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Mother&Baby Exam 4
Newborn Assessment and complications
74
Nursing
Undergraduate 4
11/09/2009

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Cards

Term
Group B strep
(normal vaginal flora)
Definition
Most Common Cause of Sepsis
Term
unstable temp
apena or irregular resp
tachypnea, tachycardia/ bradycardia, hypotension, pale, dusky appearance
Definition
VS in NB with sepsis
Term
failure to digest feeding
poor feeding
vomiting/diarrhea
abd distention
not interested
not able to latch on
Definition
Feeding problems in NB with Sepsis
Term
hypoglycemia
hyperglycemia (<1000g)
glycosuria
Definition
metabolic problems in NB with sepsis
Term
lethargy or hypotonia
irritability
seizures
Definition
activity level of NB with sepsis
Term
petechiae
purpura
blood in stool or stomach aspirate
Definition
bleeding problems in NB with sepsis
Term
ampicillin or penicillin for Gram +
gentamicin or kanamycin for Gram -
Definition
Tx for Sepsis (Gram + & Gram -)
Term
cultures negative after 3 days
Definition
When do you stop antibiotic Tx?
Term
ampicillin + aminoglycoside
Definition
Tx for streptoccci sepsis
Term
ototoxicity
nephrotoxicity
(given in syringe pump, monitor I&O closely)
Definition
SE of aminoglycoside
Term
amphotericin B or 5-FC
Definition
Tx for fungal infection
Term
Methicillin
Definition
Tx for Staphylococcus aureus
Term
Warm
Suction
Dry/Stimulate
Reposition
Ax resp, HR, and color
Definition
Initial Steps of NB resuscitation
Term
7.20-7.35
Definition
typical pH level in utero
Term
Tachypnea
Grunting
Flaring
Retractions
Cyanosis
Increased work of breathing
Hepyercapnea
Resp or mixed acidosis
Hypotension and shock
Definition
Clinical Manifestations of RDS
Term
Toxoplasmosis
Other (gonorrhea, syphilis, varicella, hep B, HIV)
Rubella
Cytomegalovirus
Herpes Simplex virus
Definition
TORCH
Term
blindness
mental retardation
Definition
most common sequalae of toxoplasmosis
Term
Exposure to feline feces or ingestion of raw meat
Definition
Cause of Toxoplasmosis
Term
Microcephaly
Brain damage
progressive hearing loss
Definition
most common sequalae of CMV
Term
Localized skin lesions
Generalized illness involving the liver, lungs, and CNS
Definition
Physical findings in the NB with Herpes
Term
Presence of spirochetes
Increase in values of rapid plasma reagin (RPR)testing
Definition
Diagnosis of Syphilis
Term
High-pitched or shrill cry
GI disturbances
Tremulousness Respiratory Disturbances
Seizures
Definition
What are the Sx of withdrawal caused by drug dependency in NB?
Term
Decreased length of NB (heads larger than length)
Altered visual responsiveness and total quiet sleep time
Definition
Most common sequalae for Marijuana
Term
Limb reduction
LBW
SGA
IUGR
Definition
Physical findings of Cocaine dependent NB
Term
Severe neonatal withdrawal Sx (72hr) along with seizures
High-pitch crying
Tremulousness and irritability
poor motor control with ppoor suck and swallow coordination--> start IV
Definition
Sx of Heroin addicted NB
Term
Place the baby in a quiet area
Wrap the baby tightly
Definition
Tx for heroin addicted NB
Term
110-160bpm
Definition
Normal FHT
Term
Hypothermia
Hypoglycemia
Hypoxia
Metabolic acidosis
Definition
Presentations of cold stress
Term
Deep sleep
Light sleep
Drowsiness
Quiet alert
Active alert
Crying
Definition
6 infant states
Term
Deep Sleep
Crying
Definition
Mom can feed infants in all states except...?
Term
males
white
insulin dependent mother
2nd born twin
asphyxia
Rh factor incompatibility
Definition
Risk factors of RDS
Term
Stress
prenatal corticosteroids (Betamethasone)
Definition
factors/meds that increase the production of surfactant
Term
must be given 24-48 hrs before delivery
effective for 7 days
if mom is at risk, give it every week?
Definition
When do you need to give corticosteroids to mother at risk for having baby with RDS?
Term
Murmur
bounding femoral pulses
widened pulse pressure
tachypnea
retractions
hypoxemia
hypercapnia
Definition
Sx of Patent Ductus Arteriosus
Term
#1 give O2
#2 IV indomethacin
#3 surgical ligation

Fluid restriction, diuretics
Definition
Interventions of PDA
Term
herniation of the intestine and liver into the base of the umbilical cord
Definition
Omphalocele
Term
herniation of the bowel and other viscera through a defect in the abd wall
Definition
Gastroschisis
Term
O: covered with a sac consisting of peritoneum and amniotic membrane
G: exposes viscera because of lack of any covering
Definition
Different physical findings between omphalocele and gastroschisis
Term
Immediate intubation at delivery
Definition
Immediate intervention of Congenital Diaphragmatic Hernia
Term
Barrel chest
Scaphoid abd
Resp distress
decreased or absent breath sounds
infrequent bowel sounds heard in the chest
asymmetrical chest expansion
Definition
Clinical presentations of Congenital Diaphragmatic Hernia
Term
increased ICP
Definition
Bulging of fontanels
Term
dehydration
Definition
sunken fontanels
Term
overriding of sutures
Definition
Molding
Term
Serum present between scalp and periosteum skull
May cross the suture line
Soft and Squishy
Definition
caput succedaneum
Term
Blood between Periosteum and Skull
Does NOT cross the suture line
High squeezed/ Takes longer to resolve
Definition
Cephalohematoma
Term
120-160bpm
100 sleeping
180 crying
Definition
Normal HR of NB
Term
30-60
Definition
Normal Respiratory Rate in NB
Term
dusky red-cord wasn't dumped immediately
Definition
Plethora
Term
Cyasnosis in hands and feet
Definition
Acrocyanosis
Term
cyanosis around the mouth
O2 deprivation
Definition
Cicumoral cyanosis
Term
AFTER 24 hrs, it is physiological (will last up to 10 days)
FIRST 24 hrs, it is pathological
Definition
Jaundice
Term
1-2 hrs after birth
Definition
when do you start hearing bowel sounds
Term
within 48 hrs
Definition
All NB should pass meconium within how many hrs?
Term
within 24 hrs
Definition
All NB should urinate within how many hrs?
Term
Meatus on ventral side
Definition
Hypospadius
Term
Meatus on dorsal side
Definition
Episopadias
Term
Ventral curvature of penis
Definition
Chordee
Term
plugged sebaceous glands
NORMAL
Definition
Milia
Term
stork bite
small dilated blood vessels near the surface of the skin
Definition
Telangiectasis
Term
port wine stain
Definition
Nevus Flammeus
Term
short life span of fetal RBCs
liver immaturity
re-absorption of bilirubin from GI tract
Definition
Causes of hyperbilirubinemia
Term
no more than 13mg/dl in term baby
preterm baby and breast fed babies may peak at 15-17 mg/dl
Definition
Bilirubin levels
Term
1wk after birth
May need to stop breastfeeding for 24-48hrs
Definition
When does Late/Breast milk Jaundice occur?
Term
bililights or sunlight (need eye protection and increased fluids)
Definition
Tx of Jaundice
Term
Bilirubin over 25mg/dl
Definition
Kernicterus
Term
MR
Cerebral palsy
Epilepsy
Definition
Sequelae of Kernicterus
Term
hands or feet attached close to trunk
Definition
Phocomelia
Term
absence of distal part of extremity
Definition
Hemimelia
Term
extra digits
Definition
Polydactyly
Term
Fused/webbed digits
Definition
Syndactyly
Term
instilled within 1-2hrs after birth

MEDS: Silver Nitrate, erythromycin, tetracycline
Definition
EYE care
Term
1 mg Aquamephyton IM within 1 hr of birth
Vastas Lateralis
Definition
Vitamin K
Term
Triple dye
Definition
prevention of cord infection
Term
immediately after delivery
1 mos
6 mos
Definition
Times to give HepB immunization
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