Common postnatal probs Flashcards
WHat is the energy triangle?
- Warm
- Pink
- Sweet
The close relationship between hypothermia, hypoglycaemia and hypoxia/anoxia must never be underestimated and understanding the interactions between these three factors and the impact on the newborn baby is paramount!
If a baby has plethora, what are the likely causes?
- polycythaemia which has implications in terms of viscosity
What is erythema toxicum?
- maculo-papular rash
- 30 – 70% of normal term neonates.
- very rare in the pre-term.
- rash fades by end of 1st wk
- no Rx is required.
What are mongolian blue spots?
- Blue grey birth marks
- accumulation of melanocytes.
- very common : races with pigmented skin.
- less obvious as skin darkens.
What is a stork mark?
- Naevus simplex
- light colour capillary dilatation
- commonly at back of neck.
- Maybe along midline of face.
- Gradually fades
- within the 1st 2 yrs.
Chat’s about jaundice. Refer to jaundice brainscape.
Which babies are at risk of hypoglycaemia?
- Limited glucose supply
- pre term
- Hyperinsulinism
- diabetic mama
- Increased glucose utilisation
- hypothermia
- sepsis
SSx of hypoglycaemia?
- Hypoglycaemia defined as blood sugar <2.6mmol/l
- Jitteriness
- Hypothermia
- Temperature instability
- Lethargy
- Hypotonia
- Apnoea, irregular respirations
Which bambinos are at risk of hypothermia?
Vulnerable babies include
- Low birth weight
- Babies requiring prolonged resusciation
How can we stop risk of hypothermia?
- Dry quickly
- Remove wet linens
- Use warm towels/blankets
- Provide radiant warmer heat
- Use heated/humidified oxygen
How do we evaluate resp distress in bambino?
- Respiratory rate
- Increased effort
- Grunting
- Retractions
- Nasal flaring
- Colour
- Oxygen saturations
What are issues in kiddos with cleft lip?
- Feeding issues
- ◦Special bottles and teats
- ◦Can still attempt breast feeding
- Airway problems
- Associated anomalies
- ◦Need hearing screen
- ◦Need cardiac echo
- ◦Remember trisomies
Why do we always check red eye reflex?
-
Cataracts
- lens opacification
- If undetected early could lead to blindness
- May require no treatment
- May require lens removal and artificial lens
-
Retinoblastoma
- Rare eye cancer which can be successfully treated if picked up early
- laser therapy, chemo, surgical removal of eye
What is Cephalohaematomas?
Localised swelling over one or both sides of the head
no treatment is required and resolution occurs in 3-4 weeks
What is Caput succedaneum?
serosanguinous, subcutaneous fluid collection with poorly defined margins
does not usually cause complications and resolves over the first few days.
