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COMAT - Peds > Newborn Management > Flashcards

Newborn Management Flashcards

1
Q

What should be done in the first minute of life?

A

Stimulation
ex. Rub/pat back, tap feet, suction

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2
Q

Why should a newborn be stimulated in the first minute of life?

A

To prevent primary apnea

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3
Q

Between minutes 1-5 and 5-10 of the newborn’s life, what should be obtained?

A

APGAR scores 1 and 2

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4
Q

APGAR scores are from 0-10. Below what number is concerning?

A

< 7

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5
Q

APGAR

A

Appearance
Pulse
Grimace
Activity
Respirations

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6
Q

APGAR

A

Appearance
Pulse
Grimace
Activity
Respirations

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7
Q

What is Transient Tachypnea of the Newborn?

A

Grunting and mild breathing issues in a healthy term baby

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8
Q

If there is grunting and mild breathing issues in a healthy TERM baby, what should you consider?

A

Transient Tachypnea of the Newborn

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9
Q

What will the CXR show with Transient Tachypnea of the Newborn?

A

Hyper-inflated lungs that are wet

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10
Q

What is the treatment for Transient Tachypnea of the Newborn?

A

PPV

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11
Q

What causes Respiratory Distress Syndrome?

A

Underdeveloped lungs with insufficient surfactant production in a premature infant

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12
Q

What will be seen on CXR with RDS?

A

Ground glass appearance
Air bronchograms
NO focal opacities

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13
Q

If you see hypoextended lungs with atelectasis in a premature infant, what should you suspect?

A

RDS

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14
Q

What is the treatment for RDS?

A

Surfactant with intubation

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15
Q

What are the symptoms of Hypoglycemia in a newborn?

A

Asymptomatic or jittery, tremors, seizures, lethargy

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16
Q

If a baby is jittery, has tremors/seizures or is lethargic, what should you suspect?

A

Hypoglycemia

17
Q

What is a long-term complication of RDS?

A

Bronchopulmonary Dysplasia

18
Q

How does Bronchopulmonary Dysplasia arise?

A

Long-term RDS with little surfactant results in scarring of the lungs which leads to persistent oxygen requirement

19
Q

What will the CXR show with Bronchopulmonary Dysplasia?

A

Ground glass opacities

20
Q

What is an eye disease that is a consequence of prematurity and low oxygen?

A

Retinopathy of Prematurity

21
Q

What occurs with Retinopathy of Prematurity?

A

Low oxygen leads to random and increased angiogenesis in the eye

22
Q

What is the treatment for Retinopathy of Prematurity?

A

Laser ablation of the vessels

23
Q

What type of brain hemorrhage are premature babies susceptible to?

A

Intraventricular hemorrhage

24
Q

How do you diagnose an intraventricular hemorrhage?

A

Cranial doppler

25
Q

Necrotizing Enterocolitis is dead bowel in a premature baby. What is an initial sign?

A

Bloody bowel movement

26
Q

What will the abdominal XR show with Necrotizing Enterocolitis?

A

Air in the wall of the gut
(pneumatosis Intestinalis)

27
Q

What is the treatment for Necrotizing Enterocolitis?

A

NPO –> TPN
IV antibiotics with possible surgery

COMAT - Peds (12 decks)

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