Neonatal assessment Flashcards

1
Q

when is newborn exam done

A
  • after transition, when baby in quiet but alert state
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are growth parameters

A

weight, height, head circ.

- use curve and be concerned if

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is normal weight

A

can lose 10% right away and regain within 10-14 days

- double by 4 month and triple by year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is small head

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

def. caput succeedanum

A

pitting edema in head - above aponeurosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

def. cephalohematoma

A

blood under skin on one side above aponeuosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

def. subgaleal hemorrage

A

blood under aponeurosis - of concern as bleed can continue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

def. acrocyanosis

A

feet and hands blue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is seen in premature babies (2)

A
  1. less creases on feet

2. wrinkled ears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

def. preterm

A

42 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

classification of prematures

A

low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

4 clearly established risks for premature

A
  1. maternal age
  2. low SES
  3. maternal malnutrition
  4. previous preterm delivery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

5 possible etiologies

A
  1. idiopathic
  2. maternal
  3. uterine
  4. placental
  5. fetal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

5 possible maternal causes

A
  1. preg. induced HT
  2. infection
  3. substance abuse
  4. trauma
  5. illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

4 uterine causes

A
  1. cervical incomp
  2. polyhydramnios
  3. fibroids
  4. uterine malformations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

2 placental causes

A
  1. abruption

2. previa

17
Q

5 fetal causes

A
  1. multi gestation
  2. macrosomicfetus
  3. RBC isoimmunization
  4. infection
  5. fetal abnormalities
18
Q

4 general problems with preterms

A
  1. suvival
  2. acute and chronic morbidity
  3. impact on parents and fam.
  4. consequences for society
19
Q

what is mort. of preterm

A

inverse with age

- ELBW were .8% of birth, but 55% of deaths

20
Q

6 systems and problems with acute morbidity

A
  1. resp - immature lung, RSD, plneumonia
  2. CV- patent ductus arteriosus
  3. thermoreg - immature skin and limited fat
  4. sepsis - immaute immune, invasive support
  5. GI - TPN needed, NEC
  6. neuro - intraventricular hemorrage, perinatal asphyxia
21
Q

6 chronic prblems

A
  1. lung disease
  2. vision impariment
  3. hearing
  4. cerebral palsy
  5. cog, impairment
  6. behav. and school challenges