Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediactric and Neonatal Respiratory Care > PNRC 01 > Flashcards

PNRC 01 Flashcards

1
Q

3 Symptoms of preeclampsia

A

generalized edema, HTN (that wasn’t there before pregnancy), and proteinuria.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three processes that could result in surfactant not being produced?

A

Hypothermia, hypoxia, and acidosis

**This results in premature surfactant which will not have PG present.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is polyhydraminos? and what likely causes it?

A

Increase of amniotic fluid, commonly caused from anencephaly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can help jump start lung development in a premature baby?

A

Corticosteroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two common corticosteroids used for lung development?

A

Betamethasone/Dexamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the three treatments for preeclampsia

A

Deliver the fetus, antihypertensives, and magnesium sulfate (for seizure activity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the most reliable way to assess pulmonary maturity?

A

To screen for the presence of PG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do you want the L:S ratio to be in a healthy person?

A

2:1 or greater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the 3 shunts in order?

A

Ductus Venous- Bypasses the liver
Foramen Ovale- Inside the heart, allows opening between atria
Ductus Arteriosus- ???

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does the ductus arteriosis close?

A

closes due to an increase in oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Meconium is usually present when what?

A

When the baby is under stress/hypoxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the two hallmark signs that the mother is experiencing placental abruption?

A

Decrease in BP and sudden fetal distress (severe bradycardia and acidosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The umbilical cord is made up of what?

A

two arteries and one vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What purpose does the amniotic fluid serve?

A

Protects the baby, allows for movement, and temperature regulation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is found in between the arteries and vein in the cord that allows for extra protection?

A

Wharton’s Jelly- Helps prevent damage such as kinking of the umbilical cord.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What allows for the baby to survive in such a hypoxic environment while in utero?

A

The production of fetal hemoglobin (HbF) which increased the it’s affinity to oxygen

17
Q

What does the presence of variable decels tell us?

A

It can be either good or bad, and if it is bad, it’s typically affiliated with cord compression.

18
Q

What are the 4 ways to assess prenatal status?

A

Ultrasound
Amniocentesis
Nonstress Test and Contraction stress test
Fetal Biophysical Profile

19
Q

What is the one thing to remember with fetal biophysical profile testing?

A

This test is primarily done with people who are have high risk pregnancies

20
Q

What is the number one cause of bradycardia?

A

Hypoxia. Bradycardia is defined as <100

21
Q

What HR is considered tachycardic?

A

> 180

22
Q

Accelerations during HR fetal monitoring tells us what?

A

This is a good thing. It means the infant is tolerating the contractions very well.

23
Q

What age ranges can put someone in a high risk pregnancy?

A

<17 years or >35

24
Q

Term infant

A

38-42 weeks

25
Q

When is the person considered a fetus?

A

from 8 to 40 weeks

26
Q

At what point will the child have at least some ‘true alveoli’ and when does the alveoli eventually stop developing?

A

at 36 weeks and will continue to develop until age 8

27
Q

Define tocolysis

A 
Procedure using several meds to help prolong birth of a premature baby. The medications aim to:
1 stop labor
2 increase lung maturity
3 increase Hb
4 increase fetal development
28
Q

Increase in pressure in the left side of the heart helps close which shunt?

A

Foramen Ovale

29
Q

What purpose does the ductus arteriosis serve?

A

Diverts blood from the pulmonary arteries away from the lungs to the aorta

30
Q

What are three true things regarding fetal lung fluid?

A

1 comes from the amniotic fluid
2 keeps airways open in utero
3 helps airways keep their shape

31
Q

Three complications that can arise from a post-term birth

A

1 Oligohydraminos
2 Placental Insufficiency
3 Meconium

32
Q

Most common cause of placental abruption

A

Maternal HTN

33
Q

Pressure necessary for a baby to take a breath

A

Needs to be minimum -40 to -100 cmH2O

34
Q

What is the primary factor that drives the baby to first start breathing?

A

Increase of PaCO2 (Birth asphyxia)

35
Q

Define gestational age

A

Age from conception up to the current date.

*If baby was born at 26 weeks and has been born for 4 weeks= gestational age of 30 weeks (26+4)

Pediactric and Neonatal Respiratory Care (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions