Term
How can you anticipate a sick newborn? |
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Definition
Know the history
Maternal/family
Previous pregnancies
Complications of gestation
Labor and delivery
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Term
| Transitional care offers the best? |
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Definition
| opportunity for early detection of problems |
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Term
| Transitional Observations |
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Definition
Temperature, Heart Rate, Respirations, Blood Pressure, Color, Tone, Activity, Behavior, Blood Glucose, Hematocrit
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Term
| Problems associated with low apgar scales |
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Definition
PERINATAL ASPHYXIA
DRUG DEPRESSION
BIRTH TRAUMA
Neuromuscular Disease
CNS Malformation
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Term
Clinical manifestations of asphyxia |
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Definition
Pallor, Poor Perfusion, CHF, Respiratory Distress, Oliguria, Anuria, NEC, Bleeding, Hypoglycemia, Hyperalert, Hypotonia, Hypertonia, Irritability, Obtunded, Seizures, Apnea, Hypotension
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Term
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Definition
UTERO-PLACENTAL INSUFFICIENCY
UNKNOWN
NORMAL INFANT
Substance Abuse
Congenital Infection
Genetic Syndromes
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Term
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Definition
Birth Asphyxia
Meconium Aspiration
Hypoglycemia
Hypothermia
Polycythemia
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Term
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Definition
Infant of a Diabetic Mother (IDM)
Normal Infant
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Term
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Definition
Birth trauma
Hypoglycemia
Hypocalcemia
Poor Feeding
Polycythemia
Hyperbilirubinemia
Congenital Anomalies
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Term
| Parent’s Rights of congenital malformations |
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Definition
| To be informed quickly that all is well or there is a problem |
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Term
| Baby’s Rights of congenital malformations |
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Definition
| Early recognition, assessment and appropriate referral |
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Term
| Differentials for initial Respiratory Distress in the term newborn |
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Definition
Infection/pneumonia
pneumothorax
Diaphragmatic Hernia
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Term
| Respiratory Distress data from observation |
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Definition
Tachypnea
Grunting
Flaring
Retracting
Cyanosis
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Term
| Respiratory Distress data from auscultations |
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Definition
Breath Sounds
Equality
Heart Sounds
PMI ** |
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Term
| Determine rapid diagnosis of respiratory distress by? |
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Definition
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Term
| Apnea in the term newborn |
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Definition
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Term
| Differentials for apnea in the term newborn |
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Definition
Infection
Respiratory Distress
Hypoglycemia
Hyperthermia
CNS Depres |
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Term
| Central cyanosis in the term newborn |
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Definition
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Term
| Central cyanosis Differentials in the term newborn |
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Definition
Respiratory Distress
Cardiac Disease
CNS Abnormality
Hypoglycemia
Hypothermia
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Term
| Should a term baby need gavage feeds |
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Definition
| Never gavage feed. if needed suspicion for further evaluation |
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Term
| Signs a term newborn needs further eval for feeding difficulties |
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Definition
Persistent secretions
Choking with feeds
Cyanosis with feeds
Persistent emesis
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Term
| Feeding difficulty evaluation in the term newborn suspicious of? |
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Definition
Think esophageal atresia: pass a tube
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Term
| Jaundice in the term newborn |
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Definition
| Never normal in the firsst 24 hours |
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Term
| How do you check for jaundice in a dark skinned baby? |
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Definition
Blanch the gums in dark skinned babies
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Term
Explanations for a sleepy floppy baby |
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Definition
Maternal drugs
Difficult delivery
Asphyxia
Infection
Hypoglycemia
Polycythemia/hyperviscosity
CNS Abnormality
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Term
| Explanation for a alert floppy baby |
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Definition
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Term
| Signs of infection in the term newborn |
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Definition
Poor Color
Poor Skin Perfusion
Irritability
Lethargy
Poor Feeding
Temperature Instability
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Term
baby’s best protection against long term sequelae
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Definition
| Early recognition, assessment and reporting |
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