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Flashcards in neonatal assess 2 Deck (31):
1

4 parts of routine newborn care

1. vit. K
2. antibiotic eye ointment
3. hearing screen
4. newborn screen

2

what is K for

prevent deficent bleeding (hemoragic disease of the newborn)

3

what is oitnment for

erythromycin for maternal gonorrhea

4

when is screening done and what test

24hrs to 7 days
- PKU and hypothyroid , now 26

5

6 common neonatal illnesses

1. sepsis
2. cyanosis
3. resp. distress
4. GI reflux
5. vomiting
6. jaundice

6

risk for sepsis

- membrane ruptures
- GBS colonization
- mat. fever
-preemie
- male
- foul smelling
- maternal UTI in labor

7

Sx of sepsis

non-spec. and may be subtle
- poor feed, vomiting
- lethargy
- RSD
- grunting
- apnea
- low tone
- fever >37.8
- abdo distension
- petechiae
- cyanosis

8

what predicts sucess in sepsis

early diagnosis and intervention

9

what is central cyanosis

deoxy Hb in blood
- normal for first 5-10minute
- persisent never normal

10

4 causes of cyanosis

1. hypovent.
2. pulm disease (V/Q mismatch, diff. impairment)
3. RtoL shunt
4. heme disorders

11

signs of resp. distress

1. tachypnea
2. retractions
3. grunting or stridor
4. nasal flaring
5. tachycardia
6. cyanosis

12

2 general causes of resp. distress

immediate - lung disease/infection
beyond first days - infection and cardiac

13

def. RSD

def. surfactant production
- lung needs to do too much work

14

def. of transient tachypnea of newborn

inadequate lung fluid clearance

15

4 infectious causes of resp. distress

1. pneumonia
2. sepsis
3. upper resp infections
4. lower resp infeciton

16

6 cardiac causes of resp. distress

1. congenital heart disease
2. arrythmias
3. incr. intravascular fluid
4. high output failure
5. caridomyopathy
6. pneumopericardium

17

2 causes of cyanosis with no resp. distress

1. congenital heart disease
2. idopathic pulm hypertension

18

5 causes of upper airway obstruction

1. nasal atresia or stenosis
2. micrognathia
3. laryngeal/tracheal obs.
4. nasal stuffiness
5. masses

19

6 GI red flags

1. abdo distension
2. bile stained vomit
3. GI bleeds (stool)
4. absent bowel sounds
5. persistent vomiting
6. delayed passage of myconium

20

what is typical GE reflux in newborn

weak lower sphyncter
- not forceful, but high volume
- treat only if sympomatic

21

what is concern if vomitin (2)

1. bile stained
2. persistent
- pyloric stenosis
- strictures
- malformation

22

what is jaundice in bb

common
- from uncong. bili

23

what is concern with jaundice

kernicterus - bili in basal ganglia
CP and hearing loss

24

when to be concerned with jaundice 5

1. less than 24 hours age
2. rapid increae in bili
3. direct hyperbilirubinemia
4. premature
5. sepsis

25

what is alloimmune hemolytic disease of newborn

Rh ABs from mom

26

when to treat baby with jaundice

changes with risk of baby- treat high risk at lower levels

27

3 treatments of jaundice in first weel

1. phototherapy
2. IVIG
3. exchange transfusion

28

what to look at in jaundice beyond the first week

conj. vs. uncong

29

causes of uncong. (6)

breast milk jaundice
hypothyroidism
sepsis
hemoglobinopathies, red
cell defects etc.
inherited enzyme defects

30

causes of cong.

hepatitis‐usually viral
sepsis
anatomic: biliary atresia,
paucity of bile ducts etc.
metabolic

31

what is breast milk jaundice

Unconjugated hyperbilirubinemia in breast fed baby beyond 7 days of age
- not known why

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