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26 Cards in this Set
- Front
- Back
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Ductus Arteriosus
connects |
pulm artery and aorta
closes 15-24 hours functionally perm 3-4 weeks |
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Forman Ovale is
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Flap in the septum between the right and left atrium
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Forman ovale
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functionally closes soon after birth, permanatly closed after several months
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Normal infant hematocrit
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48-69%
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Hazards of Cold Stress
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Increased o2 need
resp distress decreased surfactant production hypoglycemia metobolic acidosis jaundice |
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Amylase
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needed to digestcomplex carbs such as those in cereal. ufficiant at 3-6 months
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breast milk stools
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seedy and mustard colored with sweet sour smell
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formula fed stools
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pale yellow to light brown and firmer than breast milk stools
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Liver function
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maintanence of blood glucose levels
conjugation of bilirubin production of coag factors storage of iron metabolism of drugs |
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Factors that increase bilirubin production
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excess production
red blood cel life lever immaturity intestinal factors delayed feeding |
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Physiologic jaundice
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caused by transient hyperbilirubinemia and considered normal.
appears on 2nd or 3rd day after birh |
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Pathologic jaundice
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abnormal
appears during the first 24 hours after birth may be caused by ABO abnormalities or metobolic disorders |
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Kidney Development and function
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occurs at 35 weeks gestation
voiding occurs 12-24 hours after birth |
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Intake and output of neborn first 2 day
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Intakr 40-60ml per kg
output at least 1-2 voids |
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Intake and output
after the first 2 days |
intake100-150ml per kg
output at least 6 voids per day |
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IgG
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crosses the pacenta and provides fetus with passive immunity to bacteria and viruses to which the mother has immunity
dissapears after the 1st 6-8 months of life |
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IgM
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protects againt gram negative bacterianot transported across the placenta
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IgA
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does not cros the placenta and must be produced byy the infant
protects the gi and resp systems |
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First period of reactivity
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starts at birth
pulse and resp gradually slow and the infant becomes sleepy after 30 min -2 hours |
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period of sleep
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deep sleep, may last several hours
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2nd period of reactivity
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occurs 4-6 hours after birth and cont a short time or several hours
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cephalahemotoma
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does not cross suture lines
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Normal neworn VS
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temp- 36.5- 27.5
pulse 120-160 resp 30-60 |
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Risk factors for hypoglycemia
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prematurity
post maturity IUGR asphyxia cold stress large for gestational age small for gestational age maternal dm maternal intake of terbutatine |
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signs of hypoglycemia
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jitteriness
poor muscle tone sweating achypnea dyspnea apnea cyanosis low temp poor suck high pitchd cry lethargy irritabilty seizures, coma |
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Risk factors for elevated bilirubin
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prematurity
cephalhemotoma bruising delayed or poor intake col stress aspyxia rh incompat sepsis sibling with jaundice breastfeeding |
