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Flashcards in High risk newborn (unit 3) Deck (75)
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1

caput succedaneum

•soft tissue injury sustained during birth
•FLUID edema of scalp
•benign
•DOES cross suture line

2

cephalhematoma

•soft tissue injury sustained during birth
•collection of BLOOD b/t skull bone and periosteum
•does NOT cross suture line
•usually after vert delivery
•benign

3

subconjunctival & retinal hemorrhages

•soft tissue injury sustained during birth
•d/t increased ICP
•benign

4

lacerations during birth

•soft tissue injury sustained during birth
•scalpel from C/S
•episiotomy on scalp, butt, thigh

5

skeletal injuries during birth

•skull (linear/depressed)
•clavicle- most common
•humerus/femur

6

Erb-Duchenne

•paralysis of upper portion of arm d/t upper plexus injury during birth

7

Klumphke

•paralysis of lower portion of arm d/t lower plexus injury during birth

8

phrenic nerve injury during birth

•diaphragmatic paralysis
•cyanosis, irregular thoracic movements
•vent support for 1st few days
•may spontaneously resolve or need surgery

9

subarachnoid hemorrhage during birth

•most common intracranial hemorrhage
•causes seizures
•vent support, IV, monitor ICP, minimal stim

10

infants of diabetic mothers r/o

•congenital anomalies
•IUGR
•heart anomalies (cardiomyopathy)
•respiratory distress
•hypoglycemia
•hypocalcemia
•hypomagnesemia
•polycythemia

11

hypoglycemia onset

•BS < 40 mg/dl (term)
•BS < 25 (preterm)
•jittery
•RDS
•apnea
•lethargy
•poor suck
•seizures
*w/in 1-3 hrs after birth
-d/t inc. insulin production in utero

12

hypertrophic cardiomyopathy (HCM)

•hypercontractile
•thickened myocardium (-> LHF)

13

nonhypertrophic cardiomyopathy (non-HCM)

•poorly contractile
•over stretched
•tx w/ digoxin

14

polycythemia

•Hct > 65%
•inc. blood viscocity
•impaired circulation/oxygenation
•inc. RBC to be hemolized
•additional birth trauma if macrosomia (inc. cephalhematoma/bruising)

15

neonatal sepsis

•microorganisms/toxins (bacteria, virual, fungi) in blood/tissues
•perinatal- HSV, CMV
•during birth- GBS
•postnatally

16

bacterial neonatal infection

•early onset
-congenital
-rapid progression (24-72 hr)
-hypothermia common
•late onset
-acquired
-slow progression (1-2 wk)

17

neonatal group beta strep bacterial infection

•most common
•early onset indicates vertical transmission
•RDS, pneumonia, sepsis

18

neonatal e. coli bacterial infection

•amp resistant strain contracted during labor

19

neonatal listeriosis bacterial infection

•detected in meconium in amniotic fld < 37 wks
•granulomas, liver dz, meningitis (late onset)
•mom may not have s/sx, but newborn will
•found in dirt, water, unpaturized, uncooked, and ready-made

20

neonatal clamydia bacterial infection

•opthalmia neonatorum
•conjunctivitis
•reason for erythromycin in eyes at birth

21

neonatal fungal infections

•candidiasis (thrush)
•mouth/diaper most common site

22

heroin/methadone neonatal effects

•IUGR
•LBW
•SGA
•w/d
•risk of SIDS 5-10x higher

23

marijuana neonatal effects

•lowered response to light sim
•tremors
•high pitched cry
•small head
•hyperactive
•impulsive
•delinquency

24

cocaine neonatal effects

•pre-term
•LBW
•short
•small head
•piercing cry
•low Apgar
•irritable/hypersensitive
•poor feeding/sleeping
•high HR/RR
•tremors/startling
•dec. verbal reasoning/attention

25

methamphetamine neonatal effects

•poor growth
•LBW
•small head
•PTB
•placental problems
•w/d s/sx

26

tobacco neonatal effects

•UPI (vasoconstriction)
•SAb
•placental separation
•LBW
•PTL
•intellectual disabilities (ADHD)

27

fetal alcohol syndrome (FAS)

•poor habituation
•irritability/jittery
•feeding/sleep difficulties
•poor muscle tone
•sensitive to light/sound
•excessive crying

28

physiologic jaundice

•hyperbilirubinemia
•appears after 1st 24 hrs
•benign- not normal, but common
•s/sx 2nd-3rd day of life
•usually resolves by day 4
•bili < 12 (unless PT or BF)

29

pathologic jaundice

•hyperbilirubinemia
•appear w/in 1st 24 hrs
•r/t abnormalities that cause excessive RBC destruction (ABO/Rh incompatibility)
•bili levels higher and remain high

30

Kernicterus

•hyperbili (>25)
•long term neurological damage
•½ infants survive
•never present at birth