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Flashcards in The Sick Term Baby Deck (30)
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1
Q

When is the neonatal period?

A

from the birth to the first 28 days of life

2
Q

What appearance would give an apgar score of 0?

A

blue or pale

3
Q

What appearance would give an apgar of 1?

A

blue in extremities/pink body

4
Q

What appearance would give an apgar of 2?

A

no cyanosis

5
Q

What pulse rate would give an apgar of 0?

A

absent pulse

6
Q

What pulse would give an apgar of 1?

A

<100

7
Q

What pulse would give an apgar score of 2?

A

> 100

8
Q

What grimace/refelx irritability would give apgar of 0?

A

no response

9
Q

What grimace would give apgar of 1?

A

grimace/feeble cry when stimulated

10
Q

What grimace would give an apgar of 2?

A

cry of pull away when stimulated

11
Q

What tone would give an apgar of 0?

A

no tone

12
Q

What tone would give an apgar of 1?

A

some flexion

13
Q

What tone would give an apgar of 2?

A

flexed arms and legs that resist extension

14
Q

What respiration would give a score of 0?

A

absent

15
Q

What respiration would give an apgar score of 1?

A

weak, irregular, gasping

16
Q

What respiration would give an apgar of 2?

A

strong cry

17
Q

What are the common general causes of a sick term baby?

A

pregnnacy/birth related; metabolic; congential anomalies; infection

18
Q

Which sex is more likley to get UTIs in the neonatal period?

A

males

19
Q

What are the common bacteria that cause problems in neonates?

A

group B strep; e.coli; listeria monocytogenes; staph. aureus; staph. epi

20
Q

What happens in the hypoxic-ischaemic encephalopathy?

A

multi-organ damage due to tissue hypoxia

21
Q

What are the causes of hypoxic ischaemic encephalopathy?

A

failure of gas exchange across the placenta; interruption of umbilical blood flow; inadequate maternal placental perfusion; compromised fetus; feailure of cardiorespiratory adaptation at birth

22
Q

Which babies is transient tachypnoea of hte newborn most common in?

A

those delivered by elective C/S

23
Q

Why are babies delivered by C/S more at risk of TTN?

A

have not had time to prepare; hormones during labour have not reduced lung fluid production

24
Q

What are the causes of hydrops foetalis?

A

rhesus disease; chromosomal

25
Q

What is seen on CXR with transient tachpnoea of the newborn?

A

hazy lungs; fluid in the horizontal fissure- can be difficult to tell from NRDS

26
Q

What is seen with tetralogy of fallot?

A

ventricular septal defect; pulmonary stenosis; right ventricular hypertrophy and overriding aorta

27
Q

What happens in TAPVD?

A

total anomalous pulmonary venous drainage- pulmonary veins do not drain into the left atrium but into veins that drain back into the rigt atrium

28
Q

What is erythema toxicum?

A

common benign transient lesion found 1-3 days usually after birth; moves to different sites in hours

29
Q

What are the antenatal risk factors for hypoglycaemia?

A

maternal DM; maternal obesity; largeo r rapid infusions of glucose immediately after delivery; maternal beta-adrenergic agonist/antagonist

30
Q

What are hte neonatal risk factors for metabolic disease?

A

IUGR; LGA; preterm; ill infant; iatrgogenic; polycythaemia; hypoxic-ischaemic encephalopathy; hypothermia; rhesus disease