Sick Term Infant Flashcards

1
Q

What is classed as a neonate?

A

0-27days

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2
Q

What is a normal APGAR score?

A

> /= 8

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3
Q

What does APGAR stand for?

A
Appearance
Pulse
Grimace
Activity
Respiration
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4
Q

What is a normal heart rate for a neonate?

A

120-140

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5
Q

What is a normal resp rate for a neonate?

A

40-60

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6
Q

What is a normal temperature for a neonate?

A

36.5-37.4

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7
Q

What should a babies O2 sats be within 5-10 mins of birth?

A

95%

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8
Q

What is the most common post natal infection?

A

staph aureus

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9
Q

Which gender is more susceptible to UTIs in neonates?

A

males

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10
Q

What is Hypoxic ischaemic encephalopathy?

A

multi organ damage due to tissue hypoxia

causes neurodevelopmental problems

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11
Q

What is Transient Tachypnoea of the Newborn (TTN)?

A

caused by retained fetal lung fluid due to impaired clearance mechanisms

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12
Q

How does Hydrops foetalis present?

A

baby is oedematous, has ascites and pleural effusions

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13
Q

What can cause hydrops foetalis?

A

rhesus disease or chromosome abnormalities

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14
Q

What is necrotising enterocolitis?

A

perforation of the bowel because it is too weak - common in pre terms

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15
Q

What are the signs of necrotising enterocolitis?

A

abdominal distension
tenderness
blood in stool
bile vomit

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16
Q

How do you treat necrotising enterocolitis?

A

stop oral feeding

give antibiotics

17
Q

How does Meconium ileus present?

A

at 48hrs the baby is vomiting bile and abdomen is distended

doughy tummy

18
Q

What causes Meconium ileus?

A

cystic fibrosis - 1/3rd present with bowel problems

19
Q

What is a Meconium ileus?

A

blockage in the small bowel preventing peristalsis

20
Q

What is a jejunal atresia?

A

congenital dead end of the bowel

21
Q

How do jejunal atresias present?

A

green/bile vomit at 6 hours

22
Q

How does jejunal atresia look on Xray?

A

distended bowel

23
Q

What is malrotation?

A

DJ flexure is low and medial instead of high and lateral so it twists can lead to necrosis and death of the bowel loops

24
Q

How does malrotation present?

A

within 1 month

vomiting