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Flashcards in Neonatal assessment Deck (52)
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1

What is the fetal lung volume

30ml/kg

2

Retained liquid in the lung is thought to cause

transient tachypnea of the newborn (TTN)

3

Lung inflation releases what

surfactant

4

5 parameters of the APGAR score

HR, Respiratory effort, Reflex irritability, color

5

3 characteristics of Persistent Pulmonary HTN of the Newborn

Sustained Elevated PVR
Decreased lung perfusion
Continued R-L shunting (patent foramen ovale and ductus arteriosus)

6

What is the drug of choice in the fetus with bradycardia and decreased CO?

Epinephrine

7

Normal Respiratory Frequency Infant/Adult?

Infant 30-50
Adult 12-16

8

The MV:FRC is _____x higher in the newborn

2-3x

9

Normal TV in Infant/Adult?

Infant 7ml/kg
Adult 7ml/kg

10

Normal FRC in Infant/Adult?

Infant 27-30ml/kg
Adult 30ml/kg

11

_________/________may develop after stimulation of carina or SLN, following AW obstruction, of following lung inflation (Hering-Breuer reflex)

Respiratory depression/Apnea

12

What terminates between L2 and L3 in neonates?

Conus medullaris

13

The neonatal diaphragm is more responsive to (NDMRs or DMRs?)

NDMRs- Like Roc

14

What are some signs of fetal pain?

Tachycardia
Elevated BP
Crying
Restlessness
Grimacing

15

The anterior fontanelle closes by age____

2 y/o

16

The blood/brain barriers is immature until about what age?

1 y/o

17

AW obstruction, Bronchospasm, Pulmonary Aspiration, Inadequate 02 delivery, Pneumothorax

What are respiratory causes of neonatal bradycardia and cardiac arrest?

18

What are Pharmacologic causes of neonatal bradycardia and cardiac arrest?

Inhalation Anesthetics, Succinylcholine, Anticholinesterases (Neostigmine).

19

Celiac reflex, Oculocardiac Reflex, SLN/Recurrent nerve stimulation

What are some neurogenic causes of neonatal bradycardia and cardiac arrest?

20

Hypoglycemia, Anemia, Hypothermia, Acidosis

What are the metabolic causes of neonatal bradycardia and cardiac arrest?

21

Neonates have a ____ GFR and Renal Blood Flow. What is the typical neonatal GFR?

Low GFR- 1.6ml/min/kg

22

GFR reaches normal by _______

1-2 years (12-24 months)

23

What is indicative of hypovolemia or decreased renal function in the neonate?

<1mg/kg/kr

24

Half life of meds are ____ in the neonate.

prolonged

25

Neonates are obligate _____ excreters.

sodium

26

3.0-3.5mm ETT

Appropriate ETT size for the FULL TERM NEONATE

27

What is the most appropriate size ETT for a premature neonate?

2.0-3.0

28

4.0mm ETT

Size ETT for 3month to 12 month old

29

The length of insertion for neonatal ETT should be

<10cm, between 8-10cm

30

Factors affecting metabolism of drugs in the neonate (pick 2)

Volume of distribution
Protein binding
Fat content