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Maternal Exam 3 > Newborn risks > Flashcards

Newborn risks Flashcards

1
Q

T/F

socioeconimic status of mom can affect the baby

A

true it can q

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2
Q

T/F

No prenatal care is not a big deal for the baby’s health

A

false , prenatal care is super important

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3
Q

T/F

the baby being in moms utero means it is protected from outside, environmental dangers

A

false. it is not as protected bc if something happens to mom it hurts baby

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4
Q

T/F

diabetes of mom or other pre-existing maternal conditions can effect the baby

A

True

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5
Q

T/F

maternal factors such as moms age and parity never have effects to the fetus

A

false. sometimes they can

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6
Q

AGA means

A

Appropriate for gestational age so between 10th and 90th %

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7
Q

SGA means

A

Small for gestational age so below the 10th percentile and means failure to thrive in utero
- small head, length, and chest cirucmfernce

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8
Q

Factors that can affect SGA?

A

It could be from just having Small parents/genetics but could be from complication

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9
Q

IUGR

A

Intrauterine growth restriction so worse than SGA

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10
Q

What causes IUGR in infats

A

environmental or placenta issue

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11
Q

Types of IUGR

A

Symmetric - symmetrically small from chronic reasons. Especially head circumference

Asymmetric - asymmetrically small in certain places from a short term issue
ex: large head, small body circumference

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12
Q

neonate mortality

A

dying in first month

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13
Q

neonate morbidity

A

developing issues in first month of life

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14
Q

Measurement criteria

A

head
weight
chest

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15
Q

In an IUGR infant, what if they have an asymmetrically small abdomen.

What if the baby is long and thin?

A

Means reduced glycogen stores bc they used it all up already

Long thing and muscle is flabby

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16
Q

SGA list complications

A 
Perinatal Asphyxia
Meconium Aspiration Syndrome
Hypothermia
Hypoglycemia
Polycythemia
17
Q

Perinatal Asphyxia is a complication of what?

And what is it?

A

SGA

Perinatal Asphyxia means fetal hypoxia from placenta insufficiency (from infections and smoking )

18
Q

Meconium Aspiration Syndrome is a complication of?

A

SGA

Thick meconium being released in utero can aspirate into baby’s mouth and cause breathing issue and atelectasis

19
Q

Hypothermia is a complication of?

A

SGA

Due to not having brown fat since they’re small

20
Q

Hypoglycemia is a complication of ?

A

SGA

From using up their glucose stores already and so not having enough and inability to do glucogeogenesis

21
Q

Polycythemia is a complicatoin of? What is it?

A

high hmct due to hypoxia and complications, the body kicks out rbc and then it looks like more hematocrit

22
Q

Risks with IUGR?

A 
Congenital malformations
Infections
Marked growth symmetry 
Hyperactive, short attention span 
Hearing loss 
speech defects.
23
Q

LGA meaning

A

Large babies. Greater than 90th percentile , 4000g = about 9 ibs

24
Q

LGA causes

Diabetes

Miscalculated due date

Large parents

Congenital disorder

A

Diabetes can create a LGA baby bc of the glucose storing.

Miscalculated due date /gestational age bc the baby could just be the another age that is greater than the size

Large parents make bigger babies
Male babie are bigger

Congenital disorders where they are born edematous so it makes them as LGA

25
Q

Why might LGA babies have a complication and need to be induced? or C-section?

What other complication can happen?

A

Because of their size, the LGA baby may have a CPD or huge head that can’t fit through the pelvis. This may mean mom has to be induced early or they need to just do the c section

Birthing the baby can give you soft tissue bruising

Main complications: CPD head
Soft tissue bruising

26
Q

Why is hypoglycemia a complication of LGA babies?

A

Large baby means large BS fall so hypoglycemia after birth is a complication of LGA babies

27
Q

Complications of LGA babies due to diabetic mom ?

Euglycemia can make sure these things dont happen

A 
Dropping BS after being born 
Hypocalcemia= tremors
RDS
Birth trauma 
Polycythemia
Hyperbilirubemia
Congenital malformations
28
Q

Characteristics of Diabetes birthed infant

macrosomia

sga

color

fat

umbilical cord size

placenta size

fluid

size as they grow up?

A

In diabetes..

macrosomia if gestational diabetic mom or new diagnosis

sga if mom has always had diabetes and didn’t manage it

coloring of baby is red

extra fat

umbilical cord will be big

decreased total body water and ecf - so no edema here. just all fat

Will probably be obese

29
Q

What is a post term infant

A

An infant born on 42 weeks and on bc mom doesn’t go in labor

30
Q

Reasons for post term infant

A

Miscalculated due date

Failure of spontaneous labor

31
Q

Post term infant characteristics

behavior

skin

vernix and lanugo

hair and nails

general size of infant

meconium

A

Post term infant behavior will be mature and with alert behaviors bc they are developed.

The skin will be dry and cracked due to going past the 41 week mark. Fluid starts to go away then.

They will lack vernix and lanugo

lots of hair
longs nails

Infant will be long and thin

Meconium staining on the nails, skin, and umbilical cord

32
Q

How deadly is post term infancy?

A

2-3x more than term infancy

33
Q

What is post maturity syndrome?

A

Decreased placental function w aging

34
Q

Disorders of Post maturity syndrome are:

Hypoglycemia

Meconium Aspiration

Polycythemia

congenital anomalies

Seizures

Cold stress

A

Hypoglycemia since they live off their own glycogen stores and run out

Meconium aspiration due to hypoxic utero triggers

Polycythemia or the kicking off rbc

Congenital anomalies like anencephaly where you miss part of the upper portion of your head

Seizures from hypoxia and hypoglycemia

Cold Stress bc of no insulation

Maternal Exam 3 (8 decks)

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