Newborn Flashcards

1
Q

What are the risk ages for preg?

A

35 OR

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2
Q

What can cause death in utero?

A

malformations, maternal illness, placental or cord issues

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3
Q

What is the time range for perinatal mortality?

A

20 wks to 28 days of life

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4
Q

What has the best neonatality rate and what has the worst?

A

morocco - best

somalia - worst

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5
Q

When are heart tones detected and movement?

A

18-20 wks

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6
Q

When does surfactant come?

A

32-34 wks

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7
Q

What is stress testing in preg and whats normal?

A

oxytocin challenge - 3 contracts/10 min

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8
Q

How do you determine growth in utero?

A

fundal ht

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9
Q

What is non stress testing?

A

HR in response to mvmt

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10
Q

What connects the placenta to fetus?

A

2 arteries 1 vein

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11
Q

Is there mixing of maternal and fetal blood?

A

no

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12
Q

What does the placenta produce?

A

hCG

lactogen, estrogen, progesterone

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13
Q

What is the babies hemoglobin made up of?

A

2 alpha 2 gamma - binds O2 tighter

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14
Q

What does APGAR stand for?

A
Appearance (color)
Pulse (HR)
Grimace (muscle tone)
Activity (reflex irritability)
Respirations (RR)
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15
Q

Color

A

blue - 0
center pink -1
all pink -2

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16
Q

HR

A

0 - 0

100 - 2

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17
Q

Resp

A

none - 0
weak cry - 1
vigorurous - 2

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18
Q

Tone

A

none - 0
some flexion - 1
all flexed - 2

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19
Q

Reflex

A

none - 0
some motion - 1
crying withdrawal - 2

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20
Q

When do you do apgar?

A

1 and 5 min

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21
Q

What is score 8-10?

A

no concern

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22
Q

What is 4-7?

A

watch close and repeat in 10 min

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23
Q

What is 0-3?

A

resuscitate

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24
Q

What do they give to newborns?

A

opthalmic erythromycin and vit K

25
What are newborn rashes?
Acne, milia, miliaria, melanosis, erythema toxicu
26
What are newborn nevi?
salmon patch, port wine, congenital melanocytic
27
What are hemangiomas?
capillary or cavernous
28
What is elongation of skull after delivery?
molding
29
What are signs of trauma?
cephalohematoma, caput succedaneum
30
What is an eye issue that is emergent?
leukocoria
31
What is a preauricular sinus related to?
renal abnormalities
32
What causes bowel sounds in chest?
diaphragmatic hernia
33
How long is PDA murmur common for/
1-2 days
34
What vaginal discharge is normal at birth?
milky or blood streaked
35
What are causes of ambiguous genitalia?
Congenital Adrenal Hyperplasia Hypospadias with Cryptochordism Preterm Ovarian Hyperstimulation Turner Syndrome Mixed Gonadal Dysgenesis
36
What does barlow and ortolani rule out?
congenital hip dysplasia
37
puffiness to the scalp that crosses suture lines of the skull
caput
38
blood collection under the periosteal surface. Does not cross suture lines.
cephalohematoma
39
What is a common newborn fracture?
clavicle
40
What are 12 complications?
``` Placenta previa Abruptio placenta Pre-eclampsia Eclampsia Oligohydramnios Polyhydramnios Gestational DM Multiple gestation ABO sensitivity Rh sensitivity Drug abuse HIV, STD’s, Rubella, CMV ```
41
What is too little fluid in sac?
oligohydraminos
42
What is high blood pressure in preg?
pre eclampsia
43
What is when the placenta seperates from uterus and baby loses blood supply?
abruptio placenta
44
What are prenatal tests?
``` Alpha fetoprotein hCG Estriol Inhibin A Ultrasound Amniocentesis Chorionic villus Umbilical blood Fetal non-stress test Glucose tolerance test Drug screening Hepatitis, HIV ```
45
What can cause death in utero?
malformations, maternal illness, placental or cord issues
46
What is the time range for perinatal mortality?
20 wks to 28 days of life
47
What has the best neonatality rate and what has the worst?
morocco - best | somalia - worst
48
When are heart tones detected and movement?
18-20 wks
49
When does surfactant come?
32-34 wks
50
What is stress testing in preg and whats normal?
oxytocin challenge - 3 contracts/10 min
51
How do you determine growth in utero?
fundal ht
52
What is non stress testing?
HR in response to mvmt
53
What connects the placenta to fetus?
2 arteries 1 vein
54
Is there mixing of maternal and fetal blood?
no
55
What does the placenta produce?
hCG | lactogen, estrogen, progesterone
56
What does barlow and ortolani rule out?
congenital hip dysplasia
57
puffiness to the scalp that crosses suture lines of the skull
caput
58
blood collection under the periosteal surface. Does not cross suture lines.
cephalohematoma
59
What is a common newborn fracture?
clavicle