NB at risk Flashcards

1
Q

ID at risk NB-7

A
  1. low ses
  2. limited/no prenatal care
  3. exposed to environ dangers
  4. preexist mom cond
  5. mat factors: age and parity
  6. med cond r/t preg
  7. preg complications
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2
Q

preterm

A

less than 36 wks

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3
Q

late preterm

A

34-36.6 wks

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4
Q

early term

A

37-38.6

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5
Q

full term

A

39-40.6

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6
Q

late term

A

41-41.6

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7
Q

postterm

A

42+ wks

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8
Q

LGA

A

above 90%

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9
Q

AGA

A

1–90%

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10
Q

SGA

A

lower than 10%

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11
Q

preterm SGA risk

A

higher mortality risk

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12
Q

symmetrical (proportional) IUGR-2

A

long term mat cond or fetal gen abnormal, chronic prolong growth restriction

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13
Q

asymmetric (disproportional) IUGR-2

A

acute compromise of uteroplacental blood flow

-not evident before 3T

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14
Q

complications of SGA/IUGR-5

A
  1. fetal hypoxia
  2. aspiration syndrome
  3. hypothermia
  4. hypogly
  5. polycythemia
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15
Q

poor outcomes SGA/IUGR-4

A
  1. congenital malformations
  2. intrauterine infection
  3. continuous growth difficulties
  4. cognitive difficulties
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16
Q

asymmetric IUGR appearance-4

A

long, thin, emaciated

*hypogly most common complication

17
Q

LGA NB causes-3

A

mat DM, multiparas, males

18
Q

LGA outcomes-3

A

poor motor skills, feeding difficulties, behavior status

19
Q

LGA complications-5

A

birth trauma caused by CPD, hypogly, polycythemia, hyperviscosity, hard to arouse

20
Q

hypogly glu

A

below 40

21
Q

mat DM NB appearance-5

A

macrosomic, ruddy, fat, thick cord, large placenta

22
Q

mat DM NB complications-7

A
  1. hypogly- s/s 1-2 hrs
  2. hypocalcemia-tremmors
  3. hyperbilirubinemia- 48-72 hrs
  4. birth trauma
  5. polycythemia
  6. resp distress syn-less mature lungs
  7. congenital birth defects
23
Q

hypo gly s/s-7

A

tremmors, cyanosis, apnea, temp instability, poor feed, hypotonia, seizures

24
Q

hypo gly NB treat

A

check glu q 1 hr, give dextrose if below 40

-4-6 mg/kg/min

25
Q

postterm NB complications-6

A
  1. hypogly
  2. meconium aspiration
  3. polycythemia -increase RBC from hypoxia (hct)
  4. congenital abnormal
  5. seizures
  6. cold stress
26
Q

postmaturity syn

A

begun to lose wt but normal length and head

27
Q

postterm NB appearance-3

A

dry/cracking/parchment skin w/o vernix or lanugo, long thin body, maconium staining