Neonatal assessment

Question 1

when is newborn exam done

Answer 1

• after transition, when baby in quiet but alert state

Question 2

what are growth parameters

Answer 2

weight, height, head circ.

- use curve and be concerned if

Question 3

what is normal weight

Answer 3

can lose 10% right away and regain within 10-14 days

- double by 4 month and triple by year

Question 4

what is small head

Question 5

def. caput succeedanum

Answer 5

pitting edema in head - above aponeurosis

Question 6

def. cephalohematoma

Answer 6

blood under skin on one side above aponeuosis

Question 7

def. subgaleal hemorrage

Answer 7

blood under aponeurosis - of concern as bleed can continue

Question 8

def. acrocyanosis

Answer 8

feet and hands blue

Question 9

what is seen in premature babies (2)

Answer 9

1. less creases on feet

2. wrinkled ears

Question 10

def. preterm

Answer 10

42 weeks

Question 11

classification of prematures

Answer 11

low

Question 12

4 clearly established risks for premature

Answer 12

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

Question 13

5 possible etiologies

Answer 13

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

Question 14

5 possible maternal causes

Answer 14

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

Question 15

4 uterine causes

Answer 15

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

Question 16

2 placental causes

Answer 16

1. abruption

2. previa

Question 17

5 fetal causes

Answer 17

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

Question 18

4 general problems with preterms

Answer 18

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

Question 19

what is mort. of preterm

Answer 19

inverse with age

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

Question 20

6 systems and problems with acute morbidity

Answer 20

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

Question 21

6 chronic prblems

Answer 21

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