Sick Term Infant Flashcards Preview

Reproduction > Sick Term Infant > Flashcards

Flashcards in Sick Term Infant Deck (20):
1

What is the neonatal period?

0-27 days postnatal

2

What is the APGAR score out of?

0-10 (0, 1, or 2 for each category)

3

How is appearance scored?

0: Blue or pale
1: Blue in extremities/body pink
2: No cyanosis

4

How is pulse scored?

0: Absent
1: <100
2: >100

5

How is grimace (reflex irritability) scored?

0: No response
1: Grimace/feeble cry when stimulated
2: Cry or pull away when stimulated

6

How is activity (muscle tone) scored?

0: None
1: Some flexion
2: Flexed arms and legs that resist extension

7

How is respiration scored?

0: Absent
1: Weak, irregular, gasping
2: Strong cry

8

What is the involved in the newborn clinical assessment?

Respiratory rate: 40 – 60 / minute
Work of breathing / respiratory effort
HR: 120 - 140 / minute
Cap refill 2 - 3 seconds?
BP ?
Colour – pink/blue/white
SaO2 95%
Others – jaundice, low tone (floppy), seizures, poor feeding, bilious vomit

9

How would poor circulation be managed in the newborn?

Fluids
Inotropes

10

What are some possible sites and types of infection in the newborn?

Blood stream- bacteraemia/septicaemia
CNS- meningitis
Respiratory- pneumonia
GU- UIT
Skin
Bone
GI- necrotising enterocolitis

11

What are some possible bacterial infections of the newborn?

Group B Streptococcus
E. Coli
Listeria myocytogenes
Staphylococcus aureus
Staph epidermidis

12

What are some possible viral infections of the newborn?

CMV
Parvovirus
Herpes viruses
Enteroviruses
Toxoplasma gondii
HIV
Syphilis- treponema pallidum
TORCH

13

What is hypoxic ischaemic encephalopathy?

Multi organ damage due to tissue hypoxia
Pregnancy/birth related

14

What are some pregnancy/birth related respiratory complications?

Transient tachypnoea of the newborn (TTN)
Pneumothorax- spontaneous vs 2' active resuscitation

15

What are some pregnancy/birth related cardiac complications?

HF- hydrops foetalis: rhesus disease, chromosomal
Failure to adapt to postnatal life: PPHN

16

What are some cardiac congenital abnormalities?

Tetralogy of Fallot
Transposition of great arteries
Coarctation of the aorta
TAPVD
Hypoplastic heart

17

What are some respiratory congenital abnormalities?

Tracheo-oesophageal fistula
Diaphragmatic hernia

18

What are some neurological congenital abnormalities?

Microcephaly
Spina bifida

19

What are some renal congenital abnormalities?

Potters syndrome

20

What are some muscular congenital abnormalities?

MD