neonatal resus - amboss Flashcards
early term
37+0 - 38+6 weeks
full term
39+0 - 40+6 weeks
late term
41+0 - 41+6 weeks
post term
after 42 weeks
preterm
live birth before 36+6 weeks
which babies require neonatal resus
infants who are born prematurely, lack muscle otne, are not breathing or crying
appropriate for gestational age infant (AGA)
10th - 90th percentile for gestational age
small for gestational age (SGA)
birth weight <10th percentile for gestational age
large for gestational age (LGA)
birth weight >90th percentile
low birth weight
birth weight <2500g regardless of the gestational age
occurs in early term or IUGR
associated with increased mortality, especially due to SIDS
very low birth weight
1000g-1499g regardless of gestational age
extrememly low birth weight
<1000g regardless of gestational age
immidiate care of the newborn
- clear away secretions around nose and mouth, use suction only if necessary
- dry and stimulate the newborn
- provide warmth
- skin to skin contact and initiation of breastfeeding
- clamp and cut umbilical cord
- apgar score assessment at 1 and 5 minutes after birth
begin resus if onset of respiratioon has not yet occured within 30-60 seconds
APGAR stands for
appearance, pulse, grimace, activity, respirations
five components of apgar score
skin colour
heart rate
reflex irritability to tactile stimulation
muscle tone
respiratory effort
each component given 0-2 points, depending on the stutus of the newborn
calculation of the apgar scores table
