Small Or Preterm Baby Flashcards

1
Q

Low birthweight is?

A
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2
Q

Extremely low birth weight?

A
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3
Q

Very low birthweight is?

A
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4
Q

Preterm?

A
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5
Q
A

Very preterm

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6
Q
A

Extremely preterm

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7
Q

What is small for gestational age?

A

Birthweight that is

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8
Q

Reasons for small gestational age?

A

Environmental
CHD/THN/renal
Illicit DRugs

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9
Q

Edwards syndrome is?

A

T18 - small, rocker bottom feet, overlapping fingers, heart defects

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10
Q

Small for gestational age placental reasons?

A

Twin-twin transfusion
Preeclampsia
Placental vascular thrombosis/infarction
Placental insufficiency.

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11
Q

General cause of preterm birth?

A

Idiopathic. Main reason.

Cervical incompetence
Multiple pregnancy
Uterine anomalies
Ante partum haemorrhage
Fetus not growing well.
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12
Q

IUGR cause?

A

Abdo circumference

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13
Q

Small for gestational age vs. preterm, preterm will be more at risk for everything except?

A

Hypoglycaemia

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14
Q

NEC?

A

Necrotizing Enterocolitis

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15
Q

What to do when 30weeker unexpected birth?

A

Pink : O2 sats
Warm: blankets
Sweet: maintain blood sugar

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16
Q

How to warm baby without incubator?

A

Heat up normal saline bags, wrap in towel, build a fort

17
Q

What is Hyaline membrane disease? HMD?

A

Airways fill up with pink substance due to surfactant deficiency

18
Q

Causes of respiratory distress in preterm?

A

HMD
Pneumonia
Wet lung

19
Q

How to deliver 02

A

Nasal prongs/face mask
Incubator
Nasal CPAP/HF
ETT + positive pressure

20
Q

O2 sats in preterm should be?

A

88-92%

>95 in term babies

21
Q

Temp for preterm?

A

36.8 degrees. Per Axilla (PA)
Reduce loses (glad bag)
Evaporation, convection, radiation, conduction

22
Q

Nutrition for preterm? BGL

A

BGL >2.5mmol/l
10% dextrose

Enteral breast milk

23
Q

Why do preterm babies die?

A
24
Q

28-36 weeks reason babies die?

A

Malformation

Sepsis

25
Q

Why improved survival in preterm?

A

Improved surfactants
NICUs
In utero transfers

26
Q

Impairments for preterm?

A

CP
Blindness
Deafness
Developmental delay (intelligence testing at age7)