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Flashcards in Neonate Deck (34):
0

Respiratory movement cease heart recalls neuromuscular tone diminishes

If asphyxia continues after birth

1

Congenital problems arise from problem in

Fetal development

2

Most fetal development occurs during

1st trimester

3

Meningimyelocele

Spinal cord and associated structures exposed

4

Defect in area of umbilicus
Abnormal contents will fill this defect

Omphalocele

5

Bony or membranous septum between nasal cavity and pharynx

Choanal atresia

6

Failure of palate to completely close during fetal development

Cleft palate

7

Failure of upper lip to close

Cleft lip

8

Small jaw and large tongue in conjunction with cleft palate

Pierre Robin syndrome

9

40-60 breaths per minute

Normal respiratory rate

10

150-180

At birth HR

11

Neonates

Babies

12

Newborns

First few hours of life

13

___ % of newborns requires assistance to begin breathing at birth

10%

14

___% require extensive resuscitative measures

1

15

___ of fetal lung fluid removed through compression of chest during vaginal delivery

1/3

16

Factors that stimulate 1st breath

-Mild acidosis
-Intiation of stretch reflexes in lungs
-Hypoxia
-Hypothermia

17

Infants are susceptible to

Hypoxemia, can lead to permanent brain damage

18

If asphyxia continues

Respiratory movements cease, heart rate falls, neuromuscular tone diminishes

19

Congenital anomalies

Heart defects most common

20

Normal RR for newborn

40-60 BPM

21

Normal HR at birth

150-180

22

Normal HR thereafter

130-140

23

Normal systolic BP

60-90

24

Normal Body Temp

98-100 degrees
36.7 - 37.8 C

25

Hyperbilirubinemia

Increased level of bilirubin in blood; causes jaundice

26

Apply umbilical clamps __ to ___ seconds after birth

30 to 45

27

ET situations

-Chest Compressions performed
- Pt cannot be ventilated with mask
- Tracheal suctioning required
- Prolonged ventilation required
- Diaphragmatic hernia suspected
- Inadequate respiratory effort found

28

Discontinue chest compressions if spontaneous heart rate exceeds

80BPM

29

Apnea

Infant fails to breathe spontaneously after stimulation; respiratory pauses of > 20 seconds
*Results of hypoxia or hypothermia*

30

Caustic factors to Apnea

-Narcotic or central nervous depressants
-Weakness of respiratory muscles
-Sepsis
-Metabolic disorders
-Central nervous system disorders

31

Leading cause of shock in newborns

Hypovelmia

32

Most common cause of Hypovelmia

Dehydration

33

Normal temp in newborn

99.5 F
37.5 C