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43 Cards in this Set
- Front
- Back
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What type of babies will diabetic mothers have?
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Big immature babies
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What is the most likely problem to happen with a macrosomia baby?
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Birth injuries
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What are S&S of meconium aspiration?
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tacycardia and cyanosis
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What type of babies get meconium aspiration?
Premature or Postmature? |
Postmature
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What is the use of gavage feedings?
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conserves the baby's strength and doesn't depend on the baby's suck reflex
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What is the preferred route for gavage feedings?
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orogastric
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Why can premature infants loose heat so easily?
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extra energy calories, minimal or no fat stores, no brown fat
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How do you prevent intraventricular hemorrhage?
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adequate oxygenation especially well pre/post suctioning
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What are the S&S of intraventricular hemorrhage?
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decreased O2 sat, hypotension, bulging fontanelle
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What is NEC?
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Acute inflammatory disease of the GI mucosa, commonly complicated by perforation
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What is the earliest S&S of NEC?
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poor feeding and abdominal distention
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How do you prevent NEC?
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Slowly increasing feedings of the infant
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If the baby survives NEC what complication will they probably encounter?
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Short bowel syndrome
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What is the treatment of NEC?
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low gastric suctioning and the use of TPN
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What is considered hypoglycemia in a premie?
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<40
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What are the S&S of infection in the preterm infant?
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temperature instability, lethargy, irritability, cyanosis, jaundice, poor perfusion, hypotension, tachypnea, apnea, RDS, n/v/d
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What is retinopathy of prematurity?
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high concentrations of O2 result in vasoconstriction causing hemorrhages
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How do you prevent retinopathy of prematurity?
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laser photocoagulation, vitamin E therapy, decreasing the intensity of the ambient light
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What is the typical level of hyperbilirubinemia?
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<15
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What will you typically see with a baby with CHF?
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decreased peripheral pulses
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If a baby hasn't passed meconium in first 24 hours, what would you check?
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Imperforate anus
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What is the Ortolani's test?
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moving the hips to hear/feel for a click to indicate hip dysplasia
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What is transient tachypnea of newborn?
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Rapid and labored breathing of the newborn for the first 3 days of life
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How is TTN treated?
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CPAP
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What is ECMO?
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provides oxygen to the circulation allowing the lungs to rest and decreases pulmonary hypertension and hypoexemia
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What is calcium gluconate used for?
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Antidote for Magnesium sulfate
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What is RDS?
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Increased pulmonary resistance that leads to the reopening of the ductus artereosus
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What are the S&S of RDS?
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Nasal flaring, tachypnea, grunting, retractions, hypercapneia, hypotension, shock, respiratory acidosis
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What is a PDA?
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Patent ductus arteriosus
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What is the treatment of a PDA?
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ADEQUATE O2, INDOETHACIN, meticulous I&O, parental support
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What are the S&S of a PDA?
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Murmus, bounding pulses, tachycardia, tachypnea, crackles, hepatomegly
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What is the normal range for respirations?
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30-60
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What happens with hyperbilirubinemia?
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Kerinecterus
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What is kerinecterus?
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Bilirubin encephalopathy
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What is the biggest problem that an infant might encounter after surviving kerinecterus?
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Hearing loss
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What sign do you typically see in kerinecterus?
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Setting sun sign
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What is a setting sun sign?
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The pupils look like they are sinking below the lids; baby gunna die
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What is a myelomeningocele?
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A sac formed on the spine that has meninges, CSF, and neural tissue that may indicate spinal bifida
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What is a diaphragmatic hernia?
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Abdominal organs go into the chest
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What can be done for a diaphragmatic hernia?
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ECMO until surgery
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What are the S&S of a diaphragmatic hernia?
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Cyanosis, respiratory distress, flat scaphoid abdomen
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After taking Flagyl how long do you have to wait to resume breastfeeding?
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12-24 hours after drug is completed
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What are the side effects of Terbutaline?
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Headache, hypotension, tachycardia, hyperglycemia, hypokalemia
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