neonatology 2

Question 1

what are physiological causes for small for dates ?

Answer 1

maternal - smoking alcohol, PET
foetal - Edwards syndrome, infection CMV
placental - placental abruption
twin pregnancy

Question 2

what are common problems when small for date ?

Answer 2

perinatal hypoxia
hypoglycaemia
hypothermia
polycythaemia
thrombocytopenia
GI problems

Question 3

what are long term problems for being small for date ?

Answer 3

hypertension
reduced growth
obesity
IHD

Question 4

how do you treat respiratory distress syndrome ?

Answer 4

prevention - antenatal steroids
early surfactant treatment
N-CPAP

Question 5

what are consequences of patent ductus arteriosus ?

Answer 5

over-perfused lungs
lung oedema
systemic ischaemia

can result on low renal perfusion and GI problems

Question 6

what is necrotising enter-colitis ?

Answer 6

ischaemic and inflammatory changes
necrosis of bowel
surgical intervention often required

conservative management and Abx + parenteral nutrition

Question 7

what are the classes of preterm babies ?

Answer 7

preterm <37 weeks

extremely preterm <28 weeks

Question 8

what are the classes of low birth weights ?

Answer 8

low - <2500g
very low - <1500g
extremely low - <1000g