Chapter 44 Flashcards
After the baby takes its first breath, the _____ closes and shunts blood to the lungs
Ductus ovale
After birth, fetal circulation changes and the ____ turn into a fibrous cord that serves as a ligament
Ductus venosus
Newborns are very sensitive to hypoxia, and if they experience hypoxia or severe acidosis, a serious condition called _____ may occur
Persistent fetal circulation
When apnea occurs in infants that were born full term, where no cause for the apnea can be determined, this condition is called
Apnea of infancy
When evaluating an infant with frequent and severe apnea, the medic will find the parents utilize a sleep apnea monitor and the infant is given the drug _____ which stimulates the respiratory centers
Caffeine
The most common cause of Down syndrome occurs when the baby is born with ___ rather than two copies of chromosome 21
Three
The medic can recognize a newborn that is born with Down syndrome by what following characteristic
Flat facial profile with a small nose and depressed nasal bridge
Other distinguishing characteristics of Down syndrome include
An excessive space between the large and second toe
Medic can recognize a newborn that is born with the birth defect spina bifida because the infant will have
Exposed spinal structures
Of the following, which is an avoidable antepartum factor that can affect childbirth
No prenatal care
Of the following, which is a significant antepartum factor that classifies the newborn as “high risk”
Prolonged labor
____ accounts for 20% of infants deaths, more than from any other cause
Birth defects
____ is a factor associated with low birth weights
Multiple fetuses
A pregnant women who is using crack cocaine is creating which of the following risk factors
Infant feeding problems
When a baby is born without enough thyroid hormone, this condition can lead to
Poor growth and mental retardation
The newborn that is born with fetal alcohol syndrome (FAS) can be distinguished by what characteristic
Low birth weight, small head, and small eye openings
Children born with FAS fetal alcohol syndrome may have abnormal facial features, growth problems, and ________
Central nervous system problems
Patient is 23yr F who is custody of police. She is in active labor and high on heroin. What complication can you expect with delivery
Decreased mental status of the newborn
How would you manage the birth of pregnant mom on heroin
Administer O2 assist ventilations and administer Narcan
During the delivery of twins the medic can tell if the babies are fraternal or identical because fraternal twins
Always have their own placenta
The initial step of postarrest stabilization for the neonate include
Keeping the baby warm and continuing O2 delivery
The out of hospital delivery puts the premature infant at an increased risk for problems associated with
Vomiting
The most common type of hernia associated with neonates is a ____ hernia
Umbilical
The common causes of neonatal seizures are hypoxia, fever, infection, and
Hypoglycemia
