The Normal Child - 108 Flashcards

0
Q

What are the mechanisms of cell growth?

A

Accretion
Hypertrophy
Proliferation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

What are the primitive reflexes?

A

Moro, suck, swallow, grasp.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What cell types derive from the ectoderm?

A

CNS, skin, hair (outer lining of everthing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What cell types derive from endoderm?

A

Lining of gut and secretory cells of the GI tract and resp. tract.
The inner lining of everything

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What cell types derive from mesoderm?

A

Everything in between! Muscle, bone, organs (e.g. kidneys)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is vernix?

A

Substance that is covering a baby when it is born

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is meconium?

A

First stool a baby does when born.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the normal HR, RR and BP for a newborn?

A

HR - 110-150
RR - 40-60
BP - 65/40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What structures usually close after birth?

A

Ductus venosus
Foramen ovale
Ductus arteriosus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Why is temperature maintenance difficult for a baby? How do they compensate for this?

A

They cannot sweat or shiver.

Abundant brown fat deposits. Their cutaneous blood flow is very sensitive to changes in temperature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What would signify abnormal breathing in a newborn?

A

Grunting, nasal flaring, chest recession and tachypnoea.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is colostrum?

A

Initial breast milk. It is low volume but high energy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How much milk does an infant need to consume per day?

A

150ml/kg/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How much of their birthweight does an infant usually loose by day 5?

A

10% - it is mostly water weight.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do infants have physiological anaemia?

A

High paO2 at birth, Epo levels are undetectable. Anaemia develops at ~5-6 weeks, Epo activity begins when haemoglobin levels drop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name 3 normal skin conditions of a newborn

A

Erythema toxicum (migratory rash)
Milia
Molluscum contagiosum

16
Q

What is the main cause of epiphyseal plate fusion?

A

Oestrogen

17
Q

What is the expected height of a child?

A

Mid parental height +/- 8.5cm

19
Q

Why is folic acid given in pregnancy?

A

To prevent neural tube defects

20
Q

What is routinely administered to babies following birth?

A

Vitamin K

21
Q

What is the embryonic period?

A

first 8 weeks

22
Q

What defines a neonate?

A

Less than 4 weeks

23
Q

How do you calculate expected date of delivery?

A

LMP + 9 months + 7 days

24
Q

What happens embryonically that can mean some women do not realise they are pregnant for the first month?

A

At day 12 embryonically (~day 26 in the menstrual cycle) the endometrium seals, this causes a small bleed that some women can mistake for a period

25
Q

When is hCG secreted by the developing embryo?

A

Day 14, secreted by the syncytiotrophoblast

26
Q

When does gastrulation occur?

A

Day 17