midterms Flashcards
(19 cards)
What are the first steps if a newborn isn’t breathing at birth?
Stimulate (back rub or foot tap), suction if needed, provide positive pressure ventilation.
Are medications used to make a newborn cry?
No, physical stimulation is preferred.
What is done if a newborn’s heart rate is <80 bpm?
Start chest compressions with 2 fingers (15:2 ratio with breaths).
When is epinephrine given during newborn resuscitation?
If HR doesn’t go above 80 bpm after 30 seconds of compressions + ventilation.
What are signs of dehydration in a newborn?
Urine output <2 mL/kg/hr and specific gravity >1.015.
How is neonatal hypoglycemia treated initially?
With 10% dextrose in water.
Why are preterm infants at high risk for temperature issues?
Immature body systems, exposure during procedures, and lack of brown fat.
What tools help maintain newborn temperature?
Radiant warmers, incubators, and skin-to-skin contact.
What diagnosis fits mucus blocking a newborn’s airway?
Ineffective airway clearance.
What diagnosis applies to low urine and dry skin?
Risk for deficient fluid volume.
What percentile defines an SGA baby?
Below the 10th percentile for gestational age.
Common physical traits of SGA babies?
Thin body, old-looking skin, large head.
Complications of SGA?
Polycythemia, acrocyanosis, hypoglycemia, hyperbilirubinemia.
What percentile defines an LGA baby?
Above the 90th percentile.
Which maternal conditions are linked to LGA babies?
Diabetes and obesity.
Complications of LGA?
Shoulder dystocia, hypoglycemia, hyperbilirubinemia, polycythemia.
What defines a low birth weight (LBW) baby?
<2500 grams (5.5 lbs), regardless of gestational age.
What is an ELBW infant?
<1000 grams (2.2 lbs).
What is IUGR?
Intrauterine growth restriction — the fetus didn’t grow at the expected rate.