2
Cough or Sneeze
48
Apgar scoring: Color scores 1
Body pink, extremities Blue
49
APGAR Interpretation: 3-4
Moderate Asphyxia
50
APGAR Interpretation: 8-10
No Asphyxia
51
APGAR Interpretation: 0-2
Severe Asphyxia
52
APGAR Interpretation: 5-7
Mild Asphyxia
53
Ask about first few hours of life
APGAR, wt, length, head circumference & Gestational age
54
Neonatal History should: Identify ___________ for prompt action.
Disabling diseases
55
Neonatal History should: _____________ that may be of later importance.
Anticipate conditions
56
Neonatal History should: Uncover __________ explaining pathology.
Causative factors
57
Age for Early Adolescence
11-14 y/o
58
Age for Middle Adolescence
15-17 y/o
59
Age for Late Adolescence
18-21 y/o
60
A growing ability to use abstract thought
Early Adolescence
61
Peer group remains very important for social and behavioral norms
Middle Adolescence
62
Dating a major activity
Middle Adolescence
63
Seeking increasingly more independence
Late Adolescence
64
Beginning of abstract cognition
Middle Adolescence
65
Physical growth and hormonal development
Early Adolescence
66
Conflicts with parents & emancipation issues become dominant themes
Middle Adolescence
67
Pubescence, Risk-taking behaviors & rejection of authority
Middle Adolescence
68
Discover self, social & academic potential accompanied by changing life goals
Late Adolescence
69
Feelings of omnipotence and invincibility
Middle Adolescence
70
Uncertain or ambivalent about career. Difficulty performing traditional academic tasks. Become more self confident.
Late Adolescence
71
HEEADSSS stands for
Home, Education/Employment, Eating, Activities with peers, Drugs/Alcohol/Tobacco, Sexual Identity/Sexuality, Suicide & Depression/Sleep and Safety
72
Maximum hours to spend in electronic gadgets or TV
2hrs
73
Makes question seem natural and less intrusive
Context
74
Number one cause of death & injury in youth
Accidents
75
Is an increasing threat for many American youth
Violent behavior
76
For high-risk youth, ask about __________ and a history of _______ including friends and family.
Criminal activity. Incarceration.
77
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.
Wrapping it up

DIAGNOSTIC IMAGING (3 decks)

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