Ch 17- High Risk Neonate Flashcards
(19 cards)
What is TTN and what causes it
Transient Tachypnea of the Newborn
* temporary, rapid breathing (wet lungs) a few hours after birth
* caused by leftover fluid after birth (common c/s baby)
Signs/Sx of TTN
- tachypnea
- nasal flaring
- retractions
- cyanosis around nose and mouth
unconjugated (indirect) bilirubin
- water insoluble (unable to leave body)
- excess amounts deposit into tissues and cross BBB
conjugted (direct) bilirubin
- water soluble (able to leave body)
- non-toxic
- excreted through urine and bile
pathological jaundice
- abnormal: various disorders leading to neurological damage, dysfunction, and death
- within 24 hrs
physiological jaundice
- normal
- after 24 hrs of life
Risk factors for hyperbilirubinemia
4
- gestational age
- sibling w/ jaundice requiring phototherapy
- exclusive breastfeeding
- bruising or cephalohematoma
Labs for hyperbilirubinemia
3
- TcB
- serum bilirubin
- direct coombs test
Hyperbilirubinemia Tx
3
- frequent, effective feedings
- phototherapy
- exchange transfusion
2 common complications of postmature (>41 wks) neonates
and what they can cause
- fetal hypoxia
-seizures - hypoglycemia
-hypothermia
Complications of meconium aspiration
4
- airway obstruction
- surfactant dysfunction
- chemical pneumonitis
- pulmonary hypertension
What is Persistent Pulmonary hypertension
when vasodilation and relaxation of the pulmonary vascular bed do not occur
small for gestational age
less than 10th percentile
large for gestational age
above 90th percentile
preterm
34: 0/7 - 36: 6/7
early term
37: 0/7 - 38: 6/7
full term
39: 0/7 - 40: 6/7
late term
41: 0/7 - 41: 6/7
post term
42: 0/7 and beyond
