NB at risk 3 Flashcards
congenital hydrocephalus-3
measure occipital-frontal circumferance daily, check fontanelles for swelling, gel pillow under head
cleft palate-4
side lie pos, feed upright pos, special nipples, burp q 1 oz
tracheoesophageal fistula-4
can’t pass NG tube, elevate head, keep calm, resp and fl balance
diaphragmatic hernia-2
semi high fowler, turn on affected side
omphalocele-2
sterile bag, intestines in membrane
gastroschisis-3
sterile bag, side lie, don’t cover w wet gauze
prune belly syndrome
missing abdominal muscle layer
myelomeningocele-5
cyst containing meninges, spinal cord, and nerve roots, pos on abdo or side, clean butt and genitals after void, cover cyst with plastic, no wet gauze
NB w cong heart defect s/s-4
cyanosis in healthy NB 12-24 hrs w no resp distress and not resolved with O2
-cyanosis, heart murmur, CHF
patent ductus arteriosus-3
murmur in left sternal border, increase difference b/t sys and dia, bounding peripheral pulse, mom rubella
-high pulmonary flow
atrial septal defect-2
higher in females, initially asymptomatic
-high pulmonary flow
ventricle septal defect-3
higher in males, initial no s/s, spontaneous close in first 2 years
-high pulmonary flow
coarctation of aorta-2
narrow aortic lumen, absent/diminished femoral pulses
-obstruction of sys blood flow
hypoplastic left heart syndrome-3
normal at birth, diminshed pulses, thick wall left vent
-obstruction to systemic blood flow
tetralogy of fallout-5
boot shape, pulmonary stenosis, right ventricular hypertrophy, ventricular septal defect, overriding aorta
-low pulmonary blood flow
transposition of great vessels-4
higher in females, DM mom, LGA
- aorta originates from rt vent and pulmonary art from left vent resulting in parallel circulation sys, “egg on it’s side”
- mixed defect
alocohol dependent mom-5
fetal alcohol syndrome, alcohol related birth defects (no facial), alcohol rel neurodevelopment disorder- delay in feed, fetal alcohol spectrum disorder
alcohol dependance ass-4
abnormal structural development and CNS d/o, growth def, face abnormal
-w/d s/s 3-12 hrs up to 18mo
opiate dependancy complications-8
intrauterine asphysxia, intrauterine infection, IUGR, low APGAR
- naloxone/nalorphine contraindicated
- resp distress, jaundice, cong abnormal and growth restrictions
opiate dependancy s/s-5
- w/d 24-48 hrs, meconium analysis, s/s similar to hypogly and hypocal but glu and Ca WNL
- pharmo interventions w 3 consecutive scores above 8
- SIDS increase w heroine and cocaine
tobacco complications-5
spontaneous abortion, placenta previa, abruptio placentae, intrauterine hypoxia and ischemia, cotinine factor
HIV-2
test after 18 mo, don’t give MMR
inborn error of metabolism-4
PKU, congenital hypothyroidism
- musty urine odor
- mental retardation
