Test 2 MISC Flashcards
Silverman Anderson Index for Resp Distress
Give Ranges…
10 Severe Resp Distress
7 or > Impending Resp Distress
0 No Respiratory Distress
Hyaline membrane disease is….
Respiratory Distress Syndrome
LEADING CAUSE OF PREMATURE DEATHS IN US
Lack of surfactant leads to RDS (#1 cause of premie deaths)
When does surfactant production begin?
22 weeks
50% infants 26 - 28 wks dev RDS
RDS (lack of surfactant) causes collapse of alveoli upon exhale.
Describe serious problems that can occur…
Atelectasis & hypoxia
When is a birth considered PostTerm…
> 42 weeks
TTN is caused by…
Reatianed fluid in lungs
TTN resolves itself in…
12 - 48 hrs
When to notify PEDS woth meconium stained fluidss…
Immediately
Extracorporeal membrane oxygenation happens with this problem…
Meconium aspiration
Cause of Polycythemia…
Poor Interuterine Oxygenation
Increase amount of RBC
Hypocalcemia happens in
Pre or Postterm…
Why….
Preterm 30- 90%
A Preterm has trouble increasing PTH parathyroid hormone to meet demands
NIPS score that requires intervention….
Describe categories of NIPS
4 or greater
Facial expression 0 -1
Breathing 0 - 1
Arms 0 - 1
Legs 0 - 1
Cry 0 - 2
State of arousal 0 - 1
Withdrawal signs start…
Alcohol withdrawal…
48 - 72 hrs
3 - 12 hrs alcohol
Finnegans scoring is used for…
Score that requires intervention…
Completed how often…
Finnegans is used for neonatal Abstinence Syndrome/ withdrawal
Score Above 8 requiere intervención
Q4h during withdrawal
Eat, Sleep, Console
Describe…
Can a baby Eat 1 oz / BF well
Sleep >1 hr
Consoled within 10 minutes
If not…Nonpharmacologal interventions
Then, morphine 0.05 mg / kg q 3h or increases dose by 0.01 mg/kg/dose
SS
Polyhydramnios
Frothing/Drooling
Unablr to pass catheter into stomach
Esophageal Atresia
Woth diaphragmatic hernia which side do you place infant on..
Affected side (Side with the organs)
VSD - MOST COMMON TYOE OF CONGENITAL HEART DEFECT
happens when ___ ventricle shunts blood to ____ ventricle
Risk factor for getting this heart problem…
Left - Right
Hypertrophy Right Ventricle
Blood flows from the higher pressure aorta to pulmonary artery & lungs
Left to Right Shunt.
Describe Effects of Prostaglandins / Indomethacin….
Name disease….
Patent Ductus Arteriosus
Prostaglandin No-No (May cause PDA)
Indomethacin / Ibuprofen (Prostaglandin inhibitor) closes ductus Arteriosus
Coarctation of heart causes Hypertrophy of…
LEFT VENTRICLE
Segments of DNA that direct production of products needed for structure or function…
Genes
Number & appearance of chromosomes in cell nuclei.
Put into arrangements
Karyotype
1 reason for miscarriage….
Numerical chromosomal abnormalities
Reason for cardiac defects….
Monosomy = miscarriage
Trisomy = Cardiac defects
Monozygotic twins AKA
Dizygotic twins AKA
Mono = Identical twins
Di = Fraternity
