Nu201 - High Risk Newborn

Front 1

What types of infections can be caused by PROLONGED RUPTURE OF MEMBRANES? x2

Back 1

pneumonia
skin infections

Front 2

What do you culture after PROM? x2 + 4 ex.

Back 2

blood and skin
ex. throat, ears, axilla, rectum

Front 3

When is there an increased risk of Pneumonia?

Back 3

prolonged ROM
>24 hrs

Front 4

What are 4 risk factors for pneumonia in newborn?

Back 4

1. aspirated vaginal secretions
2. aspirated meconium-stained amniotic fluid
3. mom had gonorrhea
4. mom had chlamydia

Front 5

What is a major cause of newborn infection?

Back 5

Group B hemolytic strep

Front 6

When do you Rx mom for group B strep with IV antibiotics? x4

Back 6

1. GBS bacteriuria during pregnancy
2. ROM >18hrs
3. mom's temp >100.4
4. mom is < 37 wks gestation

Front 7

IV antibiotics for GBS:
when start? x3
what freq?
when stop?

Back 7

1. onsent, labor, or ROM
2. Q4h
3. until delivery

Front 8

What are the two kinds of metabolic illnesses in the newborn?

Back 8

Hypocalcemia, hypoglycemia

Front 9

Hypocalcemia, hypoglycemia
both cause what symptoms? x2

Back 9

jittery baby, tremors

Front 10

what is considered hyopglycemia in NB?

Back 10

< 40-45 mg

Front 11

Hypoglycemia
unique symptoms x6

Back 11

limp, apathy, ^ respirations, cyanotic, poor appetite, convulsions

Front 12

Hypoglycemia Rx
x3

Back 12

give glucose, formula, or breast milk

Front 13

Hypocalcemia
unique symptoms x5

Back 13

muscle twitching, Chvostek's sign (facial irritability), Trousseau's sign (tourniquet spasm), seizures, spasm of larynx (high pitched crow on inspiration or stopped respirations)

Front 14

Two disorders of hemopoeitic system

Back 14

polycythemia, anemia

Front 15

Anemia in NB Rx x2

Back 15

iron replacement, transfusion

Front 16

Polycythemia: ^ blood viscosity may cause what? why?

Back 16

resp. distress b/c blood not circulated thru lungs

Front 17

Polycythemia NB looks...

Back 17

ruddy

Front 18

Polycythemia NB prone to ... x2

Back 18

thrombus formation,
hyperbilirubinemia

Front 19

Polycythemia in NB: Rx

Back 19

Don't let get dehydrated

Front 20

Respiratory illness in NB
3 ex.

Back 20

TTN (transient tachypnea of NB),
Meconium aspiration syndrome,
Pneumothorax

Front 21

TTN
at birth, respirations may be ____ when crying, usually within one hour they slow to ___-___.

Back 21

80 when drying,
30-60 an hour later

Front 22

TTN: in some infants rate remains ___-___ with no ______, just slight _____

Back 22

80-120 respirations/min
no cyanosis,
slight retractions

Front 23

TTN: due to....
this limits...
so he must increase ...

Back 23

...slow absorption of lung fluid
... alveolar surface available for O2 exchange
... increased rate and depth

Front 24

TNN: occurs more often in ... x2

Back 24

C-section and preterm infant

Front 25

Which respiratory illness causes no cyanosis?

Back 25

TTN

Front 26

Which two respiratory illnesses cause cyanosis?

Back 26

Meconium aspiration syndrome,
pneumothorax

Front 27

Meconium aspiration syndrome: progression

Back 27

diff. establishing resp.,
then ^ rate, retrations, cyanosis

Front 28

Meconium aspiration syndrome: Rx

Back 28

Don't give o2 under pressure (bag) until intubated & deep suctioned

Front 29

Pneumothorax: see 6 things...

Back 29

resp. distress, asymmetrical chest, trachea displaced from affected side, cyanosis, abdomen distended from pressure of diaphragm, heart displaced from affected side

Front 30

Pneumothorax: Rx

Back 30

O2 by hood or mask (no pressure b/c ^ problem)