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Archived - OB Exam Study Guide & Peds Study Guide > Neo Natal > Flashcards

Neo Natal Flashcards

1
Q

What is GURU?

(4 Pre-Birth Question)

A

G- Gestational age

U - flUid Color

R - Risk Factors

U - Umbilical cord management

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2
Q

If baby’s APGAR is less than _____, redo the APAGAR every ______ minutes for 20 minutes

A

Less than 7 APAGAR

Every 5 minutes for 20 minutes

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3
Q

Initial steps of neonate stabilization (NRP)

(6 Steps)

A
  1. WD - Warm, dry, stimulate
  2. SPAS -
    1.
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4
Q

“MR SOPA” stands for

A

Msk Adjustment

Reposition Airway

Suction mouth/nose

Open Mouth

Pressure Increase

Alternative Airway (ET tube or laryngeal mask)

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5
Q

LEAN acronym

A

Lido

Epi

Atropin

Narcan

(Doubled on ET TUBE - Adults

Peds - Kilos, Handtevy)

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6
Q

Neonate Heart Rate Range

A

120-160

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7
Q

Chest compressions for neonate

A

Depth ⅓ chest diameter

90 compressions 30 breaths (120 actions per minute)

3:1 (3 compressions:1 Breath)

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8
Q

Neonate HR below 100

A

Positive Pressure ventilations at 40-60 breaths/min

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9
Q

Average kilos for a baby

A

3 kilograms

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10
Q

What increases early is PPV is working?

A

Heart rate

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11
Q

When stop coding a baby for NRP?

A

20 minutes

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12
Q

Bradycardia in neonates

A

Less than 100 bpm

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13
Q

Low blood volume reasons for neonate at birth

A
  1. Placenta abruption - neonate bleeds out too from umbilical cord
  2. Twin-to-twin transfision - 1 umbilical cord and one twin takes more of the circualtion
  3. Placenta previa
  4. Septic Shock
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14
Q

Respiratory Distress & Cyanosios

A
  1. MR SOPA
  2. Ask about increase symotims with feeding
    3.
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15
Q

Low birth weight is below

A

5.5 pounds (2.5 kilograms)

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16
Q

Smooth Hands an palms are correlated with ________ babies.

A

Premature

17
Q

Tpyes of siezures

A
  1. Subtle
  2. Tonic
  3. Spasm
  4. Myocolonic
18
Q

aSiezure TX

A
  1. Blood glucose is les tha 40mg/dL (<45mg/dL treated)
    1. IV Dextrose 10% soluton
      2.
19
Q

Moro Reflex

A
20
Q

Vomiting Tx

A
  1. High ICP - Need shunt from surgery
  2. Kids loss lots of fluid - aggressive fluid resesitation
  3. Zofran - weight based dose (they drop Blood Pressure so be aware)
21
Q

Diarrhea

A
  • Poisoning
  • Gastro enteritis
  • Lactose intolerance
  • Neonatal abstinence syndromne - withdrawing from drugs/alcohol
22
Q

Estimate volume of loose stools

A

How many diapers have they gone through

Degree of deydration

Decrease urinary output

23
Q

Diarrhea TX

A

ABC intacts

Rapid fluid resusitation

Lay them on their sides

24
Q

Neonatal Jaundice

A
  • Transport is essential.
  • Start on IV fluids if neonate shows significant clinical jaundice. (too fliush it out)
  • Communicate with medical control.

(Blood overload at birth- not peeing/pooping bc the broken down blood cells but isn’t being excreted)

25
Q

Fever

A
  • Rectal temperature greater than 38°C (100.4°F)
    *
26
Q

Normal Temp Range

A
  • Range for neonate—36.6°C to 37.2°C (97.9°F to 99°F)
27
Q

Fever Assess

A
  1. Examine for rashes
  2. Het Hx
  3. Not increase in resp rate/work of breathing
28
Q

Hypothermia

A

Less than 35 C (95 F)

29
Q
A
  • Caput succedaneum - swelling of the scalp in a newborn. It is most often brought on by pressure from the uterus or vaginal wall during a head-first (vertex)
    • Cephalohematoma -
30
Q

Congenital Heart Diseases

A

Most common birth defect

Cyanosis

Respiratory Support

31
Q

Left-to-Right shunting

A
  • Noncyanotic disease (pink defects)
    • Oxygenated blood is shunted from the left side of the heart to the right side.
32
Q

Patent ductus arteriosus (CHD)

A
  • Ductus arteriosus does not close after birth.
  • If left untreated, patient could develop heart failure.
33
Q
  • Coarctation of the aorta (CoA)
A
  • Narrowing of the aorta
    • May be associated with other cardiac defects
  • Often asymptomatic until later in childhood
34
Q
  • Pulmonary stenosis presentation
A
  • Jugular vein distention
  • Cyanosis
  • Right ventricular hypertrophy
35
Q
  • Hypoplastic left heart syndrome
A
  • Left side of heart is completely underdeveloped.
    • Unable to fulfill circulation needs
  • Heart transplant is necessary.
36
Q
  • Tetralogy of Fallot (ToF)
A
  • Combination of four heart defects:
    • Ventricular septal defect
    • Pulmonary stenosis
    • Right ventricular hypertrophy
    • Overriding aorta

Requires open heart surgery

37
Q
  • Transposition of the great arteries (TGA)
A
  • Blood goes to the lungs, then returns to the lungs.
  • Blood from the body goes to the heart and returns to the body.
38
Q
  • Total anomalous pulmonary venous return (TAPVR)
A
  • Four pulmonary veins connect to the right atrium instead of the left atrium.
  • Results in diminished oxygen and increased load on right ventricle
39
Q

What is a fluid bolus for a neonate?

A

10 mL/kg over 5-10 minutes (pg 2089)

Archived - OB Exam Study Guide & Peds Study Guide (4 decks)

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