W11_09 neonatal assessment 1 Flashcards Preview

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Flashcards in W11_09 neonatal assessment 1 Deck (20)
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1
Q

what are the 3 growth parameters of newborns?

A

weight,
head circumference,
length

2
Q

what percentile of growth is considered abnormal?

A

95 (small/large for gestational age)

3
Q

note: it’s normal to lose up to 10% of birth weight

A

most regain it in 10-14 days

4
Q

average weight gain is how much?

A

20-30g/day. Double weight by 4 months and triple by 1 year

5
Q

what’s the lower limit of head size?

A

<32 cm at birth is cause for concern

6
Q

what’s caput succeedaneum?

A

pitting edema in the head. Swelling due to delivery

7
Q

what’s a cephalohematoma?

A

blood clot under the periosteum of skull. Takes weeks to resolve. Doesn’t cross suture lines

8
Q

what’s a subgaleal hemorrhage?

A

bleeding above the periosteum. Can cross suture lines. Concerned for blood loss

9
Q

note: check the hips for breech babies to see if dysplasias

A

ok

10
Q

what’s acrocyanosis?

A

bluish colour of extremities. Normal and takes a few hours to become pink. O2 sat is normal

11
Q

define preterm baby

A

baby born < 37 weeks GA

12
Q

how to classify preterm infants?

A

low, very low, extremely low birthrates (<1000 g)

13
Q

note: ELBW infants account for 0.8% of births but 55% of infant deaths

A

ok

14
Q

what are some chronic morbidities of the preterm infant?

A

chronic lung disease;
vision impairment;
hearing impairment;
cerebral palsy;
cognitive impairment;
behavioural/school challenges

15
Q

what are some respiratory acute morbidities of the preterm infant?

A

immature lung;
resp distress syndrome;
pneumonia;
apnea of prematurity

16
Q

what are some cardiovascular acute morbidities of the preterm infant?

A

patent ductus arteriosus

17
Q

what are some thermoregulation acute morbidities of the preterm infant?

A

immature skin;
limited adipose tissue

18
Q

what are some infection-related acute morbidities of the preterm infant?

A

immature immune system;
invasive methods of support

19
Q

what are some GI acute morbidities of the preterm infant?

A

feeding intolerance;
necrotizing enterocolitis

20
Q

what are some neurological acute morbidities of the preterm infant?

A

perinatal asphyxia;
IVH;
periventricular leucomalacia

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