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26 Cards in this Set
- Front
- Back
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how to classify weight related to gestational age
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SGA small for gesational age - <10%
Average (AGA) 10-90 Large (LGA) >90 |
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classify birth weight regardless of gestational age
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LBW - <2500g
VLBW <1500g ELBW <1000g |
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IUGR
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- result of malnutrition during gestation
- symmetric IUGR - proportional reduction of all structures besides heart a and brain - weight, length, Head circ affected - due to early malnutrition - asymmetric IUGR - disporoportional reduction in size and structure of organs due to malnutrition later in pregnancy - head sparing - weight and length affected |
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what does IUGR baby look like
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- large head
- large ant fontanel - long nails - dec wharton's jelly on umbil cord - loose skin, thin extremities |
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IUGR baby important assessments
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IUGR baby at risk for
- respiratory distress r/t meconium aspiration - hypoglycemia and hypocalcemia |
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difficulty delivering shoulders
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- shoulder distocia
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LGA babies are at risk for ______ during delivery
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- shoulder distocia due to large size
- breech presentation - cesarian birth |
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What assessments are important for LGA babies?
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- birth traumas - fractured clavicles, brachial nerve damage, facial nerve damage, cephalohematoma
- polycythemia - in neonates for diabetic motehrs r/t dec in extracellular fluid and/or hypoxia - hyperbilirubinimia, jaundice r/t polycythemia |
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blood in diaper newborn baby girl
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maternal sex hormones - `cause of psuedomenstruation/ breast labial engorgement
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how often do newborns feed?
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- breastfed may only be once every other day due to how well it is absorbed
- bottle fed is 1-2x a day - six times a day for when feeding has been established |
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macrosomia
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aka LGA
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LGA aka
- define for term baby |
macrosmia
>4500g for term baby |
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damage to upper plexus resulting from stretching or pulling away of shoulder
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erb palsy
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erb palsy
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damage to upper plexus resulting from stretching or pulling away of shoulder
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complication of hyperbilirubinemia
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- kinicterus
- accumulation of unconj bilirubin in brain - toxic - ss - deafness, delayed motor, hypotonia, intellectual defecits |
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kinecterus
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- complication of hyperbilirubinemia
- accumulation of unconj bilirubin in brain - toxic - ss - deafness, delayed motor, hypotonia, intellectual defecits |
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ABO incompatibility is when mother is ____
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- mother is O and baby is A or B
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in what cases are hyperbilirubinemia pathologic
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- jaundice within 24h
- jaundice >1w term, >2w preterm |
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Rh isoimmunization
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- occurs when Rh neg mother develops antibodies for Rh postive baby
- doesn't affect 1st pregnancy, but affects subsequent Rh pos babies - can be prevented with Ig (RhoGAM) at 26-28w, then another dose after birth |
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Rh neg woman gave birth to Rh positive baby.
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- assess for antiRh antibodies (Coomb's test)
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Hemolytic diseases of the newborn include
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- ABO incompatibility - O mom, A/B child
- Rh incompatibility - Rh neg mom, Rh pos child |
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how to evaluate lung maturity
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Phosphatidylglycerol
- produced by mature lung cells, and present in amniotic fluid - presence in amniotic fluid indicates lung maturity L/S ratio - lecithin and sphingomyelin ratio of 2:1 or greater indicates maturity - for diabetic mothers, 3:1 or greater |
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normal range of PaO2 and paCO2
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60-70mmhg
35-45mmhg |
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SS of RDS
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- tachypnea and resp difficulty
- expiratory grunting, nasal flaring - skin dusky gray, central cyanosis - lethargic, hypotonic |
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- causes of RDS
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- underdeveloped, small alveoli + insufficient surfactant
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gavage feeding on neonate. how to check for placement
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- aka NG tubes for neonates
- air bolus, listen for gurgling sound or whoosh in abdomen - check residuals - must check after insertion and before each feeding |
