NB at risk Flashcards
ID at risk NB-7
- low ses
- limited/no prenatal care
- exposed to environ dangers
- preexist mom cond
- mat factors: age and parity
- med cond r/t preg
- preg complications
preterm
less than 36 wks
late preterm
34-36.6 wks
early term
37-38.6
full term
39-40.6
late term
41-41.6
postterm
42+ wks
LGA
above 90%
AGA
1–90%
SGA
lower than 10%
preterm SGA risk
higher mortality risk
symmetrical (proportional) IUGR-2
long term mat cond or fetal gen abnormal, chronic prolong growth restriction
asymmetric (disproportional) IUGR-2
acute compromise of uteroplacental blood flow
-not evident before 3T
complications of SGA/IUGR-5
- fetal hypoxia
- aspiration syndrome
- hypothermia
- hypogly
- polycythemia
poor outcomes SGA/IUGR-4
- congenital malformations
- intrauterine infection
- continuous growth difficulties
- cognitive difficulties
asymmetric IUGR appearance-4
long, thin, emaciated
*hypogly most common complication
LGA NB causes-3
mat DM, multiparas, males
LGA outcomes-3
poor motor skills, feeding difficulties, behavior status
LGA complications-5
birth trauma caused by CPD, hypogly, polycythemia, hyperviscosity, hard to arouse
hypogly glu
below 40
mat DM NB appearance-5
macrosomic, ruddy, fat, thick cord, large placenta
mat DM NB complications-7
- hypogly- s/s 1-2 hrs
- hypocalcemia-tremmors
- hyperbilirubinemia- 48-72 hrs
- birth trauma
- polycythemia
- resp distress syn-less mature lungs
- congenital birth defects
hypo gly s/s-7
tremmors, cyanosis, apnea, temp instability, poor feed, hypotonia, seizures
hypo gly NB treat
check glu q 1 hr, give dextrose if below 40
-4-6 mg/kg/min
postterm NB complications-6
- hypogly
- meconium aspiration
- polycythemia -increase RBC from hypoxia (hct)
- congenital abnormal
- seizures
- cold stress
postmaturity syn
begun to lose wt but normal length and head
postterm NB appearance-3
dry/cracking/parchment skin w/o vernix or lanugo, long thin body, maconium staining
