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7 Cards in this Set
- Front
- Back
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History for Neonate
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age, sex, GA at birth, weight for age
1. Maternal history -complications during pregnancy: DM, HTN -medications/substances -prenatal labs (GBS, HepB, RPR, HIV, Rh) 2. Labour history: vaginal? TORCH infections? jaundice? breathing? 3. social history -who lives at home, pets/smoking -plans to breastfeed or bottlefeed 4. family history -childhood diseases, infantile deaths, genetic syndromes -age, health, occupation of parents 5. anticipatory guidance -diet -carseat 6. immunizations |
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Physical for Neonate/First Visit Infant
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brand new: APGARs at 1 and 5 minutes
Gen Imp: sick/well? LOC? size? colour? hydration? resp distress? Cardio/Resp ausc - murmurs, HR, air entry, RR Vitals, height, weight, HC Head: size, shape, fontanelles, caput succedaneum, cephalohematoma; sutures Eyes: red reflex, conjunctivitis Ears and nose: size, shape, position Cleft lip and palate Neck: congenital neck masses, cystic hydroma, thyroglossal duct cysts Abdo: size, shape, masses, herniations (gastroschisis, omphalocele, umbilucal hernia), hepatosplenomegaly, bowel sounds Under the diaper: femoral pulses, Orlanti's and Barlow's, genitals (M: cryptorchidism, hypspadias, scrotal hernia; F: ambiguous genitalia), anus (patent, prolapsed), back (hair tuft, dimple) CNS: spontaneous movement symmetry, tone (3 moves), deep tendon reflexes, primitive reflexes Derm: rashes |
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History for First Visit Infant
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age, sex, GA at birth
1. interval history - maternal history: complications, meds/substances, prenatal labs - labour history: APGARs - any issues since birth: hearing test, eye test - wet diapers/day - BM/day or week, colour 2. growth and development - measurements since birth - milestones 3. diet and social history -who lives at home, -pets/smoking -daycare -breastfeed vs formula; amount per day family history: childhood diseases, infantile deaths, genetic syndromes; age, health, occupation of parents 4. anticipatory guidance 5. immunizations |
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omphalocele
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herniated bowel, stomach and and spleen with peritoneal covering
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gastroschisis
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herniated intestine with no covering sac
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Orlanti test
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up to 1 year
flex hips and knees, then push down to correct dislocation |
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Barlow test
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use <6 weeks
flex hips and knees, adduct hips out to dislocate hips |
