Preterm Birth and PMF Flashcards

1
Q

premature birth

A

birth at or before 37 weeks’ gestation

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2
Q

preterm birth complications are the leading cause of

A

death among children under 5 years of age, responsible for approximately 1 million deaths in 2018

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3
Q

incidence of preterm births

A

occurs in about 11% of all pregnancies worldwide

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4
Q

preterm birth risk factors

A

advance maternal age
reproductive assistive tech
multiples gestation
infections
maternal diabetes
maternal high blood pressure
genetic conditions
maternal illicit drug use

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5
Q

late preterm

A

34-37 weeks

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6
Q

moderate preterm

A

32-33 weeks

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7
Q

very preterm

A

28-32 weeks

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8
Q

extremely preterm

A

<28 weeks
girls have better outcomes than boys

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9
Q

infants who survive extremely preterm

A

intraventricular hemorrhage
necrotizing enterocolitis
bronchopulmonary dysplasia
severe visual impairment
hearing impairment
cerebral palsy
cognitive developmental delay

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10
Q

associated features later in development

A

behavior problems, ADHD, anxiety
neurological disorders like cerebral palsy
autism
asthma
intestinal problems
vision and hearing problems
dental problems

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11
Q

birth defects

A

spina bifida
cleft lip
congenital heart disease

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12
Q

spina bifida

A

incomplete closing of the backbone and membranes around the spinal cords

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13
Q

spina bifida risk factors

A

folate deficiency
neural tube defects
medications (antiseizure)
diabetes
obesity

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14
Q

spina bifida atypical development

A

mobility problems
orthopedic complications
bladder problems
fluid in the brain
breathing/swallowing
meningitis
tethered spinal cord
sleep disordered breathing
skin problems

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15
Q

cleft lip and cleft palate

A

most common types of birth defects
unknown case
risk: smoking
diabetes
medications
1 in 700 births
surgery for treatment

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16
Q

omphalocele

A

an infants intestine or other abdominal organs are outside of the body because of a hole in the belly button
develop outside the body then return inside

17
Q

gastroschisis

A

the baby’s intestines are found outside of the babys body exiting through a hole beside the bell button
intestines not covered, can twist and swell

18
Q

tracheoesophageal fistula

A

condition impacting the connection between the windpipe and esophagus

19
Q

types of infection

A

bacterial
viral
fungal

20
Q

bacterial meningitis

A

an inflammation of the membrane surrounding your brain and spinal cord

hearing loss
memory
learning disabilities
kidney
brain damage
death

21
Q

sepsis

A

occurs when chemicals released in the bloodstream to fight an infection trigger inflammation through the body
can cause a cascade of changes that damage multiple organ systems leading them to fail sometimes even resulting in death

22
Q

sepsis symptoms

A

fever, difficulty breathing, low blood pressure, fast heart rate, mental confusion

23
Q

neonatal sepsis

A
  1. respiratory infection spreads from chest into body
  2. infection enters and surrounds spinal cord
  3. infection spreads to brain and become fatal
24
Q

infections viral

A

encephalitis and meningitis caused by enteroviruses and the herpes viruses
hepatitis C
respiratory syncytial virus (RSV)

25
respiratory syncytial virus
a common and very contagious virus that infects the respiratory tract of most children before their second birthday
26
perinatal asphyxia
deprivation of oxygen to a newborn infant that lasts long enough during the birth process to cause physical harm, usually to the brain
27
hypoxic damage can occur to most of the infants organs but
brain damage is of most concern and perhaps the least likely to quickly or completely heal
28
kidney diseases
jaundice and kernicterus 60% risk: preterm birth, darker skin, feeding difficulties, bruising, siblings with it
29
preterm and SGA infants are best managed and cared for in
high-risk obstetrical centers with neonatal intensive care units
30
early intervention programs benefit neurodevelopment of most premature infants through
3-5 years
31
intervention strategy includes group meetings for parents, home visits, and
attendance at a multidisciplinary child development center
32
neurodevelopmental outcomes
school age children born very preterm are at greater risk of developing executive function deficits