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13 Cards in this Set
- Front
- Back
List some of the indications for prenatal testing
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- maternal age >35 years
- previous child or parent with structural or chromosomal abnormalities - ethnic factors - maternal disease state (diabetes, heart disease) - environmental exposure (including medications) - maternal infection (HIV, cytomegalovirus) |
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True contraindications to early discharge include:
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- infant jaundice at 24 hours of life or less
- known exposure to substances of abuse - physical or oral defects - maternal group B strep - poor feeding, or >10% weight loss |
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Name the steps in an initial examination of a newborn.
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- APGAR score
- quick physical exam - gestational age estimate |
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Explain the three stages of transition after birth
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- First Stage 0-30 minutes the first period of reactivity
- Second Stage 30 minutes to 2 hours a period of decreased responsiveness -Third Stage 2 to 8 hours the infant has a second period of reactivity. |
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vaccination at birth
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Hep B
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When during gestation should you do an alpha feto protein
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15-20 weeks
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When do you do the following tests during gestation?
1 hour glucose tolerance test, hemoglobin and hematocrit, and Rh immune globulin administration |
26-30 weeks gestation
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When do a group B streptococcus screening test during gestation
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36 weeks gestation
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The five parameters of a biophysical profile score
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- the non-stress test
- ultrasound measurement of the amniotic fluid volume - observation of fetal breathing movements - gross body movements - tone (measured via ultrasound imaging and fetal heart rate) |
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normal biophysical profile score:
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2 - normal
0 - abnormal |
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What is a cause of LGA
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diabetic mother
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what is a cause of SGA (asymmetric)
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pregnancy-induced HTN = placental insufficiency
> 35 years old mom poor wt gain during preg mult. gestation smoking |
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what is a cause of SGA (symmetric)
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mom drug use (narcs, cocaine, alcohol)
chromosomal abn intrauterine viral infection (CMV) |