sick term infant Flashcards
what are the possible scores for appearance in APGAR
blue or pale = 0
blue in extremities/pink body = 1
cyanosis = 2
what are the possible scores for pulse in APGAR
absent = 0 <100 = 1 >100 = 2
what are the possible scores for grimace in APGAR
no response = 0
grimace/feeble cry when stimulated = 1
cry or pull away when stimulated = 2
what are the possible scores for activity in APGAR
none = 0
some flexion = 1
flexed arms and legs that resist extension = 2
what are the possible sores for respiration in APGAR
absent = 0
weak, irregular, gasping = 1
strong cry = 2
what is involved n the newborn clinical assessment
maternal Hx
infant antenatal Hx
APGAR (inspection and vital signs)
what features might be seen on newborn inspection
jaundice low tone seizures poor feeding bilious vomit
what are possible sites of infection in the newborn
bloodstream CNS (meningitis) respiratory (pneumonia) GU (UTI) skin bone GI (NEC)
what bacterial infections are common in newborns
group B strep E Coli listeria myocytogenes staph aureus staph epidermidis
what viral infections are common in newborns
CMV
parvovirus
herpes
enteroviruses
what is hypoxic ischaemic encephalopathy
multi organ damage due to tissue hypoxia
what are signs of hypoxic ischaemic encephalopathy
poor APGAR scores (active resus needed)
neurodevelopmental sequeli
what is hydrops foetalis
accumulation of fluid (oedema) in at least two compartments
what can cause hydrops foetalis
rhesus disease
chromosomal
which cardiac issue can be caused by failure of the newborn to adapt to postnatal life
persistent pulmonary hypertension of the newborn
