Neonatal assessment Flashcards Preview

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Flashcards in Neonatal assessment Deck (21):
1

when is newborn exam done

- after transition, when baby in quiet but alert state

2

what are growth parameters

weight, height, head circ.
- use curve and be concerned if

3

what is normal weight

can lose 10% right away and regain within 10-14 days
- double by 4 month and triple by year

4

what is small head

5

def. caput succeedanum

pitting edema in head - above aponeurosis

6

def. cephalohematoma

blood under skin on one side above aponeuosis

7

def. subgaleal hemorrage

blood under aponeurosis - of concern as bleed can continue

8

def. acrocyanosis

feet and hands blue

9

what is seen in premature babies (2)

1. less creases on feet
2. wrinkled ears

10

def. preterm

42 weeks

11

classification of prematures

low

12

4 clearly established risks for premature

1. maternal age
2. low SES
3. maternal malnutrition
4. previous preterm delivery

13

5 possible etiologies

1. idiopathic
2. maternal
3. uterine
4. placental
5. fetal

14

5 possible maternal causes

1. preg. induced HT
2. infection
3. substance abuse
4. trauma
5. illness

15

4 uterine causes

1. cervical incomp
2. polyhydramnios
3. fibroids
4. uterine malformations

16

2 placental causes

1. abruption
2. previa

17

5 fetal causes

1. multi gestation
2. macrosomicfetus
3. RBC isoimmunization
4. infection
5. fetal abnormalities

18

4 general problems with preterms

1. suvival
2. acute and chronic morbidity
3. impact on parents and fam.
4. consequences for society

19

what is mort. of preterm

inverse with age
- ELBW were .8% of birth, but 55% of deaths

20

6 systems and problems with acute morbidity

1. resp - immature lung, RSD, plneumonia
2. CV- patent ductus arteriosus
3. thermoreg - immature skin and limited fat
4. sepsis - immaute immune, invasive support
5. GI - TPN needed, NEC
6. neuro - intraventricular hemorrage, perinatal asphyxia

21

6 chronic prblems

1. lung disease
2. vision impariment
3. hearing
4. cerebral palsy
5. cog, impairment
6. behav. and school challenges

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