Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
30 Cards in this Set
- Front
- Back
|
level of NICU for babies w/critical illness, needing surgical intervention, RN=intensive training |
level 3 |
|
|
levels of NICU |
1-basic neonatal care 2-special care, basic to moderate care 3-premee <32 wks, critical illness |
|
|
survival rate premee 23 wk, 24 wk, 25 wk |
30%, 52%, 76% |
|
|
preterm baby (in weeks) |
<37 weeks |
|
|
preterm charecteristics |
lanugo, smooth sole of foot, thin skin, weak, small breast buds, lg head, thin nails |
|
|
newborn maturity rating and classification catagories (its a chart) |
neuromuscular maturity & physical maturity |
|
|
main priority w/newborn complications |
supporting cardiac and respiratory systems |
|
|
AGA |
average gestational age 5.7-9.1 |
|
|
SGA |
small for gestational age <5.7lbs <10% for age |
|
|
LGA |
large for gestational age >9.1 lbs
|
|
|
failure to thrive (IUGR) most common cause |
placenta anomaly- not receiving adequate nutrition from arteries or placenta |
|
|
common complications for SGA |
perinatal asphyxia meconium aspiration hypoglycemia polycythemia unstable body temp |
|
|
common causes for SGA |
mother DM pre-eclampsia smoking caffeine poor nutrition |
|
|
complications from LGA |
hypoxia birth trauma hypotonic muscles tremors (hypocalcemia) hypoglycemia resp distress |
|
|
effects on baby from "cold stress" |
increase O2 consumption increase utilization of glucose acids released in bloodstream decrease surfactant production |
|
|
respiratory distress syndrome (RDS) |
deficiency or absence of surfactant atelectasis hypoxemia, hypercarbia, academia
|
|
|
common RDS causes |
prematurity- risk increases as weight decreases surfactant deficiency disease |
|
|
RDS dx |
ABG- decrease PO2, increase lactate & PCO2, decrease HCO3
sx of dyspnea- cyanosis, tachypnea, nasal flaring
xray- opaque white out appearance |
|
|
RDS tx |
nutrition- maintain steady wt gain meds- survanta (restores surfactant)
|
|
|
s&sx of fetal meconium aspiration |
in utero- increase in FHR followed by decrease, slow/weak/irregular FHR
distress at birth- pallor, cyanosis, apnea, slow HR, apgar <6, resp depression
|
|
|
physiologic jaundice |
benign & normal 24hr-14days increase in mass red cell mass |
|
|
pathologic jaundice |
result of underlying condition appears before 24 hrs or is persistent past day 7 usually caused by bld incompatibility or infection, maybe RBC disorder |
|
|
physiologic nursing |
bili checks often frequent feedings teach parents to be by window/sunlight (increases bili breakdown) |
|
|
pathologic jaundice risk factors |
premee rh or abo incompatability decreased liver fxn hypoglycemia hypothermia |
|
|
when will there be incompatabilities |
Rh (-) mother or blood type O |
|
|
test for Rh |
Coombs, indirect- Mom, direct- babe |
|
|
Rh tx |
RhoGAM within 72 hrs of birth and 28 wks |
|
|
when is phototherapy used |
babe's bilirubin level is >15 before 48 hrs of age >18 before 72 hrs of age >20 at anytime |
|
|
kernicterus |
excessive build up of bilirubin in brain can cause neuro damage and lead to death
|
|
|
kernicterus s&sx |
high pitch cry lethargic hypotonic very yellow poor suck reflex fever |
