NB at risk

Question 1

ID at risk NB-7

Answer 1

1. low ses
2. limited/no prenatal care
3. exposed to environ dangers
4. preexist mom cond
5. mat factors: age and parity
6. med cond r/t preg
7. preg complications

Question 2

preterm

Answer 2

less than 36 wks

Question 3

late preterm

Answer 3

34-36.6 wks

Question 4

early term

Answer 4

37-38.6

Question 5

full term

Answer 5

39-40.6

Question 6

late term

Answer 6

41-41.6

Question 7

postterm

Answer 7

42+ wks

Question 8

LGA

Answer 8

above 90%

Question 9

AGA

Answer 9

1–90%

Question 10

SGA

Answer 10

lower than 10%

Question 11

preterm SGA risk

Answer 11

higher mortality risk

Question 12

symmetrical (proportional) IUGR-2

Answer 12

long term mat cond or fetal gen abnormal, chronic prolong growth restriction

Question 13

asymmetric (disproportional) IUGR-2

Answer 13

acute compromise of uteroplacental blood flow

-not evident before 3T

Question 14

complications of SGA/IUGR-5

Answer 14

1. fetal hypoxia
2. aspiration syndrome
3. hypothermia
4. hypogly
5. polycythemia

Question 15

poor outcomes SGA/IUGR-4

Answer 15

1. congenital malformations
2. intrauterine infection
3. continuous growth difficulties
4. cognitive difficulties

Question 16

asymmetric IUGR appearance-4

Answer 16

long, thin, emaciated

*hypogly most common complication

Question 17

LGA NB causes-3

Answer 17

mat DM, multiparas, males

Question 18

LGA outcomes-3

Answer 18

poor motor skills, feeding difficulties, behavior status

Question 19

LGA complications-5

Answer 19

birth trauma caused by CPD, hypogly, polycythemia, hyperviscosity, hard to arouse

Question 20

hypogly glu

Answer 20

below 40

Question 21

mat DM NB appearance-5

Answer 21

macrosomic, ruddy, fat, thick cord, large placenta

Question 22

mat DM NB complications-7

Answer 22

1. hypogly- s/s 1-2 hrs
2. hypocalcemia-tremmors
3. hyperbilirubinemia- 48-72 hrs
4. birth trauma
5. polycythemia
6. resp distress syn-less mature lungs
7. congenital birth defects

Question 23

hypo gly s/s-7

Answer 23

tremmors, cyanosis, apnea, temp instability, poor feed, hypotonia, seizures

Question 24

hypo gly NB treat

Answer 24

check glu q 1 hr, give dextrose if below 40

-4-6 mg/kg/min

Question 25

postterm NB complications-6

Answer 25

1. hypogly
2. meconium aspiration
3. polycythemia -increase RBC from hypoxia (hct)
4. congenital abnormal
5. seizures
6. cold stress

Question 26

postmaturity syn

Answer 26

begun to lose wt but normal length and head

Question 27

postterm NB appearance-3

Answer 27

dry/cracking/parchment skin w/o vernix or lanugo, long thin body, maconium staining