Newborn Flashcards
What are common presentations of an infant from a diabetic mom (IDM)?
Hypoglycemia/hypocalcemia
Cardiac disease
Large baby (Remember: Insulin is a Growth Hormone)
What info do we want to gather about the maternal history?
Chronic illness Pregnancy health Previous losses Medications Exposures US findings Quad screens Stress test
What information do we want to gather about a woman’s delivery history?
Gestational age Vaginal delivery versus C-section Clear fluid, meconium, or bloody fluid Difficult delivery Breech Need for resuscitation APGARs
What are the four (4) components of the Quad screen?
AFP, HCG, Inhibin A, Estriol
What is part of maternal-fetal-newborn medicine?
Mother: Pre-pregnancy conditions, pregnancy healthy, pregnancy complications
Fetus: teratogens, assessment of wellbeing
Newborn: newborn period
What is the neonatal period?
Birth to 28 days of life
How do you calculate infant mortality rate?
of deaths/ 1000 live births
What are common maternal health issues?
Antiphospholipid syndrome Lupus Diabetes Thyroid Idiopathic thrombocytopenia
What is a commonality between maternal health issues that can cause problems with the fetus?
They all change the blood flow
What are components of maternal-fetal health?
Teratogens Alcohol, Tobacco, Drugs Infection Placental problems Amniotic fluid
What are common maternal-fetal infections?
Group B Strep
UTI
Congenital (TORCH)
What are common placental problems?
Previa: placenta exposed over cervix
Accreta: placenta in muscle so it had DEC blood flow
Abruption: tears away from endometrium
What are common problems with the amniotic fluid?
Oligohydramnios
Polyhydramnios
PROM: premature rupture of membranes
How do we assess the intrauterine fetus?
Growth: IUGR, macrosomia (diabetes)
Quad screen
Fetal monitoring
What is the most important part of the Quad screen?
Alpha-fetoprotein (AFP)
Screens for anomalies
If it’s DEC, think trisomies
If it’s INC, think neural tube defects
