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21 Cards in this Set
- Front
- Back
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LGA babies must be > ? in 3 categories ?,?,?
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90th percentile,
weight, length, head circumference |
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LGA babies may weight more that >?g/#'s. They are usually born at ? but can be either ? or ?
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4000g/8lb13oz,
term, preterm, postterm |
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When a LGA baby is born we need to inspect him for ? and this can be Tx by ?
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fractured clavicle,
pinning sleeve to shirt |
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The preterm LGA infant can be mistaken for a full term but has the same problem as other ? infants.
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preterm
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LGA fetuses may show ? patterns on the FHRM during a difficult 2nd stage(pushing) so the infant may have ? problems be ready to perform ?
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nonreassurring,
respiratory, resuscitation |
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Maternal LGA risk factors, D-L-P-P.
When there is a prolonged/difficult labor, assume the baby is ? |
Diabetes Mellitus,
Large weight gain, Previous LGA, Prolonged or difficult labor/long 2nd stage, LGA |
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Infant LGA risk factors, S-V-L
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Shoulder dystocia,
Vacuum extraction or forcep delivery, Low apgar scores, requiring resuscitation |
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LGA baby may experience more injuries going through the birthing process like- Brachial ? injury, ?s palsy(droopy arm), Cephalo- which doesnt go across suture lines, Capput ?, Facial ? damage, Fracture of ? or ?, Hypo-? Hypo-?, sign of ? distress on FHRM e.g. early Dcells from ? compression and/or variable ? from cord compression
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brachial plexus, erb's,
cephalohematoma, succedaneum, nerve, clavicle, femur, hypoglycemia, hypocalcemia, respiratory, head compression, variable D-cells |
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LGA nursing management, the RN should examine the infant respiratory distress to see if neonatal ? needs to be performed, assess for any ?'s, monitor for s/s of hypo-?, S/S that may cause jaundice e.g.- ?,?
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resuscitation,
birth injuries, hypoglycemia, bruising/tramau |
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Post term infants are born after ? weeks gestation, and they may be ?,?,? for gestation.
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41weeks,
LGA, AGA, SGA |
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The RN may see a LGA infant if the placenta is ?
LGA's have a higher risk for ? aspiration. |
healthy,
meconium |
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The LGA infant may be born with cracked, ? skin often with folds or a ? appearence.
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wrinkled,
macerated |
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With Post-term infants amniotic fluid is ? which can lead to increased occurences of ? on the FHRM.
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decreased,
variability |
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The LGA infant will present with no ? or ? on the body, there will be creases over the entire ? of the foot, the breast buds will be ?, and the ear cartilage will be ?
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vernix or lanugo,
sole, large, developed |
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Post term management, The RN should try to prevent or tx the infant if there is ? aspiration. Monitor for ? as far as nutritional needs. Due to the abscence of vernix, ? care may be nescessary. Due to potential for decrease fat stores the RN should monitor the ?
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meconium,
hypoglycemia, skin, temp/thermoregulation |
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Jaundice that occurs in the first 24hrs is ? jaundice. Labs would show an increase of ?mg/dl per day, or a bili higher than ? mg/dl full-term, or ?-?mg/dl preterm
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Pathological,
5mg/dl a day, >12mg/dl fullterm >10-14mg/dl preterm |
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Bilirubin comes in 2 forms ?/? and ?/?
The fat soluble toxic form is ? The water soluble nontoxic form is ? |
unconjugated/indirect,
conjugated/direct, unconjugated/indirect, conjugated/direct |
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Healthy, full-term babies in absence of underlying medical conditions with bili levels of ?mg/dl may not have any detrimental effects and should be Tx with only ? observation.
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18mg/dl
close |
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Bilirubin is released in an ?/? form which is soluble in fat but not water. Before it can be excreted is must be changed into the ? soluble form called ?/? which is not toxic to the body and can be excreted.
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unconjugated/indirect,
water, conjugated/direct |
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Because unconjugated/indirect bilirubin is fat soluble, it may be absorbed by the subcutaneous fat, causing the ? discoloration of the skin called ?
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yellowish,
jaundice |
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Bilirubin encephalopathy, causes ? an irrevesible brain damage. Generally bili levels > ?mg/dl in full-term cause this.
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kernicterus,
>20mg/dl |
