peds: growth & development Flashcards

0
Q
gestational age
 def
 full term
 post term 
 pre term
 min age of viability
A
gestation age = time spent in utero
full term = 38-40 weeks
post term = 40wks +
preterm = <37 weeks
minimum viable age =23-24 wks
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1
Q

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

A
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###

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2
Q

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

A

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
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3
Q

Nuerologic complications of prematurity (3)

gestational age

A

at 28-32 weeks

  1. intraventricular hemorrhage (IVH) => CP
  2. periventricular leukomalacia (PVL) => CP
  3. seizures
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4
Q

respiratory complications of prematurity (3)

A
  1. respiratory distress syndrome (RDS)
  2. bronchopulmonary dysplasia (BPD)
  3. apnea
    * not associated with SIDS
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5
Q

RDS
what it is
3 tx options

A

respiratory distress syndrome

surfactant deficit

tx
surfactant replacement
O2
mechanical vent

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6
Q
BPD
 what is it
 who's at risk
 tx
 later complications (2)
A

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

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7
Q

CV complications associated with prematurity (2)

A
  1. patent ductus arteriosus (heart murmer)

2. bradycardia

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8
Q

Renal complications associated with prematurity (2)

and their tx

A
  1. necrotizing enterocolitis (small intestine wall necrosis)
    tx= breast feeding
  2. jaundice (hyperbilirubinemia) (can lead to brain damage)
    tx = photo therapy
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9
Q

sensory deficits associated with prematurity (2)

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