Newborn Assessment Flashcards
What are risk factors for Neonatal Encephalopathy?
Prothrombic disease
Primagravida
Infertility
Pre-E
Multiples
Prolonged 2nd stage
Prolonged ROM
Chorioamnionitis
After which gestational age can you diagnose Neonatal Encephalopathy?
35 weeks
What are fetal risk factors for Neonatal Encephalopathy?
IUGR
infection
Genetics
Placental embolism
Cardiac disease
Abnormal FHR
What is the definition of Hypoxic Ischemic Encephalopathy?
This is caused by hypoxemia or poor blood supply due to severe and prolonged low blood pressures
What type of event is HIE known as?
Intrapartum event- this happened on our watch
What is the biggest difference between Neonatal Encephalopathy and Hypoxic Ischemic Encephalopathy?
NNE does not always have to be a hypoxic event, this can be caused from infection
How much bigger should the newborn’s head than the chest?
2-3 cm
What is a normal newborn Hemoglobin level?
14-20 g/dL
What is a normal newborn Hematocrit level?
43-60%
What is a normal newborn Platelet level?
150-300,000
What is a normal newborn WBC level?
10-30,000
What are the four types of heat loss?
Evaporation, conduction, convection, and radiation
How does the newborn lose heat from evaporation?
This is from a wet body surface area- keep warm and dry, wrapped up, and humidified O2.
How does the newborn lose heat from conduction?
Loss to a cool solid surface touching the newborn- warm mattress, skin-to-skin, warm stethoscope, cover scales, warm blankets
How does the newborn lose heat from convection?
This is loss of body heat to the cool air- warm blow by, avoid drafts, hats, incubators, heat up in rooms