Newborn Management Flashcards
What should be done in the first minute of life?
Stimulation
ex. Rub/pat back, tap feet, suction
Why should a newborn be stimulated in the first minute of life?
To prevent primary apnea
Between minutes 1-5 and 5-10 of the newborn’s life, what should be obtained?
APGAR scores 1 and 2
APGAR scores are from 0-10. Below what number is concerning?
< 7
APGAR
Appearance
Pulse
Grimace
Activity
Respirations
APGAR
Appearance
Pulse
Grimace
Activity
Respirations
What is Transient Tachypnea of the Newborn?
Grunting and mild breathing issues in a healthy term baby
If there is grunting and mild breathing issues in a healthy TERM baby, what should you consider?
Transient Tachypnea of the Newborn
What will the CXR show with Transient Tachypnea of the Newborn?
Hyper-inflated lungs that are wet
What is the treatment for Transient Tachypnea of the Newborn?
PPV
What causes Respiratory Distress Syndrome?
Underdeveloped lungs with insufficient surfactant production in a premature infant
What will be seen on CXR with RDS?
Ground glass appearance
Air bronchograms
NO focal opacities
If you see hypoextended lungs with atelectasis in a premature infant, what should you suspect?
RDS
What is the treatment for RDS?
Surfactant with intubation
What are the symptoms of Hypoglycemia in a newborn?
Asymptomatic or jittery, tremors, seizures, lethargy
If a baby is jittery, has tremors/seizures or is lethargic, what should you suspect?
Hypoglycemia
What is a long-term complication of RDS?
Bronchopulmonary Dysplasia
How does Bronchopulmonary Dysplasia arise?
Long-term RDS with little surfactant results in scarring of the lungs which leads to persistent oxygen requirement
What will the CXR show with Bronchopulmonary Dysplasia?
Ground glass opacities
What is an eye disease that is a consequence of prematurity and low oxygen?
Retinopathy of Prematurity
What occurs with Retinopathy of Prematurity?
Low oxygen leads to random and increased angiogenesis in the eye
What is the treatment for Retinopathy of Prematurity?
Laser ablation of the vessels
What type of brain hemorrhage are premature babies susceptible to?
Intraventricular hemorrhage
How do you diagnose an intraventricular hemorrhage?
Cranial doppler
Necrotizing Enterocolitis is dead bowel in a premature baby. What is an initial sign?
Bloody bowel movement
What will the abdominal XR show with Necrotizing Enterocolitis?
Air in the wall of the gut
(pneumatosis Intestinalis)
What is the treatment for Necrotizing Enterocolitis?
NPO –> TPN
IV antibiotics with possible surgery
