peds: growth & development

Question 0

gestational age
 def
 full term
 post term 
 pre term
 min age of viability

Answer 0

gestation age = time spent in utero
full term = 38-40 weeks
post term = 40wks +
preterm = <37 weeks
minimum viable age =23-24 wks

Question 1

chart terminology for a womans past pregnancy hx
G/P
nemonic

Answer 1

G = gravida = # of pregnancies
P = para = outcomes

nemonic = florida power and light
f= full term births
p= premature births
a= abortions
l= living

G#P###

Question 2

APGAR
what it is and 2 ranges we need to know
low scores are associated with… (3)

Answer 2

newborn assesment tool

8-9 very good condition (10 is perfect but never happens)

0-3 means baby was resuscitated

low scores can be from

1. meds given to mother
2. prematurity*
3. rapid delivery

Question 3

Nuerologic complications of prematurity (3)

gestational age

Answer 3

at 28-32 weeks

1. intraventricular hemorrhage (IVH) => CP
2. periventricular leukomalacia (PVL) => CP
3. seizures

Question 4

respiratory complications of prematurity (3)

Answer 4

1. respiratory distress syndrome (RDS)
2. bronchopulmonary dysplasia (BPD)
3. apnea
   * not associated with SIDS

Question 5

RDS
what it is
3 tx options

Answer 5

respiratory distress syndrome

surfactant deficit

tx
surfactant replacement
O2
mechanical vent

Question 6

BPD
 what is it
 who's at risk
 tx
 later complications (2)

Answer 6

bronchopulmonary dysplasia

walls of lungs thicken making O2/CO2 exchange difficult

who is at risk?
> 10 wks premature
less than 1kg at birth

tx
supplemental O2 or vent

later consequences
limited physical activity tolerance => developmental delays
chronic upper respiratory or lung problems

Question 7

CV complications associated with prematurity (2)

Answer 7

1. patent ductus arteriosus (heart murmer)

2. bradycardia

Question 8

Renal complications associated with prematurity (2)

and their tx

Answer 8

1. necrotizing enterocolitis (small intestine wall necrosis)
   tx= breast feeding
2. jaundice (hyperbilirubinemia) (can lead to brain damage)
   tx = photo therapy

Question 9

sensory deficits associated with prematurity (2)

Answer 9

1. retinopathy of prematurity
   because retinal vascularization isn’t complete until near term
   high risk born before 35 wks
2. hearing impairment