Module 1 and 2 Flashcards
APGAR SCORING
determines how well the baby tolerated the birthing
process.
1 minute score
APGAR SCORING
tells the doctor how well the baby is doing outside the
mother’s womb.
5 minute score
This score means severely depressed
0-3
This score means the baby is good or healthy.
7-10
This score means the baby is moderately depressed
4-6
SILVERMAN – ANDERSEN INDEX - NEONATAL RESPIRATORY DISTRESS GRADING
What grade is no respiratory distress
0
SILVERMAN – ANDERSEN INDEX - NEONATAL RESPIRATORY DISTRESS GRADING
What grade is with moderate distress
4-6
SILVERMAN – ANDERSEN INDEX - NEONATAL RESPIRATORY DISTRESS GRADING
What grade is with severe distress
7-10
This assessment represents the neuromuscular and physical maturation of the fetus.
Ballard Maturational Assessment
delivered at 37 to 40 weeks of development in the uterus
Full-term infant
delivered before 37 weeks of development in the uterus
Pre-term infant
Weight of a preterm infant?
less than 5½ pounds (2.5 kg)
Erythropoiesis decreases after birth as a result of increased tissue oxygenation due to the onset of breathing and closure of the ductus arteriosus, and a reduced production of erythropoietin
Anemia of prematurity
What supplement can assist in
formation of RBCs
Vitamin E
What therapeutic management will help anemia of prematurity.
a. DNA recombinant erythropoietin
b. Vitamin E supplement
c. Blood transfusion (RBC
transfusion)
d. Iron supplement
refers to short episodes of stopped breathing in babies who were born before they were
due.
APNEA OF PREMATURITY
What therapeutic management is done for apnea?
a. Gently stimulate during periods when breathing stops
b. Give caffeine preparation to help stimulate their breathing
c. Suction children with apnea
d. Change the position
e. Use a bag and mask to help them breathe
f. Slower feeding time
g. Give oxygen
Causes blood vessels to grow abnormally and randomly in the eye.
RETINOPATHY OF PREMATURITY (ROP)
This may be effective in preserving sight of those with retinopathy.
Cryosurgery or laser therapy
This promotes the
growth of bifidobacterial.
Breastfeeding
What is expected from the mother to prevent prematurity?
- Eat nutritious diet
- Avoid alcohol, tobacco, and drugs unless they are needed to treat a medical condition
- Receive early and regular prenatal care for early recognition and treatment of complications
of pregnancy
This will help Severely premature infants who have underdeveloped lungs
Glucocorticosteroids
This delays delivery beyond 24–48 hours to allow for transfer and give administered
corticosteroids the possibility to reduce neonatal organ immaturity.
Tocolysis
This can delay delivery by 2–7 days
Calcium-channel blockers and an oxytocin antagonist
This delays delivery by 48 hours but carry more side effects.
β2-agonist drugs
Infants that are born of a gestation that extends beyond
40 weeks
POST TERM (POST MATURE INFANTS)
This is usually recommended when infants are significantly overdue.
Induction of labor
What do you do if a post term infant is lethargic because of
meconium aspiration
Intubate to suction as much meconium
For post term, this may be needed to support breathing
Mechanical Ventilator
What treatment is advised if the post term infant is hypoglycemic
- Give glucose solutions by IV
- frequent breast milk or formula feedings