Neonatal assessment Flashcards
when is newborn exam done
- after transition, when baby in quiet but alert state
what are growth parameters
weight, height, head circ.
- use curve and be concerned if
what is normal weight
can lose 10% right away and regain within 10-14 days
- double by 4 month and triple by year
what is small head
def. caput succeedanum
pitting edema in head - above aponeurosis
def. cephalohematoma
blood under skin on one side above aponeuosis
def. subgaleal hemorrage
blood under aponeurosis - of concern as bleed can continue
def. acrocyanosis
feet and hands blue
what is seen in premature babies (2)
- less creases on feet
2. wrinkled ears
def. preterm
42 weeks
classification of prematures
low
4 clearly established risks for premature
- maternal age
- low SES
- maternal malnutrition
- previous preterm delivery
5 possible etiologies
- idiopathic
- maternal
- uterine
- placental
- fetal
5 possible maternal causes
- preg. induced HT
- infection
- substance abuse
- trauma
- illness
4 uterine causes
- cervical incomp
- polyhydramnios
- fibroids
- uterine malformations
2 placental causes
- abruption
2. previa
5 fetal causes
- multi gestation
- macrosomicfetus
- RBC isoimmunization
- infection
- fetal abnormalities
4 general problems with preterms
- suvival
- acute and chronic morbidity
- impact on parents and fam.
- consequences for society
what is mort. of preterm
inverse with age
- ELBW were .8% of birth, but 55% of deaths
6 systems and problems with acute morbidity
- resp - immature lung, RSD, plneumonia
- CV- patent ductus arteriosus
- thermoreg - immature skin and limited fat
- sepsis - immaute immune, invasive support
- GI - TPN needed, NEC
- neuro - intraventricular hemorrage, perinatal asphyxia
6 chronic prblems
- lung disease
- vision impariment
- hearing
- cerebral palsy
- cog, impairment
- behav. and school challenges
