Neonate Lecture Flashcards
What was/is the concern with having a vaginal delivery after a cesarian section?
Uterine rupture–not actually
What is macrosomia?
Large for gestational age
What is the major concern with HELLP syndrome?
Thrombocytopenia
What is the definition of a term infant?
37 (2/7) to 47 and (6/7) weeks
What is late preterm?
34 (2/7) 35-36 (6/7) weeks
What is post-term?
More than 42 2/7
What are the five major concerns with preterm infants?
- NRDS
- Jaundice
- Hypoglycemia
- Hypothermia
- Feeding difficulties
When are the lungs fully developed?
35 weeks gestation
When is the sucking coordination present?
Do preterm infants develop sepsis more often that term?
Admitted more often, but unknown about culture proven
What are cephalohematomas? What can this lead to?
Subperiosteal hematomas
This may lead to neonatal jaundice, shock
What is a subgaleal space?
potential space between the skull periosteum and the scalp galea aponeurosis.
How do you differentiate subgaleal and cephalohematomas?
Cephalohematomas will not get bigger after birth, whereas subgaleal hematomas will.
What are the possible complications of using forceps for delivery?
Scarring
Facial nerve
What is the treatment for facial nerve palsy 2/2 forceps delivery?
Usually self limited– wait 2 weeks
What is the cutoff for prolonged rupture of the membranes? What is the major complication from this?
18 hours
Infection
What is chorioamnionitis?
Sepsis 2/2 infection of the placenta
What hematological abnormality may lead to spontaneous abortions?
Factor V leiden
What is the most common ABO complication in birth?
Mother is O, baby is A. Causing hemolytic jaundice
When is GBS checked for?
35-36 weeks
What is the treatment for GBS? How long does this take to take effect?
IV PCN per mom
4 hours
What is the treatment for Hep B sAg positive mothers?
- Hep B IG
- Vaccinate with Hep B w/in 12 hours
What is the chance that Hep B contracted by the fetus develops into chronic cirrhosis?
80%
What happens with Herpes?
- Disseminated disease
- Meningitis
- ***extremities
When should ART begin with HIV positive mothers?
12 hours
What is the treatment for syphilis?
PCN
What are the neonatal concerns with Chlamydia? Treatment?
Conjunctivitis
Pneumonia
Erythromycin
What defines late prenatal care?
After 20 weeks
How do you check for neonatal drug exposure?
Check the cord
In whom should BG be checked?
Maternal DM
Preterm
What happens to the weight early in the neonate?
Initially goes down in the first three days, but should not be more than 10% in three days.
Day 4-5 should go up.
What is transient tachypnea of the newborn? Is there respiratory distress/hypoxemia?
a period of rapid breathing (higher than the normal range of 40-60 times per minute). It is likely due to retained lung fluid. It is most often seen in 35+ week gestation babies who are delivered by caesarian section without labor.
Usually not
What is the Ortolani maneuver?
What is the Barlow maneuver?
What are the benign heart murmurs that will resolve in neonates?
Tricuspid regurg
Closing PDA
What is the treatment for brachial plexus injury?
PT consult
What is a CCHD screening?
Screening for the heart diseases
What is the feeding intervals in the first week of life?
every 2-3 hours
What is the typical f/u for a normal infant?
2-3 days then 2 weeks
What is the vitamin that is started in neonates?
Vit D to encourage bone growth
