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1

Estimated 45% of deaths in children under 5 are what age?

neonate (1-28 days)

2

what is the time of highest risk of death?

first few weeks of life

3

according to the 'live saving essential and extra newborn care" what is the highest priority?

providing warmth

4

axillary temp in the neonate should be what?

36.5- 37.5 C

5

providing a neutral thermal environment provides what?

stability and reduced adverse outcomes

6

18-42% of neonatal deaths worldwide are attributed to what?

reduction in body temperature

7

rapid heat loss in the neonate attributed to what?

large BSA
limited brown fat stores
vasomotor instability
immature thermoregulatory system

8

radiant heat loss example

cold incubator doors

9

evaporation heat loss example

insensible water loss from skin and resp tract

10

convection heat loss example

cold OR temp or incubator temp

11

conduction heat loss example

placement of neonate on cold OR table

12

2 highest forms of heat loss

radiation and convection

13

cold stress

36.0-36.6 C

14

hypothermia

< 36.0

15

28% increase in mortality and 11% in late onset sepsis associated with what temperature decrease?

every 1 degree C decrease

16

Factors associated with hypotehermia

Hypoglycemia
•Respiratory distress
•Hypoxia
•Metabolic Acidosis
•Failure to Gain Weight
•Necrotizing Enterocolitis
•Increases Oxygen Consumption
•Neurological Compromise
• Intraventricular Hemorrhage
•Arrhythmias
•Death

17

where is more hypothermia experienced for the neonate, ICU or OR

OR- attributed to delivery of gases (Sevo> des)

18

hyperthermia

>37.5 C

19

causes of heat gain

•Maternal temperature
•Phototherapy
•Excessive Swaddling, Over-heating•
Dehydration
•Infection
•Central Nervous System Disorder
•Environmental Factors

20

signs of hyperthermia

•Tachycardia
•Apnea
•Seizures,
•Hypotension
•Dehydration
•Hypernatremia

21

what agency determines care plan for neonate

Agency for Healthcare Research and Quality

22

what areas should be avoided in skin temp placement?

Avoid Brown Fat areas
-scapula, mediastinum, axilla, retroperitoneal areas

23

where should skin temp probe be placed in prone or supine patient

-Place probe in outer abdominal region below ribs (supine) or upper flank, below ribs (prone)

24

considerations for placement of skin temp placement in axilla

place in axilla-arm must be down and skin temperature goal increased by 0.5 Celsius

25

what should incubator be prewarmed to?

35 C

26

what should the NICU room and OR be prewarmed to?

75-82.4 F

27

is it a good idea to turn alarms off for the cases?

duh

28

Obesity prevalence is ____ in women of childbearing age

40-50%

29

Increased incidence greater in obese vs normal-weight:

Dysfunctional labor leading to instrumentation
C/S
PP hemorrhage

30

Healthcare cost is _x greater than for healthy parturients

5