Neonate Flashcards

0
Q

Congenital problems arise from problem in

A

Fetal development

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1
Q

Respiratory movement cease heart recalls neuromuscular tone diminishes

A

If asphyxia continues after birth

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2
Q

Most fetal development occurs during

A

1st trimester

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3
Q

Meningimyelocele

A

Spinal cord and associated structures exposed

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4
Q

Defect in area of umbilicus

Abnormal contents will fill this defect

A

Omphalocele

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5
Q

Bony or membranous septum between nasal cavity and pharynx

A

Choanal atresia

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6
Q

Failure of palate to completely close during fetal development

A

Cleft palate

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7
Q

Failure of upper lip to close

A

Cleft lip

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8
Q

Small jaw and large tongue in conjunction with cleft palate

A

Pierre Robin syndrome

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9
Q

40-60 breaths per minute

A

Normal respiratory rate

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10
Q

150-180

A

At birth HR

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11
Q

Neonates

A

Babies

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12
Q

Newborns

A

First few hours of life

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13
Q

___ % of newborns requires assistance to begin breathing at birth

A

10%

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14
Q

___% require extensive resuscitative measures

A

1

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15
Q

___ of fetal lung fluid removed through compression of chest during vaginal delivery

A

1/3

16
Q

Factors that stimulate 1st breath

A
  • Mild acidosis
  • Intiation of stretch reflexes in lungs
  • Hypoxia
  • Hypothermia
17
Q

Infants are susceptible to

A

Hypoxemia, can lead to permanent brain damage

18
Q

If asphyxia continues

A

Respiratory movements cease, heart rate falls, neuromuscular tone diminishes

19
Q

Congenital anomalies

A

Heart defects most common

20
Q

Normal RR for newborn

A

40-60 BPM

21
Q

Normal HR at birth

A

150-180

22
Q

Normal HR thereafter

A

130-140

23
Q

Normal systolic BP

A

60-90

24
Q

Normal Body Temp

A

98-100 degrees

36.7 - 37.8 C

25
Q

Hyperbilirubinemia

A

Increased level of bilirubin in blood; causes jaundice

26
Q

Apply umbilical clamps __ to ___ seconds after birth

A

30 to 45

27
Q

ET situations

A
  • Chest Compressions performed
  • Pt cannot be ventilated with mask
  • Tracheal suctioning required
  • Prolonged ventilation required
  • Diaphragmatic hernia suspected
  • Inadequate respiratory effort found
28
Q

Discontinue chest compressions if spontaneous heart rate exceeds

A

80BPM

29
Q

Apnea

A

Infant fails to breathe spontaneously after stimulation; respiratory pauses of > 20 seconds
Results of hypoxia or hypothermia

30
Q

Caustic factors to Apnea

A
  • Narcotic or central nervous depressants
  • Weakness of respiratory muscles
  • Sepsis
  • Metabolic disorders
  • Central nervous system disorders
31
Q

Leading cause of shock in newborns

A

Hypovelmia

32
Q

Most common cause of Hypovelmia

A

Dehydration

33
Q

Normal temp in newborn

A
  1. 5 F

37. 5 C