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30 Cards in this Set

  • Front
  • Back
alveolar ducts appear at howmany weeks?
24 weeks
surfactant production peaks at ?
35 weeks
what drug for surfactant production?
how much, where, what site
betamethazone; usually 2 cc's deep IM, in ventrogluteal site
surfactant levels are not suffiecent until how many weeks?
24 weeks
mature L/S ration is?
2:1 ration of lecithin and sphingomyelin
ability of the lungs to fill w/ air is called ?
compliance
production of lung fluid diminshes ___to ___ days before labor and fetal breathin movements ecrease ____to ___hours before onset of labor?
fluid production dec. 2-4 days prior to labor and fetal breathing move is down 24 to 36 hrs prior to labor
most lung fluid is reabsorbed in _____hours
about 2 hours
temperature for a baby should be aprox ________ and no less than
temp 97.4
newborns respiratory rate is ___ to _____ and ________.
30 to 60 and uneven. and largely diaphramatic.
pauses in breathing from 3- 13 seconds are called?
periodic breathing
apnea is cessation of breathing for more than ______ may also be associated w/hr
apnea is cessation of breathing for more than 20 sec.
the dr. should be notified if respirations are below______ or exceed ______when child is at rest or sleeping or if retractions, __________, _______other s/s of respiratory distress
call doc if less than 30 or more than 60 if the kid is resting/sleeping
Name 5 parts of cardiovascular adaptation:
1. increased aortic pressue and decreased venous pressure
2. increased systemic pressure and decreased pulmonary artery pressure
3. closure of the foramen ovale
4. closure of ductus arteriosus
5. closure of the ductus venousus
the foramen ovale is functionally closed at ____hrs. and fully closed at _____months.
formaen ovale is functionally closed at 1-2 hours and fully closed at 6 months.
fibrosis of the ductus arteriosus will occur ______ wkks but functional closure is in _______.
ductus arteriosus in 3 wks total but functional closure is in 15 hours
fibrosis of the ductus venousus will happen in ______
ductus venosus is in 2 months
new born hematocrit and hemoglobin are highe whn there is ___________
failure to clamp cord right away
air conditioning, fans, air currents: all will produce heat loss by:
convection
walls of a room, cold objects near the baby : are examples of
radiation heat loss
wet with amniotic fluid; baths are examples of
evaoration
direct skin contact such as clhilled hands, sthescope,
conducton loss
mechanisms the baby will use to maintain homeostasis for heat:
increased basal metabolic rate; muscular activity; nonchivering thermogenesis
brown adipose tissue is used by ______________________.
non shivering thermogenesis
oxygen consumption of newborn will ______ if temp is lowered by ______C.
2 degrees C is enough to double the oxygen consumption of a newborn
Meperdine given to a laboring woman will ____________
meperdine leads to a greater fall in newborn body temp prevents metabolism of BAT
Iron is stored in the _____ of the newborn.
liver of the newborn for iron but needs iron after 5 months
serum glucose will _____in first two hours then ________rise and become stable at __________hours of life
glucose will fall at first then rise during first two hours and stabilize at two to three hours of life
total serum bilibubin at birth is __________-
normally 2-3 mg / dl
Reducing bilirubin can be done by:
1, 2, 3.
1. maintain skin temp above 97.8,
2. monitor stool breast feeding
3. encourage early feed to promote intestinal eliminatin