Flashcards in Sick Term Infant Deck (20):
What is the neonatal period?
0-27 days postnatal
What is the APGAR score out of?
0-10 (0, 1, or 2 for each category)
How is appearance scored?
0: Blue or pale
1: Blue in extremities/body pink
2: No cyanosis
How is pulse scored?
How is grimace (reflex irritability) scored?
0: No response
1: Grimace/feeble cry when stimulated
2: Cry or pull away when stimulated
How is activity (muscle tone) scored?
1: Some flexion
2: Flexed arms and legs that resist extension
How is respiration scored?
1: Weak, irregular, gasping
2: Strong cry
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?
Colour – pink/blue/white
Others – jaundice, low tone (floppy), seizures, poor feeding, bilious vomit
How would poor circulation be managed in the newborn?
What are some possible sites and types of infection in the newborn?
Blood stream- bacteraemia/septicaemia
GI- necrotising enterocolitis
What are some possible bacterial infections of the newborn?
Group B Streptococcus
What are some possible viral infections of the newborn?
Syphilis- treponema pallidum
What is hypoxic ischaemic encephalopathy?
Multi organ damage due to tissue hypoxia
What are some pregnancy/birth related respiratory complications?
Transient tachypnoea of the newborn (TTN)
Pneumothorax- spontaneous vs 2' active resuscitation
What are some pregnancy/birth related cardiac complications?
HF- hydrops foetalis: rhesus disease, chromosomal
Failure to adapt to postnatal life: PPHN
What are some cardiac congenital abnormalities?
Tetralogy of Fallot
Transposition of great arteries
Coarctation of the aorta
What are some respiratory congenital abnormalities?
What are some neurological congenital abnormalities?
What are some renal congenital abnormalities?